Schedule – 14
(Related to Sub-rule (3) of Rule 31)
Format of the list (lagat) that has to be collected by land reform team in
relation to the loan taken by the farmers from the lenders, pursuant to the Subrule
(3) of Rule 31 of Land Rules 2021.
District ………………….. List (lagat) related to the loan
Village Development Committee …………….. Ward No. …………….
Serial No. ………………….
1. Name: – 2. Address :- 3. Number of Family members:-
(a) Above than 16 years of Age:-
(b) Less than 16 years of Age:-
4. Land in the name of the family : –
5. One’s own land cultivated by own self : – 6.Others land cultivated : –
7. One’s own land given to others for cultivation : –

The above mentioned details about landowner or lender or relatives by the land
reform team is true.
Signature of the Tenant Signature of the person asking
………………….. on behalf of land reform team
………………………….
Date : ………………………..