REGISTRATION FORM (To be filled up by the Applicant) TO, THE SUB- REGISTRAR (HQ), IMPHAL WEST, LAMPHELPAT Subject: 1. DEED DETAILS Transaction Type Date of Execution of Deed Consideration Value (Rs) Whether fee is to be exempted (Y/N) : If yes, give reason: 2. PLOT DETAILS [ Use extra page if space is not sufficient ] Dag No Patta No District Sub-Division Circle Village No. & Name Land Type Municipal / Non-Municipal Class/Unit Transaction Area Inkhol Aganphou Touthabi Phourel Others Municipal Non-Municipal AI AII Hectare Acre Sq.Ft BI BII CI CII DI DII None 3. BUYER / DONEE / MORTGAGEE / LESSEE ETC. [ Use extra page if space is not sufficient ] Sl No Surname Name M/F Occu- pation Father / Husband Surname Father / Husband / Wife Name District, Sub-Division & Village Name Locality/Leikai Post Office & Police Station 1 2 3 4. SALER / DONER / MORTGAGER / LEASER ETC. [ Use extra page if space is not sufficient ] Sl No Surname Name M/F Occu- pation Father / Husband Surname Father / Husband / Wife Name District, Sub-Division & Village Name Locality/Leikai Post Office & Police Station 1 2 3 5. PRESENTANT DETAILS [ Use extra page if space is not sufficient ] Sl No Surname Name M/F Occu- pation Father / Husband Surname Father / Husband Name District, Sub-Division & Village Name Locality/Leikai Post Office & Police Station 1 2 6. IDENTIFIER/WITNESS DETAILS [ Use extra page if space is not sufficient ] Sl No Surname Name M/F Occu- pation Father / Husband Surname Father / Husband / Wife Name District, Sub-Division & Village Name Locality/Leikai Post Office & Police Station 1 2 3 Date : Signature of Applicant
