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State of Goa - Section
Section 23 in The Goa, Daman and Diu Land Revenue (Record of Rights and Register of Cultivators) Rules, 1969
23. Inspection of maps and land records and certified copies thereof.
| (i) | For each day on which the inspection is made | 50 paise per hour subject to a maximum of Rs. 2 per day. | |
| (ii) | For every certified copy of a serial number or entry in therecord of rights, register of mutations, or register ofcultivators and crops. | 5 paise |
| Survey Number | Sub-Division Number | Name of field, if any | Tenure | Name of occupant | Khata No. | Mutation entry No. |
| I. Cultivable area | Hectares | Assessment | Rs. | Name of tenant | Khata No. | Mutation entry No. |
| (i) Dry crop(ii) Garden or irrigated | ||||||
| (iii) Rice | (a) Khazan(b) Ker(c) Morod | |||||
| Total | ||||||
| II. Un-cultivable | ||||||
| Class (a) | ||||||
| Class (b) | ||||||
| Total | ||||||
| (I + II) Total gross area | ||||||
| Rs. Ps. | Other rights | Name of person holding right | Nature of right | Mutation entry No. |
| Survey Number | Sub-Division Number | Name of the field | Tenure | Area and classification | |||||
| Cultivable | (uncultivable) Post-Kharb | ||||||||
| Area | Assessment | Classification i.e. dry crop rice or garden | Area | Assessment | Classification i.e. class (a) or class (b) | ||||
| 1 | 2 | 3 | 4 | 5 | 5a | 6 | 7 | 7a | 8 |
| Name of occupant | Khata No. of occupant | Name of tenant | Khata No. of tenant | Rent payable by tenant | Other rights (i.e. rights held by persons otherthan occupant or tenant) or encumbrance | ||
| Nature of right | Name of person holding such rights or encumbrance | Nature of rights or encumbrance | Initials of checking officer | ||||
| 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 |
| Sr. No. | Sr. No. in mutation register | Survey No. and Sub-Division No. or name of field | Date of receipt of objections | Particulars of disputes with names | Orders of Officers |
| 1 | 2 | 3 | 4 | 5 | 6 |
| Survey No. and Sub-Division or name of the Field | Nature of the objections | ||
| Serial No. of entry | Nature of rights acquired | Name of the field or Survey and Sub-Division Nos.affected | Initial or remarks by testing officers |
| 1 | 2 | 3 | 4 |
| Serial number of entry in mutation register | Nature of rights acquired | Name of the field or survey number andSub-division number in which the rights have been acquired | ||
| Serial number of mutation entry | Nature of rights | Name of the field or survey number andSub-division number affected | ||
| Sr. No. in registration | Name of village in which the land is situated | Nature of the document | Survey No. (or plot No.) and Sub-Division No. orName of the field affected by the transaction | Area | Assessment | Tenure |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| Name and residence of the executor of thedocument | Name and residence of the person in whose favourthe document is executed | Where the registered transaction is by order orcourt or otherwise | Consideration | Date of execution of the document | Remarks |
| 8 | 9 | 10 | 11 | 12 | 13 |
| The Mamlatdar of_______________ Taluka_____________ DistrictTlie Talathi of_______________ Village, Taluka________________ District. |
| Year | Name of cultivator | Mode Season | Details of cropped area | Land not available for cultivation | Source of irrigation | Remarks | |||
| Name of crop | Irrigated | Unirrigated | Nature | Area | |||||
| Ha. | As. | Ha. | As. | Ha. | As. | ||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| [Form XV] [Form XV inserted by Amendment Rules, 2010.](SeeRule 14A)Integrated Land Records Document |
| Plan showing plot situated at | ||
| Village : | ||
| Taluka : | ||
| Survey No./Sub-division No. : | ||
| Scale : | ||
| Inspector of Survey & LandRecords | ||
| Extract from FORM I | ||
| Name of The Field : | ||
| Tenure: | ||
| Cultivable Area: Sq. mts. | ||
| Dry Crop : | ||
| Garden : | ||
| Rice : | ||
| Khajan : | ||
| Ker : | ||
| Morad : | ||
| Total Cultivable : | ||
| PLAN | ||
| Uncultivable Area (Pot-Kharab):Sq. mts. | ||
| Class (a) | ||
| Class (b) | ||
| Total Uncultivable: | ||
| Total Area : | ||
| Name of the Occupant : | ||
| Name of the Tenant : | ||
| Other Rights: | ||
| (Name of person holding rights andnature of rights) | ||
| End of Report | ||
| (Page 1 to 1) | ||
| Computer generated by:Date : | Compared by: | NOTE: In case of details in FORM I in respect ofoccupant/tenant/other rights are more in number, this FORM XVwill be continued on further pages i.e. page 2, page 3 and so ontill the end of report. |