ANNEXURE - IV
Proforma for furnishing details of properties under Section 22-A (1) (e)
Sl.No. Name of the District Name of the Mandal Name of the Village/Town Sy.No & Sub Division No.(if any) Town sy.No. (If applicable) House No. (If applicable) Extent Name of the Owner/Occupant/Interested person Reasons of prohibition
1 W.G.Dist J.R.Gudem Janareddigduem NIL NIL NIL NIL NIL NIL