FORM 6 (See rule 4) Application for grant of permission to mortgage/lease agricultural land for non agricultural use for ... Years u/s 16 of the Alienation of Land Act, Svt; 1995. To The Deputy Commissioner, _____________ (State the name of the District). Sir, I (state name with full description)... Not a member of the agricultural class and but/but own agricultural land measuring..(state Karnals and Marlas) under holding number/numbers.......( state Khewat number/numbers) of the annual record Jamabandi for the year ......(state the year) in village...(state name) situated within your jurisdiction . I want to mortgage/lease this land/part of this land measuring ..(state Karnals and Marlas) covered by Khasra number/numbers..(state the field number/numbers) To. (state the transfer with full description) who is/are not a member of agriculture class for a period of .(state the number ) years in consideration of Rs. ...(state the mortgage or lease money) for non agricultural; use viz..(state the number of such use, as for instance a workshop, factory, setting up of brick kiln and the like), for which necessary permission ,may kindly be granted to me. An extract from the Jamabandi describing the particulars of the land is enclosed. Applicant (Signature or thumb impression, if he be illiterate) Dated............... (Give date month and year)
