FORM XIV
(See RULE 30)
SUPPLEMENTARY MAP (TATIMMA SHAJRA)
PART A
PART B
Supplementary Field Book. Estate ……………Tehsil……………District…………… for the Year ………… Book No.Leaf No. Survey / Khasara No. No. Khasra
Length and Breadth of Survey/ Khasra No.
Calcula-tion of area
Signature Signature Signature
of of of
Patwari Kanungo Revenue Officer
Area and soil classification
REMARKS
Former Present East West South North
2 Squares / 2 Rectangles
FORM XV
(See RULE 30)
FARD BADAR (STATEMENT OF CORRECTION OF CLERICAL MISTAKES)
A statement for the correction of clerical mistakes, which has been made in
copying the entries of the Register Haqdaran Zamin into another or in incorporating a
mutation in a Register Haqdaran Zamin and the correction of which does not involve
the alteration of any mutation order shall be recorded in the form set forth below, to be
known as Fard Badar:-
Fard Badar Estate ………… Tehsil …………… District ……………..
Serial
Order of the Revenue
Officer In last Register No.
No. of Khewat Patwari’s Haqdaran Zamin In new Register Haqdaran Zamin report
Field Kanungo’s report 1 2 3 4 5 6
FORM XVI
(See RULE 30)
FINAL ATTESTATION CIRTIFICATE OF REGISTER HAQDARAN ZAMIN
FOR THE YEAR ……………..
Estate …………….. Tehsil …………… District …………….. Book No.
Leaf No.
June
th
REMARKS
Mutations entered but not attested before 30
tehsil copy of the map
Survey / Khasra numbers of which supplementary maps
were checked with reference to their incorporation in the
Survey / Khasra numbers of which supplementary maps
were checked on the spot
Khewat compared with the Patwari’s current copy of the
Register Haqdaran Zamin
Khewat checked with the previous Register Haqdaran
Zamin
Verification of mutation orders incorporated in the
Register Haqdaran Zamin
Khewat attested
Place of attestation
Date of attestation
1 2 3 4 5 6 7 8 9 10
I ………………. certify that all necessary corrections have been made and that this
Register Haqdaran Zamin is correct and complete in all respects, except as regards mutations
shown in column 9 and other transfers discovered to have taken place before 30
June last
and referred to in the memorandum attached to the Register Haqdaran Zamin.
Dated ……………………. Revenue Officer th
FORM XVII
(See RULE 31(6))
STATEMENT SHOWING THE CHECKING AND ATTESTATION WORK OF
RECOREDS OF RIGHTS AND PERIODICAL RECORDS
District …………….. for the month ending ………………………….
No. of estates for which the
records of rights or periodical
records checked and attested
No. of estates
for which the
record of
rights or
periodical
records -
REMARKS
(b) Consigned to District Revenue
Record Room.
(a) Field in Tehsil / Sub-Divisional
Revenue Record Room
Director of Land Records / Assistant to
the Director of Land Records
Commissioner / Additional
Commissioner
Collector
Collector / Additional Collector
Revenue Assistant / Sub-Divisional
Officer, Assistant Commissioner / Deputy
Tahsildar
Naib Tehsildar / Head Munshi
Kanungo
No. of estates for which the record of rights or periodical
records are to be prepared
Year to which the records related Tehsil
year Previous
year Current
FORM XVIII
(See RULE 32)
MEMORANDUM REGARDING TRANSFER OF RIGHTS
Estate …………….. Tehsil …………… District ……………..
1 2 3 4 5 6 7 8
Nature of mutation,i.e. sale, mortgage, inheritance, etc. with price in case of sale
and mortgage-debt in case of mortgage. Name of transferor with description
Name of transferee with description Area transferred, i.e. survey/
Khasra No.share of Khata, etc. Copy of the operative part of the Revenue
Officer’s order, as recorded by him on counterfoil of mutation
REMARKS
Date of decision Mutation Number
FORM XIX
(See RULE 33)
STATEMENT SHOWING THE MUTATIONS PENDING OVER THREE MONTHS,
FOR THE MONTH ENDING………………….
Revenue Officer Circle …………………… Tehsil …………… District ……………..
Name of Estate Mutation No. Date of entry Nature of
mutation, i.e. sale,
mortgage, etc.
Reasons for non attestation as well as the measures proposed to be adopted for
disposal
REMARKS
FORM XX
(See RULE 34)
Book No………
Page No.………..
Roznamcha Waqiati of Patwari Circle ……………… Tehsil …………… District ……………..
Serial No. Date Heading of entry Occurrences REMARKS
FORM XXI
(See RULE 35)
AKNOWLEDGEMENT UNDER SECTION 47 (2) OF THE WEST PAKISTAN LAND
REVENUE ACT, 1967
Certified that Mr. / Mrs. ……………………………………………….
son of
, ……………., resident of ……………… Tehsil ……….… District ……………..
wife of
has furnished the information / documents pertaining to the subject matter specified below,
requisitioned under Section 47 (1) of the West Pakistan Land Revenue Act, 1967:-
…………………………………….
