Application Form For Certified Copy of FORM III/ JUDGEMENT / ORDER of D.C.

GOVERNMENT OF GOA DIRECTORATE OF SETTLEMENT & LAND RECORDS, PANAJI - GOA. OFFICE OF THE INSPECTOR OF SURVEY & LAND RECORDS APPLICATION FORM FOR CERTIFIED COPY OF FORM III/ *JUDGEMENT & ORDER IN D.C. Nos. :___________________________________ Village :___________________________________ 1) Name of the Applicant : 2) Residential Address : I) House No. : ________________________ ii) Ward : ___________ (Extractive summary — verify with official source.)