Application for Non-Encumbrance and Mortgage certificate for Land Possession Certificate

Select Application Processing Location

Select the District Land Management Office where the application is being submitted *

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Applicant Details

Salutation *

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Full Name *

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Attach Passport Size Photo *

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Relation/Relative Details:

Son of/Daughter of/Wife of *

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Salutation *

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Name of the father/Husband *

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Permanent Address of the Applicant:

Landmark/House Name/House No. *

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Village/Town/City *

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Post Office *

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Circle/Sub-Division *

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Police Station *

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State *

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District

Country *

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Postal / Zip Code *

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Present Address of the Applicant:

Same as the above address? *

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Yes

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Landmark/House Name/House No. *

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Village/Town/City *

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Post Office *

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Circle/Sub-Division *

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Police Station *

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State *

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District

Country *

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Postal / Zip Code *

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Details of the Land as per Land Possession Certificate (LPC)

Land Allotment/ Land Possession Certificate No. *

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Date of Issue of LPC *

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Land Revenue paid upto *

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Purpose of Land *

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Area of Land in sq. mrts *

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Address of the location of the Land a per LPC:

Landmark *

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Village/Town/City *

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Circle/Sub-Division *

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Country *

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State *

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District

Postal / Zip Code *

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Post Office *

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Police Station *

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Declaration

I do hereby declare that the above statements given are true to the best of my knowledge and belief. If in later stage, it is found to be false/forgery or misleading then my LPC, if issued, may be cancelled by the Issuing Authority at any time without causing/serving any notice.

I Agree *