CERTIFICATION OF ORIGIN

[ See rule 4 ]

(Trees/Shade Trees)

No.......................

Date.......................


Name of Division:
Name of the Owner: {{ $plantation->name_of_pattadar }}
Name of Village/Town/City: {{ $plantation->coAddressDetail->village }}
Patta No: {{ $plantation->patta_no }}
Khatian No: {{ $plantation->patta_no }}
Geo-Coordinated of Site: Latitude:
Total no. of standing trees:
Name of Range:
Name of Tea Garden:
Post Office: {{ $plantation->coAddressDetail->post_office }}
Dag No: {{ $plantation->p_dag_no }}
Longitude:
Total no. of logs:
Name of Beat:
Police Station: {{ $plantation->coAddressDetail->police_station }}
Revenue Circle: {{ $plantation->revenue_circle_id }}
Area (in Ha):
Total Vol (in CuM):

This C.O. is only valid for use from 00.00.0000 (date) to 00.00.0000 (date).

Table-VI/1: OUTTURN GENERATED

QR Code-1 QR Code-2
DETAILS OF TREES MARKED DETAILS OF PEICES PASSED
S1 No. Species GBH (Mtr) Approx Height (Mtr) Volume (CuM) as per volume table Log Serial No. Girth (Mtr) Length (Mtr) Volume (CuM) Details of firewood, if any
1 2 3 4 5 6 7 8 9 10

Table-VI/2: OUTTURN FOR TRANSPORTATION

(Valid for transportation within the State of Assam only.
For transportation outside the State of Assam, this document must be accompanied by a valid Water-marked Transit Pass issued by the Assam Forest Department)

QR Code-3 QR Code-4 QR Code-5

Transportation code:

Date:

Valid for transportation from 00.00.0000 (date) to 00.00.0000 (date) for below mentioned outturn only.

Total no. of logs: Total Volume:
Vehicle No: Vehicle Type:
Name & Address of Consignee:
DETAILS OF OUTTURN BEING TRANSPORTED
Log S1 no. Species Girth (Mtr) Length (Mtr) Vol (CuM)
1 2 3 4 5