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App Form Binay Daimari

3ok

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mahantaraj072
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18 views2 pages

App Form Binay Daimari

3ok

Uploaded by

mahantaraj072
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM

Application date:

Farmer Name
BINAY DA] MAR
Father/ Husband Name: LT TAREN DAIMBL
Gender MALE
Date of Birth: 10D 19 &3
District Name UDAL 61UR
Block UDAL GnUR1
Village Name: KAN PUR
House No:
14
Contact Na:b0666 32 199
Email Id

Fin code &y5 0


Cates ry 2c/ General / OBC/ SC /ST

Totai aiea oi Land Ha or Bigha ly bigha


Whether subsidy availed under Micro Irigation under PMKSY or any Government scheme: YES /No

Land information:

Dag No Patta No Area in Ha or Bigha

2.4 bigh
Crop information:

Crop Type Crop Name MI Area in Ha or Bigha


l a yadin 44Biha
Crop wise Total Area (eligible for subsidy):

Source of Water: Well/ T-well/ Tank/ Canal/ no


water source
Bank Details

Bank Name STATE BANE of INDi A


Acceunt Ne
Branch Name UOAL GURI
IFSC Code SBIN OO0 7947
Voter 1D No: -QX I02666
Vendor Selection:
Close Space)
Tvpetpf Svstem applied for: Portable Sprinkler (63 mm/75 mm), Drip (Wide Space
BINAYPAIMARI
Signature

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