FORM – B

APPLICATION FORM

Application For Availing Tractor Implements & Accessories On Loan-Cum-Subsidy From Agriculture Department.

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.

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 :