…………………………………….
2. The document(s) have been returened after inspection.
Dated ………………. Signature ……………………
{
Patwari of the Circle
Revenue Officer of the Circle ……………
_______________________________________________________________________________
Note: Revenue Officer may strike off para 2 when a document is retained by him.
53
[FORM XXI-A
(See sub-rule (2-A) of rule 36)
Register showing the applications for grant f certified copies or
extracts of records in possession of Patwari received in the office of
Collector of the Sub-Division and disposed of.
Tehsil …………… District …………….
Serial No.
1 2 3 4 5 6 7 8 9
Remarks
Incase of urgent applications, the
date on which copies were actually
delivered to the applicant
Date given for receipt of copies
Ordinary or Urgent
Names of concerned estate, Patwari
Circle and Union Council
Nature of record of which copy is
desired
Name of applicant with description
Date of Receipt of application ]
supply of copies
ins
pection of records
FORM XXII
{See NOTE No. 4 UNDER THE SCHEDULE TO RULE 36(3) AT APPENDIX “B”}
Receipt of fee for the inspection of records of patwari
and grant of certified copies or
extracts therefrom
_________________________________________________________________________
Receipt No. ………………….……… Date ……………………………….……………
Received Rs. …………………………………………………………………………….
(in words) ………..………………………………………………………………………
for the as detailed below, of the estate …………………..……….
Details of record }
…………………………………………………………………………………………
…………………………………………………………………………………………
………………………………….……………………………………………………...
Signature
Patwari Circle ___________
Tehsil __________________
District _________________
a copy
copies
FORM XXIII
{See NOTE No. 8 UNDER THE SCHEDULE TO RULE 36(3) AT APPENDIX “B”}
Acknowledgement of the receipt of application for the supply of copies of records of
Patwaris under Rule 36 of the West Pakistan Land Revenue Rules.
Receipt No. …………………… Dated ……………………
Received from ………………………………………………………………….
an application for the supply of of records
of the state ……………………….. and Rs. …………(in words)…….…………………
as advance copying fee.
Patwari Circle Office Kanun go Tehsil
54
[FORM XXIII-A
{See Sub-rule (6) of RULE 37-A}
Register of fees for the Preparation of Produce Statement and Five-yearly Abstract of yield.
Serial No.
Particular of requisition Details
Khasra No.
Name of Estate.
Name of Parties.
Name of Court of Officer.
Date of Receipt of requisition.
of
work
Govt.’s
Share
Period for which produce statement of five-yearly Abstract of yield is desired. Fees
Share of Govt.servant concerned Remarks concerned.Attestation of Officers.
Signature of official preparing the statement of abstract and the
date on which he presents the same in the Court or Office
Date & payment Receipt No.
Amount
Date of payment Receipt No. Amount 1 2 3 4 5 6 7 8 9 10 11 12 13 14]
54 Added by Board of Revenue, West Pakistan’s notification No.534/69/526-U(I), 15
th September, 1969, published in the Gazette of West Pakistan, Extraordinary, October 9, 1969.
Kharif
Rabi
FORM XXIV
(See RULE 39)
CROP INSPECTION REGISTER (REGISTER GIRDAWARI)
A Register to be known as the Register Girdawari shall be maintained under the
provisions of sub-section (3) of section 41, in the form setforth below:-
Register Girdawari Estate …………….. Tahsil …………… District …………..
Kharif
Rabi
Kharif
Rabi
Book No.
Leaf No.
Kharif Crop
Changes of rights, cultivation, possession and rent,
with reference to Dakhil Kharij
Kharif Crop
Rabi Crop
Changes of rights, cultivation, possession and rent,
with reference to Dakhil Kharij
Kharif Crop Rabi Crop
Changes of rights, cultivation, possession and rent,
with reference to Dakhil Kharij Rabi Crop Kharif Crop
Area including class of soil
Name of cultivator and number of Khatauni
Name of owner and number Khewat
Survey / Khasra No. Kharif Rabi
Remarks Changes of rights, cultivation, possession and rent,
with reference to Dakhil Kharij
Rabi Crop
1
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Note – The twice cropped (dofasli) area shall be shown in red ink.
55
[FORM XXIV-A
(See sub-rule (2) of the Rule 39)
Register Taghayyurat-e-Kasht
Kharif
Rabi
Estate …………….. Tahsil …………… District …………………………….. Year ……...
Serial No.
1 2 3 4 5 6 7 8
Attestation by Field Kanungo with date
Signature of Patwari with date
Present entry
Former entry
Khasra number with areas under change
Date of Crop Inspection
Book No.
