120Schedule – 19(B)
(Related to Sub-rule (1) of Rule 24b.)
The Land Reform Officer
Land Reform Office ……………………..
Subject :- Let the list of Tenant to be deleted / removed.
I as a landowner and tenant of the following land has submitted this application
because the tenant / landowner of the land has not given consent to remove /
delete the list of tenant by making partition. Please make partition of the land
and delete the tenant list (lagat) of the land.
Detail of Land

Documents to be attached with application :-
(1) Copy of the landowner registration certificate.
(2) Copy of the Tenant certificate.
(3) Receipt of the land revenue paid in current fiscal year.
(4) Copy of the citizenship certificate.
(5) Trace map of concerned land.
(6) Others.
Applicants;-
Signature :-
Landowner / Tenants :-
Name :-
Address :-
Father’s Name :-
Date :-

120 Inserted by Fifth Amendment.