Coconut Development Board
Kpchi 682 011
Regional Office, Patna
Application for Coconut New Planting Subsidy (First Year)
1. |
Name of the applicant(in Block Letter) |
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2. |
Address of the applicant (in Block Letter) |
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Village |
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P.O |
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District |
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State |
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3. |
Subsidy required for For New Planting |
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i. |
Extent of area brought under new planting. |
: . ha. |
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ii. |
Number of seedlings planted |
: .. Nos. |
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iii. |
Date of planting |
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iv. |
Village and survey No. of the plot |
:Village . |
Survey No |
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v. |
Planting distance adopted |
:Mtrs. |
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vi. |
Exact location of the garden (show distance from the main road or bus stop or village centre with details of accessorily |
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4. |
Source of seedlings |
:Govt. Nursery/Self raised/Co-operative Nursery |
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5. |
Whether the applicant is the owner cultivator of the land |
:Yes/No |
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6. |
Whether the applicant has exclusive right to cultivate the above land. |
:Yes/No |
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7. |
Whether applicant belong to SC/ST |
:Yes/No. |
Score whichever is not applicable
DECLARATION
I Shri/Smt. . (name of the applicant/power of attorney holder) (S/o., D/o., W/o.) . (address) declare that I am the owner/power of attorney holder/lease holder, and I have exclusive right to cultivate the land and the information furnished above is true. I shall abide by the terms and conditions prescribed by the Coconut Development Board for availing the subsidy from time to time.
Place :
Date :
Signature/Thumb impression of the applicant)
CERTIFICATE I
(to be issued by an Officer authorized by the State Government)
I, . (name of the officer) have inspected the garden on (date) and I certify that -----
Place :
Date :
Signature
(Name & Designation)
(Office Seal)
CERTIFICATE II
(To be filled in by the village officer or any other officer authorized
by the Government in this behalf)
I, Shri/Smt. (name of the officer) of .. Village (Taluk) . (District) .. (State) .. (hereby certify that the applicant is the cultivator of the land/has exclusive right to cultivate the land for which subsidy is sought.
Signature
Place :
Date :
Name & Designation
(Office Seal)
Verifying Officers Remark
Name & Designation of the officer
Of the Coconut Development Board.
O R D E R
Sanctioned Rs. (Rupees .. only)
Chairman/Officer
Authorized by the chairman
Coconut Development Board
Government of India
COCH 682 011
REGIONAL OFFICE PATNA
FORM II
Application for coconut planting subsidy for .. year
1. |
Name and address of the applicant |
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District |
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State |
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2. |
Whether belongs to scheduled Caste/scheduled Tribe (if yes, |
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(state the category i.e. SC/ST |
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3. |
Details of planting |
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a. |
Survey No. of the plot |
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b. |
Area planted (in ha.) |
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c. |
Number of seedlings planted. |
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d. |
Present number of seedlings. |
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e. |
Amount of subsidy availed as 1st/2nd/instalment (Rs). |
Score whichever is not applicable.
DECLARATION
I (S/o.,W/o., D/o.) . .. (Address) hereby the declare that the information furnished above are true and I shall abide by the terms and conditions prescribed by the Coconut Development Board for availing subsidy from time to time.
Place:
Date :
(Signature/Thumb impression of the applicant)
CERTIFICATE OF THE HORTICULTURAL OFFICER
(To be filled by the Department Officer)
I .. have inspected the plot on (date) and found a seedling stand of Nos. During 1st/2nd year an amount of Rs. was released to the applicant as per order No. date . Of the Coconut Development Board, Regional Office, Madras. I also certify that the applicant has maintained the seedlings properly and the information furnished in this application is correct. The code No. of the applicant is ..
Place :
Signature
(Name & Designation)
(Office Seal)
For Office Use Only
Verifying officers remarks:
ORDER OF THE CHAIRMAN
Sanctioned Rs. (Rupees . .. only) for the 2nd/3rd years maintenance.
Chairman/Authorised Officer
Coconut Development Board Kochi
Regional Office, Madras.