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Self Declaration

This document is a self-declaration form for individuals claiming ownership of land for agricultural purposes. It includes details about the land, the declarant's status as a farmer, and an undertaking to use the land solely for agriculture. The declarant also affirms the truthfulness of the statements made and provides necessary supporting documents.

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biswajitsamis7384
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497 views1 page

Self Declaration

This document is a self-declaration form for individuals claiming ownership of land for agricultural purposes. It includes details about the land, the declarant's status as a farmer, and an undertaking to use the land solely for agriculture. The declarant also affirms the truthfulness of the statements made and provides necessary supporting documents.

Uploaded by

biswajitsamis7384
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FORMAT OF SELF-DECLARATION

1/Sri/Smt. abeda9ADOt0amsnebeBDuAUOSenoheanetegnananteeasesvupeu
...S/0,D/0. sesenndeesdeaeseea*rbe

residing at.. anaaeaaranss

Do hereby solemnly declare as follows:

1. That I have purchased/ acquired (inheritance or otherwise ) the land described herein
under:

Dist P.S Mouza & J.L. No

Total land
[Link]: Plot No: Recorded Area
Held by
(L.R.) L.R.) Classification Purchased The raiyat

That I like to get this land mutated in my favour in the RORs.

That I am a poor / marginal farmer and engaged in agricultural activities.

ThatI undertake to the effect that I have taken over the possession over the land and I will

Use the land for the purpose of agriculture only.

That I have enclosed a copy of Certificate from Local Panchayet/local body/documents

Relating to Crop Insurance like Banglar fasal Bima Yojona etc. /document relates to farmer-

Loan.

That the statement made above are true to the best of knowledge and belief.

Date: Signature of the declarant

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