Agrimanipur Gov in - Smam-Form-Group
Agrimanipur Gov in - Smam-Form-Group
Passport Size
Photograph
To, authorized
The District Agriculture Officer’s, signatory
.....................................................
Dear Sir,
2. Address of Organization:
P I N D I S T R I C T
3. Details of AUTHORIZED SIGNATORY:
i) Name of authorized signatory :
4. Declaration by the Group regarding the particular of the authorized signatory to be enclosed.
Account No.:
IFSC Code:
7. Name of the target crop followed by another major crop for which machineries will be kept in the
Farm Machinery Bank for hiring:
Target crop: ............................. Period of crop: ................ to ................ (.........days)
Follow up crop: ....................... Period of crop: ............... to ................ (.........days)
8. Details of area coverage by the proposed Farm Machinery Bank: –
Name Name
Cultivable area Land holding wise nos. of Category wise nos. of
of of
(in acres) farmers farmers
Village Block
Under Rainfed Small Marginal Other SC ST Woman Gen
assured
irrigation
Total -
(If required, separate sheet may be used with signature of authorized signatory on each page)
9. Details of farm machineries and implements to be provided to farmers for different farm
operations on custom hiring basic.
Quoted rate
Sl. Size/ Unit by Total cost
Name of Brand/
No. Capacity required authorized (5x6)
machine/implement Model
specification (nos.) dealer (Rs in lakh)
(Rs. in lakh)
1 2 3 4 5 6 7
1
2
3
....
....
Total =
(If required, separate sheet may be used with signature of authorized signatory on each page)
10. Hire charges at which we will provide farm machineries an implements to farmers for different farm
operations on custom hiring basic for first year of operation will be as follows-
(3)
We hereby declare that we have gone through the modalities ad terms & conditions for establishing
Farm Machinery Bank provided by the department prior to submission of this application and all the
information and statements furnished in/with this application are true and accept that any misinterpretation
contained in it may lead to our disqualification and also declare that we didn’t get subsidy assistance under
SMAM in the year 2020-21. We understand that decision of according approval or rejection of our
application shall be binding on us.
Yours Sincerely
1. Rs. 400 (four hundred) will be charged (non-refundable) per form. Application form may be downloaded
from the Department website www.agrimanipur.gov.in
2. Farm machineries and implements proposed for the Farm Machinery Bank may be chosen from the
list enclosed at Annexure-A.
6. Due to certain changes in the Guide Line of SMAM, DPR should be prepared at the Directorate Office,
Sanjenthog only.
7. In the column of “Details of members of the Organization” minimum of 10 (Ten) members details
need to be fill-up.
8. Society/Group cannot get the benefit of subsidy assistance under SMAM for consecutive years.
ANNEXURE – A
3. M/S H.R Motor, 7. M/S Saikhom Tractor Sales & Services Centre,
M.G Avenue. Canchipur opp MU Gate.