Application for Jamabandi Copy 1. Name of Applicant : ....................... 2. Permanent Address : ....................... ....................... ........................ 3. Details of Certified Copy : ........................ a. Mouza : ........................ b. Village/Ward : ........................ c. Patta No. : ........................ d. Dag No : ........................... 4. Details of papers enclosed with application a. Land Revenue Payment Receipt : ................................. d. b. Others : ........................... 5. Emergency Fee : ........................... Date of Application:......... Signature of Applicant ....................................... Enclosed: 1. Land Revenue Payment receipt/Mutation Papers/Others. 2. Affixed Rs.1.10 court fee stamp.
