LAND REVENUE AND SETTLEMENT DEPARTMENT, Government of Mizoram, India

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

APPLICATION FOR ALLOTMENT OF LAND FOR HOUSE SITE [See Rule3(1)]

Name in Capital (as appeared in EPIC or UID or PAN) ^*

Date of Birth ^*

Place of Birth, with District ^*

Present Address ^*

Permanent Address

Name of Father (In capitals) ^*

Name of Mother (In capitals) ^*

Domicile Certificate

Exact Location/Area/Veng ^*

Name of Village Council (Name of village) ^*

Clearly indicate name(s) & address(es) of immediate neighbour

(a) South (Chhim lam) ^*

(b) North (Hmar lam) ^*

(d) East (Khawchhak lam) ^*

Telephone Number ^*

Application for Allotment of Land for House Site