Application Form for the Requisition for Acquisition of Land From, To, Managing Director JIIDCO Nepal House Doranda, Ranchi Sub: M/S Sub: Application for Acquisition of Raiyati land acres of Village Block Thana District Jharkhand for the purpose of proposed Plant (as per MOU signed on Dear sir, We are in the process of setting up plant at village Block/Anchal Thana Sub-Division District It is worth mentioning here that the Govt. of Jharkhand by its Letter No.- Dated has sanctioned of land against which we require acres out of which acres are forest land and the rest acres Raiyati land for which the requisitions is being filed alongwith a Bank Draft of in favour of JIIDCO, Ranchi In this context, we request you to take necessary steps on priority basis for acquisition of the said land for quick implementation of the project. Thanking you Yours faithfully GOVERNMENT OF JHARKHAND Published on National Portal of India (india.gov.in) REVENUE & LAND REFORMS DEPARTMENT /- Rs. acres 2. Duly Filled up Proforma. 3. Appendix-I (5 copies, villagewise) 4. Appendix-II (5 copies villagewise) 5. Details of land (5 copies villagewise) 6. Relevant Map on Tracing cloth (5 copies villagewise) 7. Relevant Certificate (5 copies villagewise) 8. Copy of MOU with the Govt. of Jharkhand. 9. Copy of proceeding of High Power Committee. 1. Bank Draft No Encl. Proforma 1. Name & Address of the Company 2. Name & Address of the Directors 3. Full Address of Official Correspondence Telephone No Fax E-mail 4. Purpose of Acquisition of Land 5. Date of Signature of MOU with Govt. 6. Total Amount of Investment in Mega Project as per MOU (Please enclose the copy of MOU 7. Detailed of Land (i) Land required (Enclose High Power Committee Decision) (ii) Name of Village (iii) Thana NO. (iv) Police Station (v) Name of Thana Published on National Portal of India (india.gov.in) /-Rs. 8. Certificate/undertaking/Declaration in connection with the process of land acquisition. (Please enclose attached format of Declaration) 9. Details of process fee deposited in the shape of Bank Draft in favour of JIIDCO, Ranchi. 10. Any other information if required. Signature of the Authorixed Director with Seal. APPENDIX -1 1. Name of Village 2. Thana Number 3. Thana 4. Pargana 5. Police Station 6. District 7. Boundaries of the land to be acquired i) North iii) South ii) East iv) West Note : The plots number of the plots on the four boundaries should be given, If one of the boundaries of a plot or plots to be acquired is the plot it self, or are the plots themselves, the boundary should show the plot or plots adding the words "part" i.e part plot no. or plot no. such and such. 8. Details (No. & description) Of buildings, structure, tanks, Wells, channels, bundhs etc. 9. Details of religious buildings Structures, graveyards of tombs Giving reasons for their inclusion For acquisition. Published on National Portal of India (india.gov.in) (vi) Name of District 10. Area of waste and arable land. Signature of the Authorised Director of the Company with seal Requisitioning Signature of the Requisitioning Authority APPENDIX - II 1. Department of Government - 2. Official designation of the requiring Authority- 3. Purpose of acquisition- 4. Whether application of section 5 A of land Acquisition Act obviating filling of objections is sought 5. If so, on what grounds ? 8. Has the land to be acquired Already been taken over from the owners by private agreement ? 9. If so, on what date and on what Terms (Please state the terms of the contract precisely. If the contract is in writing, a copy of it should be attached) 10. The date of issue administrative approval (for company)/Industrial undertaking / Local Authority and others, the sanction order of the project for which land is to be acquired with provision is it for cost of land acquisition 11. Reason for delay in filling requisition, if requisition is filed after morethen 6 weeks of the date of issue of the administrative approval (sanctionof the project for which land is to be acquired with provision for cost of land acquisition in case of company etc.) 12. By what time possession of the Land is required. Published on National Portal of India (india.gov.in) ( HH:MM) Yes No No Yes Signature of the Authorised Director of the Company with Seal Signature of the Requisitioning Authority 13. Priority number of case, if there is more than one case of the enquiring authority. If properties indicated earlier are to be changed, priority of all the cases as revised should be shown. Note : Serial No. 4,5,6,7,8,& 9 not Applicable temporary acquisition. Details of land (Villagewise) Annexure 'A' Village Thana No. Anchal Sub-Div Distt. Plot No. Area. (In acres) Full/Part BoundaryKhataNo. Total No of Plots Total Area Published on National Portal of India (india.gov.in) DECLARATION favour of M/S We hereby declare that the payment of the amount demanded by JIIDCO towards allotment of land in for setting up as per the memorandum Government of Jharkhand & M/S of understanding between Signed on Shall be made on receipt of the demand note. 2. It is further declared that adequate budget provisions have been made by M/S for making such payment. 3. We declare that M/S Will arrange for suitable relocation / rehabilitation by the State Government of any religious building, structure graveyards and public institutions falling under the proposed land to the satisfaction of the community concerned. 4. We declare that any subsequent liability arising out of this land acquisition will be borne by M/S subject to the order of competent court. Signature of the Authorised Director of the Company With Seal. Published on National Portal of India (india.gov.in)
