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[Section 23]
[Entire Act]
State of Goa - Subsection
Section 23(4) in The Goa, Daman and Diu Land Revenue (Record of Rights and Register of Cultivators) Rules, 1969
| 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. |