Application For New Assessment click hear
Owner Details
Name : _______________________________________________________________________________________
Sur Name : ____________________________________________________________________________________
Gender: Male/Female
UID (Aadhaar):_________________________________________________________________________________
Father's/Husband's Name : _______________________________________________________________________
Father's/Husband's Surname : _____________________________________________________________________
Address
Door No : _____________________________________ Street : _____________________________
Village/City : ___________________________________
State: _________________________________________ District : ____________________________
Pin Code : ______________________________________
Contact Detail
Landline Phone No : ______________________________ Mobile No : __________________________
Fax : ___________________________________________ E Mail address : ______________________
Ownership/Occupant Details
Occupant Name : ________________________________ Occupant Sur Name : __________________
Ownership Type: ________________________________ UID(Aadhaar): ________________________
Location Details
Municipality : ___________________________________ Location Details : _____________________
Revenue Ward No : ______________________________ Block No : ___________________________
Zone No : ______________________________________
Street : ________________________________________ Election Ward : _______________________
Assessment Details
extent Of Site: __________________________________ vacant Land Assessment No : ____________
Approved building Plan : __________________________
Construction Completed Date : _____________________ Plinth Area (Sq Mtrs.) : _________________
Regd Doc Date : _________________________________ Regd Doc No : ________________________
Floor Type : ____________________________________ Wall Type : __________________________
Roof Type : _____________________________________ Wood Type : _________________________
Lift : Toilets :
Water Tap : Super Structure :
Electricity : Attached Bathroom :
Water Harvesting : Cable Connection :
Drainage :
Measurement details - I
Classification of Building: __________________________ Building Nature of Use : ________________
Occupation type : ________________________________ Floor No : ___________________________
Building Age : ___________________________________ Length (Mtrs.) : _______________________
Width (Mtrs.) : __________________________________ Plinth Area (Sq Mtrs.) : _________________
Capital Value : __________________________________
Measurement details - II
Classification of Building: __________________________ Building Nature of Use : ________________
Occupation type : ________________________________ Floor No : ___________________________
Building Age : ___________________________________ Length (Mtrs.) : _______________________
Width (Mtrs.) : __________________________________ Plinth Area (Sq Mtrs.) : _________________
Capital Value : __________________________________
Measurement details - III
Classification of Building: __________________________ Building Nature of Use : ________________
Occupation type : ________________________________ Floor No : ___________________________
Building Age : ___________________________________ Length (Mtrs.) : _______________________
Width (Mtrs.) : __________________________________ Plinth Area (Sq Mtrs.) : _________________
Capital Value : __________________________________
Enclosed Documents
Document Name : _______________________________ Document Type : _____________________
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