1. Name of the Applicant * 2. Address of the Applicant (With Proof of Address) * 3. Status of the applicant [Individual/Registered Firm/Company registered under Companies Act,1956/ Co-operative Society/ Society under The Mizoram Societies Registration Act, 2005 or any other copy of such registration to be enclosed] 4. Name and addresses of Partner(s), Director(s)/Trustee(s) who will have managerial control over the operation of the firm/company/society/trust 5. Address/Area of Land/Site Applied for: a) Area described in SQM and Bigha * b) Description of area with boundary * c) Village, District * 6. If land is already acquired, a) Acquired By Select Purchase Inheritance Gift Temporary Transfer b) Name and address from whom acquired c) Nature of said land allotment/settlement 7. Purpose for which land is to be developed or deployed (diversion of use of land is strictly prohibited) in case project profille or report is prepared a certified copy may be submitted 8. Duration/period land is required [transfer of land is not permissible as per Rules] 9. Do you have land holding elsewhere under the same management * Select Yes No a) If Yes give details 10. Do you have land holding elsewhere in Mizoram under different status not of the sam management? * Select Yes No a) If Yes give details I am authorized to make application and submit necessary information/documents. I hereby declare that all particulars and information submitted herewith are true and correct to the best of my belief and knowledge. Note: For Proof of Address, certified bank statement or cop of registration under government rules and regulation or telephone bill or power bill shall be accepted Submit
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