FORM – E
ANDAMAN AND NICOBAR ADMINISTRATION
DIRECTORATE OF AGRICULTURE
Sub: Application for Minor Irrigation Pond on Loan-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. |
Size of pond. |
I do hereby declare that the following documents will be kept ready for submission to the concerned bank as and when required for sanction of loan.
|
a. |
Licence/sale deed/gift deed. |
|
|
b. |
Khatuni slip (patta) |
|
|
c. |
Revenue map. |
|
|
d. |
Valuation certificate of land. |
|
|
e. |
Non-encumbrance certificate of the land. |
|
|
f. |
No dues certificate from the Agriculture Department and near by bank. |
|
|
g. |
Two solvency certificate of the sureties to the satisfaction of the bank. |
|
|
h. |
A passport size photograph. |
|
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. |
|