LR&S Land Tax

1.

Name In Capital (as Appeared In EPIC Or UID Or PAN)

2.

Date Of Birth

(a) Present Age

(b) Place Of Birth

(c) District

3.

Whether Married? If Married, Name Of Husband Or Wife (in Capital Letters)

4.

Present Address

5.

Permanent Address

6.

(a) Name Of Father (In Capitals)

(b) Name Of Mother (In Capitals)

7.

Whether Applicant Belongs To A Tribal (Mizo) As Specified In Sub-section (45) Of Section 2 Of The Act *

8.

If Not Born In Mizoram, Do You Enclose Domicile Certificate Issued By Home Department?

9.

Occupation. If Applicant Is Govenment Servant, Indicate Name Of Department And Designation

10.

Exact Location/Area/Veng

(a) Survey No.

(b) Plot No.

(c) Purpose For Use Of Land

(d) Is It Inside Town Area?

11.

Name Of Village Council (Name Of Village)

12.

Clearly Indicate Name(s) & Address (es) Of Immediate Neighbour

(a) South (chhim Lam)

(b) North (Hmar Lam)

(c) West (Khawthlang Lam)

(d) East (Khawchhak Lam)

13.

Whether The Area Is Properly Cleared For Easy Movement Of Surveyors?

14.

Whether 6 (six) Boundary Pillars As Prescribed By Revenue Department Are Provided For Fixing On The Day Of Survey Operation?

15.

Checklist Whether The Following Documents Are Kept Ready For Inspection?

(a) House Pass Certificate

(b) Tax Clearance Certificate

16.

Other Contact Details:

(a) Telephone Number

(b) Email ID

17.

(a) Name (in Capital) Of Head Of Applicant's Family As Per EPIC/PAN/UID (diltute Chhungkaw Puipa Ber Hming)

(b) If Name Of Head Of Family Not Indicated, Reasons (Chhungkaw Pa Ber Hminga Dil A Nih Loh Chuan, A Chhan Tarlan Tur A Ni)

18.

FAMILY DETAILS (DILTU CHHUNGKUA)

Name As Per EPIC/PAN/UID

Kum Zat

Hnathawh

Chhungkaw Pa Ber Nen Inlaichinna

1.

2.

3.

4.

5.

Department of Land Revenue & Settlement

Government of Mizoram

Application for Periodic Patta (Periodic Patta Dilna)