FORM – C
ANDAMAN AND NICOBAR ADMINISTRATION
DIRECTORATE OF AGRICULTURE
Sub: Application for pumpset on loan-cum-subsidy under Minor Irrigation Scheme – regarding |
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1. |
Name of the applicant (in Block Letter) |
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2. |
Father’s/Husband’s name of the applicant |
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3. |
Village & full postal address |
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4. |
Approximate annual postal address |
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5. |
Agriculture land owned by the farmer (in ha.) |
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6. |
Type of pumpset required. |
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i. ˝ HP Electric pumpset. |
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ii. 1 HP Electric pumpset. |
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iii. 5 HP Diesel pumpset. |
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7. |
Any other (please specify) (strike out which is not applicable) |
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i. Pond |
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ii.Well |
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iii.Stream |
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iv.Any other (please specify) (strike out which is not applicable) |
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8. | Papers if any | |
a.License/sale deed/gift deed. |
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b.Khatuni slip (patta) |
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c.Revenue map. |
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d.Valuation certificate of land. |
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e.Non-encumbrance certificate of the land. |
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f. No dues certificate from the Agriculture Department and near by bank. |
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g. Two solvency certificate of the sureties to the satisfaction of the bank. |
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h. A passport size photograph. |
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9. |
Recommendation of Agriculture Demonstrator of area concerned. |
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10. |
Recommendation of Agriculture Inspector of the area concerned. |
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11. |
Recommendation of zonal Agriculture Officer. |
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12. |
Recommendation of Assistant Engineer (MI), Directorate of Agriculture. |
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13. |
Approval of the Director of Agriculture. |
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Declaration I do hereby declare that the following documents will be kept ready for submission to the concerned bank as and required for sanction of loan. Signature of the Applicant Place : Date : |