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APPEALS ON DEMARCATION APPLICATION FORM

(Under BSO 34-A, chapter-2, section-VI, & circular instructions of CSS&LR, AP Hyderabad No.N1/6543/99, Dt. 25.7.2001)

(Application only for entire T.S.No / Registered subdivision) SNo. 1 2 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

Applicant Details
Name of the applicant Father/Husband Door No Locality/Land Mark District Mandal Village / Ward Pin code Ration Card No Aadhar Card No Delivery Type Name of the register holder of the land Manner in which rights acquired over the land 1. Pattadar 2. Ancestor property 3. Purchase 4. Gift 5. Inheritance 6. GPA Document District Document Mandal Document Village Survey Number Details (Ex:11,12,13) Ward No Block Type of Service 1. Appeal to Deputy Inspector of Surveyor 2. Appeal to Inspector of Survey
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At Kiosk

Local Post

Non Local Post

Document Details Description

13.

14 15 16 17. 18. 19. 20.

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Land Boundaries:
Survey no. East West North South Name of the land holder Father/Husband Address

Signature of applicant

Documents List: 1. Application form* 2. Affidavit/Notary stating that the applicant is owner of the land 3. Panchanama copy of lower cadre * * Denotes Mandatory

Contact Details: 1. Land line no :___________________ 2. Mobile no :___________________ :___________________

3. Email ID