ANNEXURE IV CERTIFICATE OF OWNERSHIP OF TREE/FOREST PRODUCE 1) Name of the Applicant: 2) Name of the Landholder: 3) Particulars of the Land: a) Sy

ANNEXURE IV CERTIFICATE OF OWNERSHIP OF TREE/FOREST PRODUCE 1) Name of the Applicant: 2) Name of the Landholder: 3) Particulars of the Land: a) Sy. No. : b) Extent : c) Village : d) Mandal : e) District : f) PPB No. / TD No. : g) Khata No. : 4) Classification of the Land: (As per Sethwar / Khasrapahani) 5) Whether the land is falling Within the forest area: 6) Nature of acquisition: Lease / Allotm (Extractive summary — verify with official source.)