In witness whereof the parties to these presents have hereunto set and subscribed their respective hands the day, month and year first above written.

Signed on behalf of the
Governor of State of West Bengal by the
Commissioner, Refugee Relief and Rehabilitation Directorate,
Govt. of West Bengal/District Magistrate/Deputy Commissioner................................................................

In the presence of :
1.
2.

Signed by the Lessee :
1.
2.
3.
4.

In the presence of :
1.
2.