LR&S Land Tax

1.

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

2.

(a) Date Of Birth

(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 The Applicant Is Not Born In Mizoram, Do You Enclose Domicile Certificate Issued By Home Department?

9.

House Site Pass Number And Year

10.

Exact Location/Area/Veng

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.

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

Note: Hemi vengah hian thenawmte hi an awm lo anih pawhin a ram awmna hmun hi chipchiar takin ziah tur a ni.

I hereby certify that all particulars and documents are true and correct. Any incorrect particulars furnished herein will result in cancellation of settlement or allotment.
(A chunga sawite khi a dik vek tih ka hriattir e. Diklo a awm a nih chuan allotment emaw settlement pek tawh pawh sut leh theih a ni tih ka hre bawk e).

I also hereby agree to abide by terms and conditions laid down in rule 14 & 15 of these Rules.
(Rule 14 leh 15 na in a phut zawng zawngte zawm turin ka intiam a, ka zawm loh chuan House Pass pawh sut leh turin ka in tiam e).

Department of Land Revenue & Settlement

Government of Mizoram

Application for Residential Land Settlement Certificate