FORM 4 (See rule 4) Application for revising the mortgage u/s 11(1) of the Alienation of Land Act,Svt;1995 . To The Deputy Commissioner, _____________ (State the name of the District). Sir, I who am a member of an agricultural class, mortgaged with / without possession an area of land measuring .............(state Karnals and Marlas) situate in village/villages..........(state name/names) to the mortgagee...... (state the name with description), who is not a member of an agricultural class for a period ..........(give the number) years for a mortgage debt of Rs .....(give the amount ) plus interest at the rate of Rs. ......(given the amount) percent per annum w.e.f .........(give the date, month and year), when possession was also delivered to the mortgagee, as per the mortgage deed dated .........(state the date of execution),copy enclosed. 2. This mortgage, as will appear, is not made in any manner or form permitted by the Alienation of the Land Act, Svt,1995. 3. It is accordingly prayed that the mortgage may kindly be revised so as to bring it in accordance with the form permitted by or under the Act. Applicant-Mortgagor, (Signature or thumb impression, if he be illiterate) Dated............... (give date month or year)