GOVT. OF N.C.T. OF DELHI OFFICE OF THE D.C.F/TREE OFFICER FORM 'B' (SUB RULE(1) OF RULE 4) To, The Tree Officer, ______________ ______________ Sir, I apply for grant of permission for felling tree/s located in the property situated in the village ___________________________________ & District ___________________ I furnish below the following details in support of my application: 1. Applicant's name & address : __________________________________ (in Block letters) 2. Name & address of the owner of the : __________________________________ property (if different from applicant) __________________________________ 3. Title of the applicant i.e. whether : _________________________________ owner/occupant of the property etc. __________________________________ 4. Name of the Vill.& Kh.no. of the : _________________________________ property __________________________________ 5. Total area of the property with : __________________________________ description of the boundaries __________________________________ 6. Total no. of trees(species-wise) whose trunk or body is not less than 5cm in dia at a ht.of 30 cm from the ground & whose ht. is not less than 01 mtr. from the ground. : __________________________________ 7. The exact area (in Sq. mtrs.) from which felling of trees for which permit is sought (description of the boundaries) : __________________________________ 8. Total no. of trees to be felled : __________________________________ 9. Trees to be felled are numerically numbered in paints, their girth measured at a ht. of 1.35 mtrs. from ground level & their details species are: Sl. No. Tree No. Species Girth 10. Purpose for which the felling of the trees are intended : __________________________________ 11. Intended use of felled trees (e.g.) for sale for domestic use etc. : __________________________________ 12. Intended use of land after felling of trees : __________________________________ 13. No. of species of trees intended to be planted after felling (give details of arrang- ements for raising , planting & protecting trees) : __________________________________ 14. Name/s & address/es of the owners/ occupants adjoining property/ies. : __________________________________ I am enclosing an affidavit & below mentioned papers in support of my application. DECLARATION I hereby declare that i shall fully satisfy & abide by such terms & conditions of the permit as may be specified therein. Applicants Signature Place: Date: Attested copies of : 1. Property /occupancy documents 2. Plan of the property showing the Khasra number 3. Enumeration list (duly signed by the applicant) 4. Latest jamabandi of land record issued by the Tehsildar 5. "No Objection Certificate" from the concerned local body (e.g. NDMC/MCD/DDA) 6. Boundary list (duly signed by the applicant) 7. "No Objection Certificate" from the adjoining property owners 8. Rs. 5/- Court fees stamp. (To be signed on a stamped paper in the presence of Megistrate or authority approved for the purpose) Draft language of the Affidavit to be submitted along with 'B' Form I _____________________ aged ___________________ resident of __________ ______________________ Village _________________________ Wife/son/daughter of ________________________ do hereby solemnly affirm and declare as under: 1. That I am the legal owner/occupant of the private property known as ____________ situated at ___________________________ village __________________________ bearing Khasra no. ___________________ of _____________________ boundaries of which are as follows: East : West : North : South : 2. That I have applied to the Tree Officer, ____________________ for permission to fell ___________ trees from the aforesaid property. All the trees have been numbered with paint. 3. That there is no other owner/occupant of this property of the forest produce of this property and I hereby solemnly affirm and declare that I shall be solely responsible and answerable for any claim and litigation, if any, that may arise at any time in future rega-rding the ownership/occupancy of the said property or the forest produce from the said property. DEPONENT Verification: I hereby solemnly declare and affirm that to the best of my knowledge and belief the contents of my above affidavit are correct and true and that no material has been concealed or omitted there from. Verified at _________________ this ______________ day of _______________ 2003. DEPONENT
