FORM – D
ANDAMAN AND NICOBAR ADMINISTRATION
DIRECTORATE OF AGRICULTURE
Sub: Application for Pumpset on Cash-cum-Subsidy basis under the Minor Irrigation Scheme – regarding,
|
1. |
Name of the applicant (in Block Letter) |
|
|
2. |
Father’s/Husband’s name of the applicant |
|
|
3. |
Village and full postal address. |
|
|
4. |
Approximate annual income from all sources. |
|
|
5. |
Agriculture land owned by the farmer (in ha.) |
|
|
6. |
Type of pumpset required. |
|
|
i. |
˝ HP Electric pumpset. |
|
|
ii. |
1 HP electric pumpset. |
|
|
iii. |
5 HP Diesel pumpset. |
|
|
iv. |
Any other (please specify) (strike out which is not applicable) |
|
|
7. |
Type of water sources available |
|
|
i. |
Pond |
|
|
ii. |
Well |
|
|
iii. |
Stream |
|
|
iv. |
Any other (please specify) |
Place :
Date :
Signature of the Applicant
|
8. |
Recommendation of Agriculture Demonstrator of area concerned.
|
|
|
9. |
Recommendation of Agriculture Inspector of the area concerned.
|
|
|
10. |
Recommendation of Panchayat Pradhan
|
|
|
11. |
Recommendation of Zilla Parishad.
|
|
|
12. |
Recommendation of zonal Agriculture Officer. |
|
|
13. |
Recommendation of Assistant Engineer (MI), Directorate of Agriculture. |
|
|
14. |
Approval of the Director of Agriculture. |
|