Application Form

Application for Regularisation of encroachments in Singareni Collieries Company Limited (SCCL) lands which were handed over to the Government as per G.O.Ms.No.76, dated: 11.07.2019
* - indicates Mandatory
1. Present occupant details
i.a. Aadhaar Number *
  Clear Occupant Aadhaar Data
i.b. Upload Scanned copy of Aadhaar *
(Supported formats : *.jpg, *.png)
  Clear Value
ii. Name of Applicant *
iii. S/O, D/O, W/O *
iv. Photo *
v. Gender *
vi.a. Date of Birth *
vi.b. Age *
vii.a. Whether the applicants falls under *   
vii.b. Upload Proof Document (in case of BPL)
(Supported formats : *.jpg, *.png, *.pdf)
  Clear Value
viii. Phone No. *
ix. Residential Address
a. House No. *
b. District *
c. Mandal * Loading..
d. Village * Loading..
e. Pincode *
3.a. Whether Spouse / Female member existing in the family for generation of Conveyance Deed ? *   
3.b Occupant spouse Details *
i.a. Aadhaar Number *
  Clear Spouse Aadhaar Data
i.b. Upload Scanned copy of Aadhaar *
(Supported formats : *.jpg, *.png)
  Clear Value
ii. Name *
iii. S/O, D/O, W/O *
iv. Photo *
v. Gender *
vi.a. Date of Birth *
vi.b. Age *
4.* Details of the Unobjectionable Government land occupied by way of encroachment:
a. District *
b. Mandal * Loading..
c. Village * Loading..
d. Ward No. *
e. Survey No / TS No *
f. Extent of Land occupied * ( in Sq.Yds )
g. Area covered by Residential/Non residential ( Commercial ) Structure in Sq.Yards *
Total
h. Date from which land occupied *
  Clear Value
i.a. Proof of documents submitted *
i.b. Upload scanned copy of proof of document submitted *
(Supported formats : *.jpg, *.png, *.pdf)
  Clear Value
5. Amount payable at the time of submission of Application *
6. Details of amounts paid *      Clear Value
a. DD Details
S.No DD No *
(with 10 digits
left pad with 0's
Ex. 0000103304
)
DD Date *
(Enter Numbers Only)
DD Amount *
(in Rs.)
Bank * Branch * IFSC Code * Upload DD *
(Supported formats : *.jpg, *.png, *.pdf)
1
Clear Value
Clear Value
b. Challan Details
S.No Challan No. *
(with 10 digits left pad with 0's
Ex. 0000103304
)
Challan Date *
(Enter Numbers Only)
Challan Amount *
(in Rs.)
DDO Code *
(Ex. 14012503001)
Head of Account *
(22 digit
Ex 2225012771132340000PVN
)
Financial Year * STO code *
(4 digit Ex.1401)
Upload Challan *
(Supported formats : *.jpg, *.png, *.pdf)
1 Clear Value Clear Value
c. Total Amount Paid