APPLICATION FOR
REGISTRATION OF PLANTATION RAISED ON NON-FOREST LAND

To

The Divisional Forest Officer ………………………

Division, ………………………………..

----------------------------

Sub: Request for Registration of Plantation raised on my/our non-forest land.

sir,

I/We would request you to kindly register the plantation of trees raised on my/our
Pattaland. The details of the land and plantation along with the required documents are furnished below.


1. Name and address of the Pattadar:

Name of the Pattadar Sri…..…..

villagename.........
postoffice.........

policestation........
Districts........

2. Sri/Late Father’s Name:................. and Address:..................

villagename.....………………postoffice…………………..

policestation...………………Districts..……………….

3. mobile number....... and email-id:.........

4. details of the pattaland over which the plantation has been raised:

dag No................pattaNo...........

mouza..........................

revenue circle....……………

area of the plot (in Bigha or Hect):.............

year of issue of patta........

nature of patta (annual/periodic/special grant):............

4. details of the plantation:

(a) Years of Creation:.......................

(b) Area:......................

(c) Species wise no. of trees planted:........................

(d) Spacing:.......................

(e) Average height:..................

(f) Average girth:................

(g) Boundary description of the plantation area:.....................

5. List of documents to be submitted:

i. Self-attested Land document/MiyadiPatta/Lease deed of land.

ii. A self-attested scale map of the non-forest land where the plantation has been raised.

iii. Up to date land revenue payment receipt.

iv. Registration and/or Ownership details of the Tea Gardens.

v. Receipt of the application fee of Rs. 1000/- (Rupees One Thousand Only) per hectare paid online in the Website/Portal.

vi. Species-wise number and age of standing trees.

vii. Self-declaration about the year(s) of creation of plantation.

viii. Geo-tagged photographs of the site.

ix. Proof of distance of the plantation from nearest forest such as google map/KML/KMZ/SHP etc.


Signature of the Pattadar(s)
(with date)