FORM – B

APPLICATION FORM

Application For Availing Tractor Implements & Accessories On Loan-Cum-Subsidy 

 

1

Name of the applicant (in Block Letter)

:

2

Father’s/Husband’s name on the applicant

:

3

Village and full postal address

:

 

4

Agriculture land owned by the farmer (in ha.) with supporting documents.

:

5

Type and make of tractor and implements required.

:

i.

Make & type of tractor.

:

ii.

Type of trailor required (2 wheeler or 4 wheeler)

:

iii.

Type of implements required (cultivators, Disc Hardow, o Disc Plow)

:

iv.

Type of extra wheels (cage wheel or extension wheel)

:

6

Recommendation of the Zonal Agriculture Officer

:

7

Recommendation of Assistant Engineer (Agri.) Directorate of Agriculture.

:

         Declaration  

         I do hereby declare that I do not have/had any tractor in my name or in the name of any of my family members and I will hire out the tractor to small & marginal farmers on reasonable rate.

Signature of the Applicant

Place:

Date :