Leaf No.
Attestation by Revenue Officer with date
55 Added by Board of Revenue, Punjab’s Notification No. 1180-87/837/LR-II dated 12-05-1987, published in
the Gazette of Punjab, Extraordinary, dated May 13, 1987.
FORM XXV
(See RULE 41)
STATEMENT OF KHARABA
Kharif
Rabi
Estate …………….. Tahsil …………… District ……………..……….. year ……...
Survey /Khasra number and name (if any) AREA
Remarks Collector of the first Grade Attestation by
Assistant
Naib-Tehsildar (Head Munshi)
Attestation by tehsildar / Attestation by Field Kanungo
Failed
Matured
Cultivated 1 2 3 4 5 6 7 8
Patti
Taraf
Kharif
Rabi
Kharif
Rabi
Kharif
Rabi
Kharif
Rabi
Kharif
Rabi
FORM XXVI
(See RULE 44)
DHAL BACHH MALIA MUSTAQIL (Distribution of fixed revenue over holdings)
In the estates under fixed assessment under clause (a) of sub-section (3) of section
56, the Bachh papers to be known as Dhal Bachh Malia Mustaqil shall be prepared for
every estate immediately after the Kharif Girdawari (harvest inspection), in the form
setforth below:-
___________________________________________________________________________
Dhal Bachh Malia Mustaqil
Kharif
Rabi
Kharif
Rabi
Kharif
Rabi
Estate ……….. (if any)……….,Tahsil ………… District …… Crop year ……...
Name of Lambardar ……………………………..
(if any)
Rates and Cesses Dakhil
Kharij
fee
Total Fee
Number Dakhil Kahrij
Total
Lambardari Fee on Water Rate
Water Rate
Lambardari Fee
Local Rate
Development Fee
Land Revenue
Number Khewat Malik or reference to Dakhil
Kharij
Serial Number
Name of land-owner with description
Remarks
Grand Total
Kharif
Rabi
Note:- The Lambardar’s copy shall contain the entries of the respective harvest only.
Patti.
Taraf
FORM XXVII
(See RULE 44)
DHAL BACHH MALIA GHAIR MUSTAQIL
(Distribution of revenue in the form of prescribed rates over holdings)
In the estates in which assessment is levied in the form of prescribed rates under clause (b) of
sub-section (3) of section 56, the Bachh papers to be known as Dhal Bachh Malia Ghair
Mustaqil shall be prepared after the Girdawari (Harvest inspection) on which the assessment
is based, in the form set forth below:
________________________________________________________________________
Dhal Bachh Malia Ghair Mustaqil
Estate …….. (if any) ….,……,Tahsil ………, District …………..Crop year….
Name of Lambardar________________________________
(if any)
Rates and Cesses Dakhil
Kharij
Fee
Number Dakhil Kharij
Lambardari Fee on Water Rate
Total
Lambardari Fee
Water Rate
Local Rate
Land Revenue
Development Fee
Source of Irrigation including name of
well rajbah, etc. Total area under assessment
Survey / Khasra Number Number Khewat Malik Name of land-owner with description Serial Number Kha Total Fee Grand Total Remarks
FORM XXVIII
(See RULE 44)
BILL OF ASSESSMENT
S.No. _________________________________
Name of land-owner with description___________________
Estate ……..……….…,Tahsil ………, District …………..Crop year………
Rates and Cesses
rajbah, etc.
Land revenue
Total areas under assessment
Source of irrigation, including name of well,
Survey / Khasra No.
Number Khatauni
Kha
Dakhil
Kharij
fee
Remarks
Grand Total
Total Fee
No. of Dakhil Kharij
Water Rate
Local Rate
Development
FORM XXIX
(See RULE 45)
ARZ IRSAL
Estate…… (if any)…….. , Tahsil ………, District ……….. year ……
Kha
Patti
Name of Lambardar _________________________________________
Detailed distribution of the amount tendered under each head of account.
Land
Revenue
Local
Rate
Development
Fee
Canal
Water Rate
Mutation
fee
Total
Date ________________ Signature of Patwari Circle _______________
No.
Tahsildar
FORM XXX
(See RULES 45 AND 46)
PAYMENT RECEIPT (DAKHLA)
Tahsil __________________, District ______________________________________
Land Revenue
Details of Amount tendered under
Development Fee
Local Rate
each head of Account
Mutation Fee
Canal Water Rate
Year or Season (Harvest)
Name of Lambardar or Tapedar
Date of payment
Estate
Nation
Total
Treasury Officer
Sub-Treasury Officer
Manager, Bank of Pakistan
Revenue Accountant (Head Munshi)
Original
Duplicate
Triplicate
Signature Signature Signature
of of of
Patwari Kanungo Revenue
Officer
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