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Farm Mechanization Aplication Form

This document is a farm mechanization application form that collects information from applicants seeking subsidies for farm machinery. The 3-page form requests details about the applicant's identity, land ownership, proposed machinery purchase, dealer and manufacturer information. It also collects payment and contact details. The form requires uploading supporting documents such as identity proof, proposal forms, photos and applicant signature.

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MADHAVA
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We take content rights seriously. If you suspect this is your content, claim it here.
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446 views2 pages

Farm Mechanization Aplication Form

This document is a farm mechanization application form that collects information from applicants seeking subsidies for farm machinery. The 3-page form requests details about the applicant's identity, land ownership, proposed machinery purchase, dealer and manufacturer information. It also collects payment and contact details. The form requires uploading supporting documents such as identity proof, proposal forms, photos and applicant signature.

Uploaded by

MADHAVA
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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Price: 1

FARM MECHANIZATION APPLICATION FORM

Financial Year: 

Consumer Details:-
Aadhar Number: _______________________
___________________________ Name of the farmer*: _________________________________________
____________________

Father Name*: _______________________


______________

Caste*:  SC-General ST-General  BC-General


General  OC-General  SC-Women ST-Women  BC-Women
Women  OC-Women

Farmer Type*:  MF  SF  Other Farmer District*: _______________________________________________


___________________________________

Mandal*: _____________________________
______________________ Village/Ward*: ____________________________________
________________________

Proof Document*:  PPB  LEC  D-Form


Form Patta Khata No*:: __________________
_______

Pattadhar Passbook No: ________________


_____________________ Area (in Acres) *:: ______________________
_________

Mobile*: _________________________________________________
____________________________________

Applicant Type:  Individual  Group

Machinery Details For Individual


Individual:-

Type of Name of Machine Specifications Name of Dealer Quantity Total Cost Farmer Subsidy
Machinery share Amount

Machinery Details For Group:-

Group Name:: ____________________________________________________________

Group Member Details:-

Name Father Name Caste Farmer Type District Mandal Village Katha
Number
Price: 1

Implement Details:-

Package Manufacture Dealer Implement Total Subsidy Amount Non Subsidy Amount

Owner Details:-
Tractor Owner Name*: ____________________________
______________________________ Tractor R.C No*: __________________
____________________

Tractor engine chassis no*:: ________________


_____________________________________

Initial Non Subsidy Amount Payment


Payment: -
 Machine Cost Less than 10,000(Rs.500) Machine Cost Less than 1 Lakh (Rs.1000)

Machine Cost Less than 5 Lakh (Rs.2000)


Rs.2000) Machine Cost More than 5 Lakh (Rs.5000)

Address for Communication:-


Door No: ________________ Locality: ______________________________________
State*: ________________ District*:: __________________Mandal
__________________Mandal*: _____________
Village/Ward*: __________________________
____________Pin code: ________________

Informant Details:-
Informant Name*: ________________________
______________________________________________________________________
____________

Informant Relation*:: ________________________ Informant Mobile*: ____________________________


________

Documents List: - (Upload All Documents in PDF Format)


 Application Form*
 Proposal Form from MAO*
 Proof Document*
 Photo

(* - Indicates Mandatory) Applicant’s Signature

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