APPLICATION FOR ENCUMBRANCE CERTIFICATE/

CERTIFIED COPY.
1.Name of the Applicant S.Jayasankar

2. Address & Telephone No. No.33/1, Aziz Nagar First Street,

(if any) Kodambakkam, Chennai-600 024
24844758

Details of Property
1.Name of the Village Arumbakkam

2. Name of the street Valluvar Road

3.Old Survey New survey Block Ward No. T.S.No

No/Sub.Div.No No/Sub No.
210/2 part divn.No. 7
131

4.Old Door No. New Door No. Plot No. Flat No/Flat
Name
30 94 -- --
5.(a) Extent of the site Total Extent Conveyed extent Undivided
share
3200 sq.ft., -- --
5(b)Built up area 750 sq.ft.,
6.Boundaries (North) Door No.7 & 9, Gandhi Road
(South) Valluvar Road
(East) Door No.95, Valluvar Road
(West) Door No.93, Valluvar Road
7.Name of the declared K.C.Lakshmi
owner K.C.Narasimhan
Father name
8.period of search – No of Period 01.09.1999 To 22.04.2010
years from

In the case of certified copy furnish the following particulars also

9.Name of the executant --
10.Name of the claimant --
11.Doc. Year Book & Page
No Vol. No No

Date:23.04.2010 Signature