REGULARISATION SCHEME 2025

Note:
1. Symbol (*) indicates Mandatory.

Applicant Details:

Aadhaar Card No: *……………………………………………………………

Applicant Name as Per Aadhaar (Name of the Women Member in Whose Name the Allotment Order to be
Issued if Found Eligible):
*……………………………………………………………………………………………………………………………..............................

Gender: * Female Transgender Age: *………………………

Relation Name: *…………………………………………………………..................

Relation Aadhaar Number: ……………………………………………………………

Caste: * SC ST BC-A BC-B BC-D BC-E Minority OC

Category: * BPL APL

(If Applicant Select BPL Only)

Family Annual Income from All Sources: * ……………………...............

Extent of Agriculture Land Dry for the Family in the State (Acer-Cents): * ………………………

Extent of Agriculture Land Wet for the Family in the State (Acer Cents): * ………………………

Whether any member in Family is employed in State or Central Govt: * o Yes o No

Is any member in the Family filing Income Tax: * o Yes o No

If Yes Attachment income tax returns: * Provide Document for Upload

Ownership of Motor Vehicles: * [ ] Four Wheeler [ ] None

Average Electricity Consumption in Last 6 Months (Units): * ………………………

Mobile Number*………………………………………….

Proof of Document: * Registration Document

Property Tax

Water Tax

Current Bill

Any Other Proof

Proof of Identity Name: * Aadhaar Card Ration Card Voter Id Card Others

Proof of Identity No: *…………………………………………………………………………….

Whether any Encroachments Regularized for the Family: * Yes No

If Yes, Details of Regularization: *…………………………………………………………….

Whether the Applicant / His Spouse has Own House: * Yes No

If Yes, Details Address of Own House: *…………………………………………………….

Residential Address

Door No: ……………………………………… Locality/Land Mark: * …………………………………………………………………

State: *……………………………………………………… District: * ……………………………………………………………………….

Mandal: * ………………………………… Village /Ward: * ……………………………………... Pin code: *……………………

Eligibility Check List

GSWS Secretariat Name : *…………………………………………… House Hold Number: *………………………………

Whether the Applicant is the Women Member of the Family: * Yes No

Whether the Applicant or Any Family member covered in any previous Housing Scheme of State / Central
Government: * Yes No

Specify Details: *……………………………… (If Applicant select Yes Only)

Land Details: *

District: * ………………………………………………………………………….

Mandal: * ……………………………………. Village /Ward No: * ………………………………. Pin code: ………………….

Landmark of Area: *……………………………….

Construction Type: * RCC roof with brick walls

Asbestos roof with brick walls

Others

SY No / TS No / LP Area Covered by Dwelling Open Area (in Sq. Yds) Total Area (in Sq.
Number Unit (In Sq. Yds) (Land Bounded by Fencing Yds)
/ Boundary Wall or Any
Other Structure)

Extent of Land Occupied (in Sq. Yds): * ……………………………………...

Date From Which Occupied: * ……………………………………... (DD/MM/YYYY) (Prior to (15/10/2019)

Category : * Up to 150 Sq. Yds 151 to 300 Sq. Yds 301 to 450 Sq. Yds 451 and Above Sq. Yds

Boundaries

East* West* North* South*

Informant Details

Informant Name (Enquiry Purpose Only): * ……………………………………………………………………………………….

Relation with Applicant: * ……………………………………………………… Mobile No: * …………………………………

Document List (Note: Total Size of All Upload Documents Should Not Exceed 3MB and Should be
PDF Format Only)

Proof of Identity*

Proof of Occupation*

Photograph of Occupant along with the Constructed Building in Dwelling units* (.jpeg Only)

Passport Size Photograph of Applicant* (.jpeg Only)

Annexure II (Details Signed by the Application / Self Declaration Form)*

If Yes Attachment Income Tax Returns*

Certificate of Income in BPL Category*

Declaration

“I hereby declare that the information provided in this application is true, complete, and
accurate to the best of my knowledge, and I voluntarily provided my Aadhaar details for
authentication”

Applicant’s Signature
 ANNEXURE-II
APPLICATION FORM
Application Form for allotment of Land in Unauthorized Occupation of
Unobjectionable Government Land by way of Dwelling Units in terms of
G.O.Ms.No.30, Revenue (Lands. I) Department, dated 29.01.2025.

1. Name of the Occupant :

2. Age :
3. Father’s/Husband’s Name :
4. Aadhaar Card No. :
5. Residential address :
6. Details of Government land occupied :

a. Survey No./L.P. No./T.S. No. :

b. Village/Ward No. :

c. Name of Municipality/local body :

d. Extent of land occupied :

e. Date from which occupied :

7. Nature of unauthorized occupation :

i. Type of structure

(Residential/other than Residential)

ii. RCC Roof (or) Asbestos Roof with brick wall :

iii. Extent covered by Dwelling Unit :

iv. Open Area :

v. Total Area :

8. Name of Woman Member in whose name allotment

order is to be issued, if found eligible :
9. Enclosures :
(i) Copy of Aadhaar Card
(ii) Copy of any other identity card (if Aadhar card not available)
(iii) Proof of unauthorized occupation, if any

10. BPL/APL Criteria :

(i) Family Annual income from all sources:
(ii) Extent of Agricultural land held by the Family:
 Dry: Ac. Cts.,
Wet: Ac. Cts.,
Total: Ac. Cts.,

(iii) Whether any member in family employed in State or Central Government:

(iv) Is any member in the Family filing Income Tax assessee:
(v) Ownership of Motor Vehicles: Four Wheeler (Yes/No)
(vi) Average Electricity Consumption in last (6) months (Units):

Declaration: The information furnished above is true to the best of my

knowledge and if any fraud is noticed, the application is liable to be
rejected.

Signature:

Place: Name:
Date: (in Block letters)
Mobile Number: