10.
How much land has been acquired so far :
11.
Estimated time required for acquisition of the balance land :
12.
Reasons for seeking extension
I/We hereby declare that the above statements are true and correct
to the best of my/our knowledge and belief. I/We will abide by any other
condition, which may be stipulated by the Government of India. I/We fully
understand that any Letter of Approval granted to me/us on the basis of
the statement furnished is liable to cancellation or any other action that
may be taken having regard to the circumstances of the case if it is
found that any of the statements or facts therein are incorrect or false.
Place:
Signature of the Applicant
Date:
Name in Block
Letters
Designation
Official Seal/Stamp
Tel. No
E-mail
Web-Site, if any
Full Residential
Address