Input Form for Registration
1) Type of the Document: Diposit of Title Deed
2) Presenter of Document: Mortgagor
3) Details of the Presenter of Document:
Name JAYABA NATUJI VAGHELA
Mob No. 9879945368
4) Mortgagee:
Name Axis Bank Ltd. Through Farin Prafulbhai Maheta,
Age 39
Residential Address 74, Vaibhav Apartment-2, Ramkrushna Nagar, Rajkot
5) Mortgagor:
Name JAYABA NATUJI VAGHELA
Age 49
Residential Address Jagadmba Nagar, Kidana
6) Confirming Party / Guarantor: Not Applicable
7A) Name of the Witnesses (First):
Name
Age
Residential Address
Witness (Signature)1.______________________
7B) Name of the Witnesses (Second):
Name
Age
Residential Address
Witness (Signature)2.______________________
8) Stamp Duty payment Date : Day 02 Month 09 Year 2020
9) Date of signing Document : Day 04 Month 09 Year 2020
10) Total Number of pages in the Document : ..................+....................=…………..
11) Location Details : Village : Anjarjal, Taluka: Gandhidham, Distict: Bhuj-Kutch
12) Details of the Property : Plot No. 62, Survey No. New 103(Old 45/4)
13) Full description of property as written in the Document : Plot No. 62, Maruti Residency
Page 2
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14 a) City / Town : Not Applicable
b) Village : Residential
c) Area of Property :
Use of property Type of Construction Total Built Area Plot Area
Residential Bungalow
15) Type of Property : Residential
16) Type of Construction and Other Amenities:
17) Details on Construction :
Total number of Floors (Ground +) Year of Construction Level of Construction
18) Other Details : Loan Rs. 11,83,031/-
19) List of the Documents Attached: …………………………………………………..
…………………………………………………..
…………………………………………………..
…………………………………………………..
Information given above is complete and proper. According to this
I am ready to pay Stamp
duty and Registration fees.
……………………………………... ……………………………………
Mortgagees Signature Mortgagors Signature
Information given in Extract before registration and document is
absolutely same. Data
Entry done accurately as mentioned in the Input Form.
Signature of Clerk Signature of Data Entry Signature of Sub-Registrar
Operator