PROFORAM-VI

CHECKLIST
(FOR MUTATION IN ADANGAL & 1-B REGISTER U/s 5of A.P ROR Act.1971)
Name of the Mandal: Anakapalli, Village: Kundram,
Mee-seva Application No. ____________________________Date __________________________
Name of the Applicant _____________________________________________________________
Aadhar No ________________________________________Mobile No ______________________
I) Claim Details
Sl.No. Survey No. Extent Nature of Claim Details of enclosed Remarks
(Hereditary/Transfer) documents
(Regd.Doc.No./Date/SRO
office Name/PPB/Adangal
Etc.,

II) Verification of Claim with Land Record

1 Survey No.(S)/SubDivision No(s) :

2 Extent (s) :

3 Classification (Zeroyithi/Inam/ :
Govt.land/Endowment) As per record
4 How the applicant acquired the land :
(Hereditary/Sale/Gift etc..
5 Name if the Vendor/Transferer :

6 Name of the Pattadar as per Latest Adangal :

7 Sy.No.& extents held by the Vendor/Transferer :

as per latest Adangal /ROR 1B with regard to the
Application
8 Name of the Enjoyer on ground as per filed :
verification by the VRO/RI for the said extent (s)
in the said Sy.No(s)
9 In there any variation found among Columns :
5,6,7,8
10 In case of variation brief the reasons :

11 Whether the applicant already having PPB in the :

same village or not? (Yes/No)
12 If yes Khata No. :
13 Whether the land is notified U/s 22-A (Yes/No) :
 14 Whether the land is Assigned land (Yes/No) :
15 Whether the land is being used for Agrl.purpose :
or non Agrl.purpose
16 Whether the land is Celling Surplus land under :
COAH Act/ULC Act (Yes/No)
17 Whether the land is covered by any court :
dispute?
a) If yes, please mention Case No. and Court name :
b) Status of the case as per enquiry :
18 Date on Which From-8 Issued :
19 Any objections received :
20 Specific recommendations of VRO :

21 Specific recommendations of Revenue Inspector :

22)

Extent to be deleted to 1-B/Adangal

Khatha Sy.No. Extent Classification Name of the Pattadar Name of

No(Existing/New) Father/Husband

23)

Extent to be added to 1-B/Adangal

Khatha Sy.No. Extent Classification Name of the Pattadar Name of
No(Existing/New) Father/Husband
Signature of VRO Signature of Revenue Inspector

24) Recommendations of Tahsildar

(*If the claim is rejected, mention the specific reasons for rejection)
Signature of the Tahsildar