This is to state that I, the undersigned, chief/Chairman of …………………………………………………
………………………….(name of the village)/Village authority have allowed the following persons who have formed themselves into a Field Operation Unit (FOU) under the Manipur Sericulture Project for carrying on Sericulture Activities the use of a Plot of Land measuring two hectares as per schedule given below for so long as they carry on sericulture activities/ a period of thirty years with effect from today, the …………………………………………………………

MEMBERS OF THE FOU :-
1. ……………………………………………………………….. W/o, S/o., D/o
2. ……………………………………………………………….. W/o, S/o., D/o
3. ……………………………………………………………….. W/o, S/o., D/o
4. ……………………………………………………………….. W/o, S/o., D/o
5. ……………………………………………………………….. W/o, S/o., D/o
6. ……………………………………………………………….. W/o, S/o., D/o

   SCHEDULE OF THE LAND

        Bounded on the North by : …………………………………………………………..
        Bounded on the South by : …………………………………………………………..
        Bounded on the East by : ………………………………………………………….....
        Bounded on the West by : …………………………………………………………....

In case the land is not used for the purpose for which it is allowed, it shall be reverted to the Chief named above.


Witnesses:-
1. ……………………………………………… …………………………………..

Village Chief/ Chairman, V.A.
2. ………………………………………………

                                                                                                      Authenticated by :-
                                                   Deputy Commissioner, District……………………………………………..
                                                                    or
                                                    Sub Divisional Officer, Sub Division ………………………………………