Proposal For Offering Of Land To UPSIDA

* Name Of Land Owner/Owners :

* Mobile No.:

* E-mail :

* District :

* Sub District :

* Type of Land Owner :

* Type of Land :

* Location Map(Upload) :

* Upload Signed Consent letter :

S.No	Village	Khata No.	Khatedar Name	Father/Husband Name	Address	Gata No	Gata Area(In Hec.)

* Total Land(In Hectare):

* Road Connectivity Type:

* Road Width:

* Distance from nearest expressway,NH:

* Nearest Railway Station Name:

* Distance from nearest Railway Station :

* Nearest source of freshwater:

* Distance depth of source water:

* Circle rate per hectare:

* Propose offered rate per hectare:

* Whether the Consent of the all land owners:

Field marked with * are mandatory