Application for Land Sale Permission Certificate 1. Name(s) of Seller(s)/Donor(s): ............... .............................. (a) Name of Father's/Husband's Name: ............... ............... ............... (b) Addresses: ............................. .............................. 2. Name(s) of including Buyer(s)/Donee(s) ............... .............................. (a) Address: .............................. .............................. 3. Schedule of Land to be sold (a) Village/town : ............... (b) Mouza : ............... (c) Patta No./Nos. : ............... (d) Dag No./Nos. : ............... (e) Area of Land to be sold Donated : ............... (f) Land Class/Classes : ............... (g) Future use/Purpose of Transfer : ............... Signature of the Applicant