1.      Name of the Wakf                             :

2.      Full address of the Wakf                    :

3.      Class of Wakf:                                   :

(a)    Juma-ath Plli                             :

(b)   Niskarapalli (Taikavu)   :

(c)    Madrassa                                 :

(d)   Wakf-alal-aulad                        :

(e)    Orphanage                               :

(f)     Other Wakf                              :

4.      Nature of the Wakf:               :

(a)    Sunni Wakf                              :

(b)   Shia Wakf                                :

5.      Where a Mahal Jama-ath or not         :

A.     If it is a Mahal Jama-ath:           :

(1)   Population                                :

(2)   Area of operation                     :

6.      Whether the Wakf is registered

      under Societies Registration Act

      or any Trust Act.                               :

7.      Description of the Wakf

      Properties held                                  :

8.      Whether the properties are

      under possession and enjoyment

      of the Wakf:                                      :            Yes/No

(a)    If no, who is in possession         :

(b)   Whether under any institution

       or licence                                 :

(c)    Period of instrument /licence      :

9.      Tax payable :                                     :

(a)    Land tax                                   :

(b)   Cess                                         :

(c)    Rates                                        :

(d)   Property tax                             :

10.  Encumbrances if any              :

11.  Gross annual Income of the Wakf      :

(Appendix be duly filled up)   :

12.  Gross Annual expenses of Wakf        :

(Appendix be duly filled up)

13.  No. of employees under the

      Wakf and their salary             :

14.  The apportionment of amount as

       per Wakf deed :                               :

(a)    for beneficiaries                        :

(b)   for religious purposes                :

(c)    for charitable purposes :                      

(d)   for any other purposes              :

15.  Name and address of the Mutawalli   :

16.  Nature of Mutawalliship :                   :

(a)    Individual                                  :

(b)   Committee                                :

17.  Rules of succession to

      Muttawalliship :                                  :

(a)    hereditary                                 :

(b)   custom and/ or usage                :

(c)    by appointment                         :

(d)   by election                                :

18.  Instrument of succession                    :

(a)    Deed                                        :

(b)   Bye-laws                                  :

(c)    Scheme                                    :

(d)   or otherwise                             :

(True copy to be enclosed)

19.  What are the institution under

       the Wakf (Give details)                     :

20.  Whether those institution are

 situated in Wakf properties                  :

21.  Whether they are administered

     directly by the Wakf :              :

(a)    If not, specify the agency           :

(b)   Describe the nature of

       relationship between the

       Wakf and agency                          :

22.  Whether there is any Bank

    Account in the name of Wakf.

    If yes, furnish name & address of

    the Bank and Account No.                   :

23.  Any other information

24.  Name & address of the person

      applying for registration

      On what capacity he is applying

       For                                                   :

Place:

Date:                                                          Signature of Applicant with designation

I,. S/o. …………………………………………….aged…………. ...residing at………………………………………………………….. ... do herby declare that all the details furnished in Col. 1 to 24 above are  true to the best of my knowledge, belief and information.

Dated this the                        day of ,                     year.

Signature.

Appendix

[To be submitted along with the Registration Application]

[See Colum 11 & 12 of Form No. 1]

Name and address of the Wakf…………………………………………….

Total                                                                                 Total

Place :                                                       

      Date :                                                                     Name and Signature of the Applicant.

Form No.2

Name of the Wakf                                                                 :

Registration No.                                                                    :

The year for which contribution is due                           :

1. Name and address of the Mutawalli

(a)    Official                                                             :

(b)   Residential

INCOME

2. Income from landed properties                          :

(a)    Form Agricultural Operations                            :

(i)                  Paddy(ii) Coconut (iii) Other items              :

(b)   From Pattam                                                                :

3. Income from rent on building                             :

4. Income from hired utensils                                             :

5. Income from Bhandaram/Nerchapetty               :

6. Income from deposits                                                   :

7. Income from Festivals/Nerchas                         :

8. Income by way of donations                                         :

(a)    to the Corpus of the Wakf                                            :

(b)   to other specific purposes(Specify each items)   :

9. Income by way of subscription                         :

10. Income from Tin collection                                            :          

11. Income from Bucket collection                          :

12. Income from Pidiyari                                                     :

13. Income from Kettuthengu/Ottathengu/Kudithengu          :

14. Income by way of Grant in aid                          :

(a)    Government of India                                                     :

(b)   State Government                                                         :

(c)    Local Bodies                                                                :

(d)   Other sources                                                               :

15. Income from remunerative undertakings                         :

16. Income from non-remunerative undertakings                  :

(a)    School                                                                          :

(b)   College                                                             :

(c)    Hospital                                                                        :

(d)   Poor Home                                                                  :

