Amendment status not verified — confirm the current text below against the official source.
Date............. (Signatures of applicant) Address............................................ *Note.--The affirmation regarding residence shall only be made by the persons falling in any of the Categories from E to I. FORM US 3 [See Paragraph 10] CERTIFICATE OF ALLOTMENT Shri............................ .................., son of Shri................................................... resident of village..........................., tehsil...................... district.................... has been allotted land (described below) out of the land declared surplus under the Haryana Ceiling on Land Holdings Act, 1972. Particular of land: Name of the Field (Khasra) Kind of soil as per Area village number last khasra Girdawari Total Area.