Coconut Development Board

1.	Name of the applicant(in Block Letter)		:
2.	Address of the applicant (in Block Letter)		:
	Village		:
	P.O		:
	District		:
	State		:
3.	Subsidy required for For New Planting		:
	i.Extent of area brought under new planting.		:………………. ha.	:
	ii. Number of seedlings planted		:…………….. Nos.	:
	iii.Date of planting		:
	iv. Village and survey No. of the plot		:Village………….	Survey No…………
	v. Planting distance adopted		:Mtrs. ……………
	vi. Exact location of the garden (show distance from the main road or bus stop or village centre with details of accessorily		:
4.	Source of seedlings	:Govt. Nursery/Self raised/Co-operative Nursery
5.	Whether the applicant is the owner cultivator of the land	:Yes/No
6.	Whether the applicant has exclusive right to cultivate the above land.	:Yes/No
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 ----- The applicant has planted ……… Nos. of coconut seedlings in an area of ……… ha. The area is suitable for coconut cultivation. The applicant has done the planting and other maintenance operations as per recommendation satisfactory. Seedlings used for planting are of good quality. 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 Officer’s 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 The application for subsidy shall be made in the form prescribed by the board and shall be accompanied by the certificates specified. The capital subsidy meant for coconut farmers who do not own individually more than 2 ha. of garden land/dry land suitable for coconut cultivation. Among the above category only those who bring a minimum of 0.063 ha. (ten seedlings) of new area under coconut but not more than 2 ha. are eligible for subsidy. The applicant should have the legal right on the land for new planting. The seedlings for planting should be obtained form the Govt. nurseries or nurseries recognized by the concerned State Govt. Or Coconut Development Board or self raised seedlings. The planting density inmonocrop system should not be less than 160 seedlings per ha. and not more than (200 seedlings) the officially recommended level in each State. The seedlings from the very beginning should receive all the recommended management care including to use of various inputs. Every year the disbursement of subsidy installment will be effected only after the expected cultural and other operations are carried out in accordance with the recommendations in force from time to time. The subsidy will be granted on the basis of the actual stand of the seedlings planted for which subsidy was received, if dead or damaged, should be replaced by the grower himself and for this no fresh subsidy will be granted. The beneficiaries should prominently display a board in the plot indicating that the plot is subsidized by the Coconut Development Board Cochin in English and Regional language at their own expenses. If plants for which subsidy was received were willfully destroyed, then the owner should remit back the subsidy received with 12 percent interest. If any person is found to have obtained subsidy by fraud or by misrepresentation, the entire amount of subsidy with 12% interest shall be liable to be recovered. A successor in title to any land in respect of which subsidy is received shall be eligible for future installment of subsidy subject to his applying for the same in the manner prescribed by the Board and subject to his furnished a declaration to the effect that he shall abide by the terms and conditions of the board prescribed from time to time. In the case of power of attorney holders they should enclose an attested copy of the power of attorney certificate alongwith the application.

1.	Name and address of the applicant	:
	District	:
	State	:
2.	Whether belongs to scheduled Caste/scheduled Tribe (if yes,	:
	(state the category i.e. SC/ST	:
3.	Details of planting	:
a.	Survey No. of the plot	:
b.	Area planted (in ha.)	:
c.	Number of seedlings planted.	:
d.	Present number of seedlings.	:
e.	Amount of subsidy availed as 1^st/2^nd/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 1^st/2^nd …………………… 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 2^nd/3^rd years maintenance. Chairman/Authorised Officer Coconut Development Board Kochi Regional Office, Madras.