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Application for Subsidy under National mission on micro Irrigation (NMMI)

Applicant's

Photo

1. Name of Farmer 2. Father's Name

3. Husband's Name (in Case of Women) 4. Caste

5. Village 6. Block/Town

7. District 8. Land owned by applicant (in hectares)

9. Khasra number in which MI set is to be installed

10. Whether the Farmer or any of his family member has availed any subsidy through micro irrigation scheme of government in the last few years?

11. If yes, