The Odisha Land Rights to Slum Dwellers Rules, 2017

Form - I

[See Rule 6 (e)]

Certificate of Land Right

Certificate No.:
Name (s) of holder (s) of land rights (including spouse)
Name:	Name:
Family details
Name of the father/ mother:	Name of dependent family members:
Address
Road/Street/Basti:	District:	Municipality /NAC:
	Ward No.:	Phone No.:
Other details
Aadhaar No./Identification No.:	EWS/Other than EWS:	Other Information:
Details of land settled:
Description of boundaries by prominent landmarks:	Area (in sq.m):	Settlement amount, if any (in Rs.):
	Mode of Payment:	Receipt No. & Date:

This right is heritable, but not alienable or transferable under sub section (3) of section 3 of the Ordinance. This right may be mortgaged for the purpose of raising finance in form of housing loan from any financial institution. The right shall be acceptable as evidence for address proof of residence. I/We, the undersigned, hereby, for and on behalf of the Government of Odisha affix my/our signature(s) to issue the above certificate of land rights.

Date:

District Collector / Authorized Officer