SERVICE REQUISITION FORM

(FILL UP THE FORM WITH THE AVAILABLE

DETAILS/IF DETEAILS ARE NOT AVAILALBLE
LEAVE IT BLANK)

DO NOT PUBLISH/PRINT/FILL UP
CONFIDENTIAL
DETAILS/INFORMATION IN THIS FORM

NAME & ADDRESS

Telephone

Mobile

e-mail

Address for communication.

Full postal address

With pin code.

Nature of
Service
Required

Be specific and
Clear about the
Service required
NAME/S OF THE
OWNER/S

Location of the property

Survey No/Property/site
No /Kaneshmari Number/VP
katha No, Any other
number?:
Sub number:
Extent in acres and guntas:
Extent in Square Meter or

Square Feet or in acres or in

hectares
Kaneshmari Numebr/House
No/panchayat number:
Street
Road
Cross
Main road
Block
Stage
Phase
site No:
Survey No:
Village:
Kasaba:
Hobli:
Thaluk:
Town/City:
District:
Size of the property:
Schedule of the property:
Size or Dimension (site)
Property boundaries.

DC conversion order
DC Order and date

Official Memorandum
DC Conversion Order
charges paid Challan
BDA/BMRDA layout
Plan number with date
Pid number
BBMP Number
Form No.9
Form No.10
Form No.11
Form No.12
Form No.14
Survey Records:
Form 11E
Survey Sketch
Akarbandh
Tippany
Hissa Tippany
Phodi Prathi
Phodi
Atlas
Village Map
RR
RR balabagada nakalu
Saguvali Chit
Grant Certificate

LRF No. If any,

Details of Kharab Land:
Clear Demarcation of
Kharab land with extent and
location
Hudbast
Saguvali Chit
Pass Book
Family tree
RTC
Mutation
NOC from Thasildar
NOC Form 7/7A
NOC Form 48
NOC PTCL
NOC 79A(lrf)
NOC 79B(lrf)
Caste Certificate(if
applicable)
5 years annual income
certificate or income tax
returns of the family
Any other relevant survey
records?
BOUNDARY AND
LOCATION OF THE
PROPERTY
EAST

WEST
NORTH
SOUTH
EAST TO WEST
NORTH TO SOUTH
Details regarding ownership
ORIGINAL OWNERS
NAME AND ADDRESS
Genealogical Tree or family
tree
Full name and address of all
the legal heirs with age and
father`s/husband`s name
(photo identity for
investigation is required in
specific cases)
Details regarding
Pending suits/litigations etc,
if any, with number and
court hall, city and the name
and address of the plaintiff
and defendant.

Name and address of the

advocate/firm handling the
suit, if any.

Details of case history

Other details
TAX PAID DETAILS

YEAR

AMOUNT
RS

Receipt No.
Date.
Amount paid.
Duration or year for which the tax paid.

BETTERMENT CHARGES PAID DETAILS

YEAR

AMOUNT
RS

Receipt No.
Date.
Location.

PROPERTY REGISTRATION DETAILS

SUBREGISTRAR
OFFICE

DATE

DOCUMENT
NO

MOTHER DEED DETAILS

Building plan Number, Date and the Issuing

authority
CC No.
OC No.
B FORM Number(B KATHA)
A katha Number
BBMP PID Number
New GIS Number
BDA katha Number
BDA Allotment Letter Number
BDA Possession certificate Number

BDA lease deed no and date

BDA Absolute sale deed no and date

SPECIFIC DETAILS REGARDING SERVICES REQUIRED

AND REFERENCES.

Passport Number

Temporary Identification Number(TIN)

Sales Tax Number
Permanent Account Number(Pan)

Tax Deducted At Source (TDS) or TAN number

Import and Export Code(IEC)

Voters Identification Number

KSPCB CONSENT NUBMER

CFE NO AND DATE.
CFO NO AND DATE.
TRADE LICENSE NUMBER

BUILDING PLAN SANCTION NUBMER

FSSA LICENSE NUMBER AND DATE

Courier Docket Number and details

FILL UP ONLY THE APPLICABLE

CLAUSES/ IF DETAILS ARE NOT
AVAILABLE- LEAVE IT BALNK

DO NOT FILL UP
CONFIDENTAIL DETAILS OR
INFORMATION

References