(e)    Orphanage                                                                   :

(f)     Other Institutions                                                          :

17. Income by way of voluntary contributions                      :

18. Income by way of audit recoveries                                :

19. Income from sale proceeds of religious books and

Publication                                                                    :

20. Withdrawal from banks                                     :

21. Receipt from Courts                                                     :

22. Security deposits                                                          :

23. Advances in deposits                                                    :

24. Loans                                                                           :

25. Sale proceeds of immovable Properties             :

26. Other items, if any, specify                                            :

Total

Deductions

1. Land Revenue paid                                                                   :

2. Rates, cesses, taxes and license fee paid                                    :

3. Total expenditure for agricultural operations                               :

(a)    Maintenance and repair charges for irrigation work                    :

(b)   Cost of seed or seedlings                                                          :

(c)    Expenditure for manure                                                 :

(d)   Purchase and maintenance of agriculture impediments    :

(e)    Purchase and maintenance of cattle for cultivation                      :

(f)     Wages for flowing, watering, sowing, transplanting,

      harvesting, crushing & other agricultural operation                      :

Total

(If it exceeds 10% of the income derived from land deduct only 10% of income of the same)

4. Expenditure on sundry repairs to rented building                        :

(If it exceeds 5% of the annual rent deduct only 5%)                        :

5. Sale proceeds reinvested                                                          :

6. Advance & deposits recovered                                     :

7. Loans received                                                             :

8. Deposits made as securities                                                       :

9. Withdrawals from Banks & withdrawals of investment   :

10. Amount recovered towards books & publication as a

       non-remunerative enterprise                                                     :

11. Sales proceeds of religious books & publication as a

non-remunerative enterprise                                                      :

12. Donation in cash or kind or offerings

      made to the corpus of the Wakf                                                :

13. Expense on service for which voluntary contribution

      are received                                                                              :

14. Audit recoveries                                                                       :

                                    Total

7% of the net annual income                                                            :           Rs.

 Advance amount paid if any (Specify the details)                :           Rs.

 Balance amount paid Mode of payment (specify details)     :           Rs.

Verification

I.........................................................................S/o…………………………………………. solemnly declare that to the best of my knowledge and belief the information given in this return and the annexures and statement accompanying it is correct and complete and the amount of total income and other particulars shown therein are truly stated and in so far it relates to the relevant year. I further solemnly declare that during the said year no other income has accrued or arisen or was received by me from any asset held by me as Mutawalli. I further declare that I am making this return in my capacity as Mutawalli of ...........................................................Wakf and that I am competent to make this return and verify it.

Form No. 3

Budget Estimate for the year ending March…………..,...of the……………….. .....Wakf

Head of account                                                     Budget Estimate Rs.      Ps.

STATEMENT A: SHOWING THE ESTIMATED RECEIPTS.

Opening Balance

(i)     Cash

(ii)    Current account with any balance

(iii)   Value of grain or other articles on hand

                     Total Opening Balanace

Receipts

(i)     Lands                                                                                       :

(a)    Cash income from leases                                                           :

(b)   Income in kind in the shape of Paddy and grains                        :

(c)    Sale proceeds of Paddy etc.                                                     :

(d)   Income from other sources                                                        :

(ii)    Rent from buildings:                                                            :

(iii)   Grants:

a. Grant                                                                            :

b.Contribution       

(iv)  Income and Investments                                                          :

(a)   Interest from loan                                                                      :

(b)   Interest from deposit                                                                 :

      (v)Miscellaneous:

(a)   Other items                                                                               :

Grand Total of Receipts                                                                  :

STATEMENT B : SHOWING THE ESTIMATED EXPENDITURE

1. Establishment :

(a)    Pay of officers and Establishment                                              :

(b)   Travelling allowance and other allowances                                 :

(c)    Contingencies                                                                           :

(d)   Miscellaneous                                                                           :

2. Ordinary Expenses :

(a)    Expenditure                                                                              :

(b)   Other                                                                                       :

Total                                        :          

3. Festival and Periodical festivals :

Total expenditure                                              :

4. Lands :

(a)    cultivation charges                                                                     :

(b)   Minor repairs                                                                            :

Total expenditure on lands                                                                    :

5. Building : Minor repairs                                                    :

6. Taxes :

(a)    Revenue Assessment                                                                :

(b)   Municipal or local fund assessment                                            :

(c)    Licence fee etc.                                                                        :

Total expenditure on taxes                                                                    :

7.Contribution to the Wakf Board                                       :

8.Miscellaneous :

Grant Total of Expenditure                                                  :

Closing Balances:

(i) Cash                                                                                  :

(ii)Current Accounts                                                               :

(iii)Value of grains and other articles on hand               

Total closing balance