SCHEDULE OF FAMILY MEMBERS OF THE LESSEE

Sl. No. Name ......................................................... Age .................................................Relation with the lessee.

1.

2.

3.

4.

SCHEDULE OF LAND

ALL THAT piece and parcel of land situate lying at and being in Mouza ...........................................................J.L.
No. ......................., C.S. Plot No. ............................., E/P.S. No. ........................., S.P.No. ..............................
LOP No. ........................................, P.S.................................................... in the district of .................................
Sub-Registration Office containing an area of cottahs .......................... chattaks .................sq.ft. ......................
be the same a little more or less and butted and bounded in the manner following that is to say

On the North by

On the South by

On the East by

On the West by

IN WITNESS WHEREOF the parties to these presents have hereunto set and subscribed that respective hands the day, month and year first above written.

Signed and delivered for and on behalf of the Governor of West Bengal by the Secretary, Refugee Relief and Rehabilitation Department, Govt. of West Bengal.