FORM - A

Application For Carrying Out The Soil Conservation Work

1.

Name of the Applicant (in Block Letters)

2.

Fatherís/Husband Name

3.

Address in full

4.

Field in which Soil Conservation works is to be taken

 

 

5.

Village

 

6.

Tahsil

 

7.

Type of Soil

8.

Whether Cleared

Yes/No

9.

If cleared when ?

10.

Encumbrances on field

11.

Type of tenure

I agree to abide by the rules and regulations of Soil Conservation Scheme to execute the bond in the prescribed form before the excavation of work for the actual cost that may be incurred in implementing the scheme as per the direction of the Soil Conservation Officer.

 

Signature of the Applicant

To

The Soil Conservation Officer,

Directorate of Agriculture,

Port Blair.