S.T Others S.C Joint Family Single Family Yes No Yes No Government of Orissa Revenue & Disaster Management Application Form For Settlement of Land FORM -I (See Rule 5 (2) ) The Tahasildar. Age 1. Name of the applicant 2. Father's Name 3. Present residential address (in full) a. Permanent home address (in full) 4. Caste 5. Number of family members 6. Whether belongs to joint family or Member of single family. /- Rs 7. Annual income /- Rs a. From Agriculture /- Rs b. From other sources 8.Extent of land owned by him in his name 9. Or in the name of other members of his Family in Urban Area/Rural Area 10. Occupation of the applicant 11. Occupation of the family members 12. Detailed particulars of land applied for a. Holding number, if any b. Plot number, if any c. Area applied for d. Boundary 1.Purpose for which the land is required Date : Signature of the Applicant Published on National Portal of India (india.gov.in)
