(1) All the rights and responsibilities conferred by the Code as Bhumiswami shall be imposed upon the person receiving the Certificate.
(2) The Bhumiswami shall have right of Kisan Kitab as per the Section 114-A of the Code.
By order and in the name of the Governor of Chhattisgarh, JANAK PRASAD PATHAK, Special Secretary.
FORM- A (See rule 4(1)) APPLICATION FOR BHUMISWAMI RIGHTS To, Collector, District………………………….. Chhattisgarh.
Subject- Application for grant of Bhumiswami right to the agriculture land of the Government lease.
---- The Land Khasra No……………… ……….. Area…………………….Acre/Hectare, under my rights and possession situated in Village ……………………….. Patwari Halka No. ………. Tahsil ………………… District ………………………. (Chhattisgarh) was allotted for agricultural purpose under the Government lease by order dated ………… in Revenue Case number …………… of the Revenue Court ……………… The period of 20 years after allotment has been completed. Therefore, I apply for granting me Bhumiswami Rights Certificate for abovementioned land under the provisions of the Bhumiswami Rights of the Agricultural Land allotted on Government Lease in Non-urban Area Rules, 2022.
Enclosed-
1. Copy of the Government Lease,
2. Copy of the Kisan-Kitab, if any,
3. Copy of the B1, Khasra and Map,
4. Copy of the Caste Certificate,
5. Affidavit in Form- B.
Place ………………… Date ………………….
(Signature of the Applicant) Full Name ………………… RECEIPT Received the application from Mr/Ms/Mrs …………….son/daughter/wife of ………………… resident of ………… Tahsil …………District…… …… on ………….. (date).
(Seal of the Office) (Signature of the Receiver) FORM- B (See rule 4(1)) AFFIDAVIT I, Mr/Ms/ Mrs…………… ……………… ……………… ………………son/daughter/wife of ………………………………………………. resident of …………… ……… Tahsil ……………… …… District ………………… ……… (Chhattisgarh), do hereby, solemnly declare that, the information given in the Application is correct and complete to the best of my belief and knowledge;
the land mentioned in the application was allotted for agricultural purpose and has not been diverted for any other purpose;
the land is under my possession without any dispute and no court proceeding is there regarding the right and possession over it;
and, I shall bear the responsibilities imposed by the Chhattisgarh Land Revenue Code, 1959 (No. 20 of 1959), on acceptance of my application.
Place ………………… Dated ………………….
(Signature of the Applicant) FORM- C (See rule 4 (4)) BHUMISWAMI RIGHTS CERTIFICATE It is to certify that Mr/Ms/ Mrs…………… ……………… ……… Son/Daughter/Wife of …………………………………………… resident of …………… ……… Tahsil ……………… …… District ………………… (Chhattisgarh) was allotted the agricultural land Khasra No……………… Area……………………. in Village ……………………….. Patwari Halka No. ……….
under Government lease by the Order dated…………… ……….. in Revenue Case No. ……………… ……… The period of 20 years after allotment has been completed. Hence, he/she shall be deemed to be Bhumiswami, for the above mentioned land, under the sub-section (4) of the Section 158 of the Chhattisgarh Land Revenue Code, 1959 (No. 20 of 1959) and shall be under all the rights and responsibilities conferred by the Code.
Dated……………… Collector Seal……………… District…………………………… Chhattisgarh