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State of Odisha - Section
Section 53 in The Orissa Bhoodan and Gramdan Rules, 1972
53. Audit.
| Serial No. | Name of the member | Designation | Address |
| (1) | (2) | (3) | (4) |
| 1 | Chairman | ||
| 2 | Vice Chairman | ||
| 3 | Secretary | ||
| 4 | Member | ||
| 5 | Member | ||
| 6 | Member | ||
| 7 | Member | ||
| 8 | Member | ||
| 9 | Member | ||
| 10 | Member | ||
| 11 | Member |
| Name of village, pragana, tahasil and districtin which the donated land lies | Status | Khata No. | Plot No. | Description of land donated | Extent of interest | |||
| Boundary | Area | Class | Rent and cess | |||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
| Name of village, pragana, tahasil and districtin which the donated land lies | Status | Khata No. | Plot No. | Description of land donated | Extent of interest | ||
| Boundary | Area | Class | |||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
| Serial No. | No. of declaration | Date of filing of declaration | Name and address of the declarant | Village and Pragana in which the land in respectof which the declaration is filed, is situated | Partculars of the land donated | ||||
| Status | Khata No. | Plot No. | Area | Class of land | |||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Rent and cess | Whether objection filed under Section 13(1) ofthe Act | Date of order of acceptance or rejection of thedeclaration of whole or part of the Tahsildar | Date of communication of the order to the Samiti | Orders if the appeal, if any | Remarks |
| 11 | 12 | 13 | 14 | 15 | 16 |
| Name of village, pragana, tahasil and district inwhich the donated land lies | Class of land | Khata No. | Plot No. | Boundary | Area | Land revenue and cess | Extent of interest |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
| (Signed)................... | |
| Seal of the Court | Tahsildar................... |
| Name of village, pragana, tahasil and district inwhich the donated land is situated | Class of land | Khata No. | Plot No. | Area of plot donated | Land revenue and cess of the plot donated | Extent of interest |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| Date................................. | (Signed)................... |
| Seal of the Court............... | Tahsildar................... |
| Date of declaration | Serial No. | Name of the declarant and his address | Date of filing of the declaration by the donor | Total area of land in possession of thedeclaration | Area donated | ||
| Acre | Decimals | Acre | Decimals | ||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
| Extent of interest | Name of the village and thana | Touzi No. | Khata No. | Plot No. | Area of each plot donated | Rent and Cess | Remarks |
| 9 | 10 | 11 | 2 | 13 | 14 | 15 | 16 |
| Name of village, pragana, tahasil and district inwhich the donated land is situate | Classification of land | Khata No. | Plot No. | Area | Land revenue and cess of the plot | Remarks |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| Serial No. | Name of Grantee with parentage and residence | Khata No. | Plot No. | Area of the plot granted | Classification | Village | Pargana | Police Station | District | Remarks |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 1 |
| (a) | (b) | ||||
| Name of the Owner..................... | Name of Owner.......................... | ||||
| Address :Village......................... | Address : Village......................... | ||||
| P.S................................... | P.S.................................... | ||||
| P.O................................... | P.O.................................... | ||||
| Dist.................................. | Dist................................... | ||||
| {| | |||||
| Name of the Village, Pargana, tahsil and districtin which the donated land lies | Class of land | Khasra No. of the plot/ plots donated or KhataNo. or boundary thereof | Area of plot /plots donated | Land revenue of the plot/ plots donated | Extent of interest |
| 1 | 2 | 3 | 4 | 5 | 6 |
| Name of the Village, Pargana, tahsil and districtin which the donated land lies | Class of land | Khasra No. of the plot/ plots donated or KhataNo. or boundary thereof | Area of plot /plots donated | Land revenue of the plot/ plots donated | Extent of interest |
| 1 | 2 | 3 | 4 | 5 | 6 |
| 1. | (Signature)................. |
| 2. | |
| Date................... | 1. |
| 2. | |
| Place.................. | 3. |