FORM – B
APPLICATION FORM
Application For Availing Tractor Implements & Accessories On Loan-Cum-Subsidy
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1 |
Name of the applicant (in Block Letter) |
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2 |
Father’s/Husband’s name on the applicant |
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3 |
Village and full postal address |
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4 |
Agriculture land owned by the farmer (in ha.) with supporting documents. |
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5 |
Type and make of tractor and implements required. |
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i. |
Make & type of tractor. |
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ii. |
Type of trailor required (2 wheeler or 4 wheeler) |
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iii. |
Type of implements required (cultivators, Disc Hardow, o Disc Plow) |
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iv. |
Type of extra wheels (cage wheel or extension wheel) |
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6 |
Recommendation of the Zonal Agriculture Officer |
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7 |
Recommendation of Assistant Engineer (Agri.) Directorate of Agriculture. |
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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 : |