FORM  NO. 8

( See rule 26 of the Wild Life Protection (Manipur) Rules, 1974 ]

Claim Form


To

    The Collector of------------------ District.

 

Sir,

    I,............................................................ son of ....................................................................... resident

of .......................................................................... hereby declare that I have the right specified in the Table below in or over the land comprised within the limits of the sanctuary ....................................... referred to in proclamation  No..................................................... , dated   the.................................................................

TABLE
Nature of rights claimed in the sanctuary Extent of such rights in the sanctuary If the rights are shared as a co-proprietor, etc. de­tails thereof Period from which such rights are en­joyed Amount and particulars of compensation claimed
1 2 3 4 5
 

 

 

        


2. I hereby declare that the property is free from all encumbrances/or that the property is under encumbrances (specify the details ).


3. I enclose herewith documents providing the nature and extent of my right and the date from which such right is being enjoyed.


4. The rents or profits received on account of such right for the three years immediately preceding the date of application are set forth below.

 

TABLE
Year Amount
19 .....  
19 .....  
19 .....  


5. In the case of easement right, the annual value is ..................... rupees.



Date :                                                                                                  Signature of the applicant

Place :

Strike out whichever is not applicable.