| Serial No. | Date of entry village in the registrar | Name of the Member | Date of declaration | Name of the which land is situated | Survey No. | |
| City Survey No. | ||||||
| Plot No. | Plot Hissa | |||||
| Area | Assessment | Approximate Value | Encumbrance, if any | Amount of Maximum Loan | Remark if any | Initials of the Chairman | ||
| Area | Gunthas | Rupees | Naye Paise | Nature Amount | ||||