"FORM-57 [See sub-rule(1) and (2) of rule 108-CCC] Application for Grant of land unauthorisedly occupied
1. Name of applicant
2. Age of applicant
3. Father’s/Husband’s Name
4. Address of the applicant
5. Aadhaar No.
6. Occupation
7. Is the applicant:
(a) a member of the SC/ST
(b) landless
(c) insufficient holder/ marginal farmer
8. Gross Annual income of the applicant
9. Particulars of the land under unauthorised occupation by the applicant Dry;
Wet;
Garden;
Plantation.
Village / Hobli/ Taluk/ District/ Sy.No. Ext/ Use of land
10. Particulars of the land under unauthorised occupation by the applicant and applied for regularisation Dry;
Wet;
Garden;
Plantation.
Village / Hobli/ Taluk/ District/ Sy.No. Ext/ Use of land
11. Since how long the land is under unauthorised occupation
12. Particulars of the land already owned by the applicant inside/ outside the State Village / Hobli/ Taluk/ District/ State/ Sy.No. Ext/ Use of land
13. The total holding of land by applicant
14. Particulars of TT Fine paid, if any, (Enclose a copy of the receipt acknowledging payment made)
15. Whether there is a separate access to the encroached land
16. Whether the situation of the encroached land is such that it can be enjoyed independently.
17. Particulars of land previously granted to the applicant or any member of his family Dry;
Wet;
Garden;
Plantation.
Village / Hobli/ Taluk/ District/ Sy.No. Ext/ Use of land
18. Particulars of land sold which was previously granted to the applicant or any member of his family.
19. Whether any other member of the family of the applicant has encroached upon the Government land and applied for its regularization in Form 50 or in Form 53 and if so, the details thereof Dry;
Wet;
Garden;
Plantation.
Village / Hobli/ Taluk/ District/ Sy.No. Ext/ Use of land
20. Whether the applicant or any member of his family has previously applied for land and if so the particulars of the endorsement if any, received thereon.
Certified that the particulars furnished above are true and correct to the best of my knowledge.
Place:
Date Signature of the applicant.
ACKNOWLEDGEMENT Registration No. Dated:
Received an application from Shri/Smt………………………………......... for regularisation of unauthorised occupation of land in Sy. No………………..
………………… of Village ……………………. of Taluk……………… Receiving Assistant in the Office with Seal FORM-58 [See sub-rule(2) of rule 108-CCC] Register of applications for regularization of unauthorized occupation of land of the Taluk/Districts
1. Serial No. Year
2. Date of receipt of Application.
3. Name of the applicant and his address.
4. Particulars of land applied for:
(i) Village;
(ii) Survey No.;
(iii) Description/Dry/Wet/Garden/Plantation;
(iv) Extent;
(v) Assessment.
5. Date of transmission to Revenue Inspector or Village Officer for report.
6. Date of spot inspection by the Tahsildar / Committee.
7. Date of receipt of report.
8. Estimated value and other particulars of malki.
9. Date of submission of the report to the sanctioning authority whether necessary.
10. Date of passing final orders and nature of such orders.
11. Date of communication of the provisional sanctioning order.
12. Date of payment of first installment.
13. Date of issue of provisional Saguvali Chit.
14. Date of payment of second installment.
15. Date of payment of third installment.
16. Date of issue of permanent Saguvali chit.
17. Remarks.
FORM-59 [See sub-rule(4) of rule 108-CCC] NOTICE It is hereby brought to the notice of all that where as Shri/Smt…...
……………………….………of…………………………………………Village and Hobli…………………….….…..Taluk, has applied for the grant of land specified in the schedule below which is stated to be in his unauthorized occupation from ……….…………………………………..(here specify the date). It is proposed to grant ……………………………......(here specify the extent of land proposed to be granted) out of the………………………………………….. out of the ………………………………………….(here specify the total extent of land under unauthorized occupation) of land on payment of Rs…………………………….
(here specify the amount to be paid).
Any person having objection to the proposed grant may send his objections to the undersigned, in writing, so as to reach him on or before …………………(here specify the date).
SCHEDULE Place:
Date Tahsildar Certified that the above notice was published by affixing it in …………………………… (name of Chavadi of the Village) and in …………………………… (name of the Panchayat Officer) on ………………..(date to be specified).
Village Accountant Revenue Inspector.
Note: Signature of atleast two literate residents of the village should be obtained."
By Order and in the name of the Governor of Karnataka S.L.MAHANTHE GOWDA Under Secretary to Government, Revenue Department (Land Grants-1).