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Application Form For Availing Assistance Under Micro Irrigation Scheme

The document is an application form for assistance under the Micro Irrigation Scheme, requiring personal and agricultural details from the applicant. It includes sections for previous assistance received, type of irrigation system needed, water source information, and bank details. Recommendations from various agricultural officials are also required for approval.

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36 views2 pages

Application Form For Availing Assistance Under Micro Irrigation Scheme

The document is an application form for assistance under the Micro Irrigation Scheme, requiring personal and agricultural details from the applicant. It includes sections for previous assistance received, type of irrigation system needed, water source information, and bank details. Recommendations from various agricultural officials are also required for approval.

Uploaded by

tigershr3
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 for availing Assistance under Micro Irrigation Scheme

1. Name of the applicant (in block letter) :

2. Father’s/ Husband’s name :

3. Village :

4. Gram Panchayat :

5. District :

6. Total Land (in Ha.) :

7. Agriculture land owned by the applicant


(in ha.: (Land document should be attached, in case
:
of joint holding NOC of co-tenant(s) to be
furnished)
8. Survey number(s) of the field(s)/plot identified for :
installation of the Micro Irrigation system

9. Has any departmental assistance on Micro :


Irrigation been provided earlier?

10. If yes, details thereof :

a) Area (ha) :

b) Crop covered (ha) :

c) Year of installation :

11. Type of system required (Indicate Sprinkler/ Drip :


System)
a) Area proposed to be covered under M.I System :

b) Crops proposed to be covered under the M.I :


system, spacing of the crops should be
mentioned.

12. Indicate Water Source if available (Minor Irrigation


Pond/R.C.C ring well/ Nallah) (If own water
resource is not available undertaking to be given :
neighboring farmer/community basis )

13. If wells, specify the Depth of the water table in the :


well

14. If M.I Pond, specify the dimensions of pond :


(l x b x d)

15. Dimensions of the land :

16. Details of Bank from which applicant wish to get


loan :

Bank Account No ………..…………………Name of the Bank …………………………


Branch Name ………………………… Aadhar No…………………………………………

I do hereby declare that I am not a permanent employee/servant of


Government Organization/any Organization undertaking by Government
and the statements made in the application are true, complete and correct to
the best of my knowledge and belief.

Place:

Date: Signature of the Applicant


Ph. No.

17. Recommendation of the Agriculture


Field Assistant of the area concerned :

18. Recommendation of the AA/SCA/AEA


of the area concerne :

19. Recommendation of the concerned


Panchayat Pradhan/Samity Member/
Zilla Parishad Member :

20. Recommendation of the zonal


Assistant Director (Agri) :

21. Recommendation of
Assistant Director (AE) M.I. :

22. Approval of the


Director of Agriculture. :

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