Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698144258948.pdf (Mauritius)
MINISTRY OF HOUSING & LANDS DS Application for Droits de Surélévation 1.

Name of applicant #:.................................................................................................................................................. 2.

Lease details Lessee No.

District Locality Purpose of lease Rent paid up to ( ( ( 3.

Development on land )1 )1 )1 Extent of land m² / / LB No.1 Is land developed?
* Yes No If Yes give details (e.g area of existing building etc)................................................................................................................... ................................................................................................................................................................... Is lessee occupying land?
* Yes No If No, give details ................................................................................................................................................................... ................................................................................................................................................................... 4.

Employment Details (Please attach relevant details) SELF SPOUSE Employment Employer Name Monthly Income Rs.

5.
5.

Particulars of Nominee (This part is to be filled in by the nominee.)

5.1 Name of nomineee#:....................................................................................................................................................... 5.2 Are you or your spouse already a State Land lessee?

* Yes No.
* Yes No.

If Yes give details ................................................................................................................................................................... ................................................................................................................................................................... Are you or your spouse a land/house /flat owner?

* Yes No.
If Yes give details ................................................................................................................................................................... ................................................................................................................................................................... * Tick as appropriate 1 To be filled in by the Ministry # Fill in also the Applicant Details Form MINISTRY OF HOUSING & LANDS DS Application for Droits de Surélévation 5.3 Employment Details (Please attach relevant details) SELF SPOUSE Employment Employer Name Monthly Income Rs.
5.4 Details of Proposed developments ( eg area etc ) Relationship of Nominee with lessee 6.

Declaration “We declare that the information given above is true and correct.

I am fully aware that in case any information proves to be false, this application will be cancelled and any lease agreement signed by me will be cancelled without payment to me of any compensation, and I shall be liable to prosecution”.

Lessee Signature : ............................................
Date: .................................. Name: .......................................................................................................

Proposed Nominee Signature : ............................................

Date: .................................. Name: ....................................................................................................... For Official Use only Application No.

: Any related applications Date File No.

: : PIN District Dom.


Lot Description Extent m² Full/Part Status