FORM - I ( See Rule 5 (2) ) APPLICATION FOR SETTLEMENT OF LAND To The Tahasildar, 1. (a) Name of the applicant : (b) Age : 2. Father's name : 3. (a) Present residential address ( in full) : (b) Permanent home address ( in full ) : 4. Caste, whether Scheduled Caste/ Scheduled Tribe/ Others : 5. Number of family members : 6. Whether belongs to joint family or a member of single family : 7. Annual Income (a) From Agriculture : (b) From other sources : 8. Extent of land owned by him in his name or in the name of other members of his family in Urban area/ Rural area : 9. (a) Occupation of the applicant : (b) Occupation of the family members : 10. Detailed particulars of land applied for (a) Name of village/ Urban area : (b) Holding Number, if any : (c) Plot Number, if any : (d) Area applied for : (e) Boundary : 11. Purpose for which the land is required : Date (Signature of the applicant)
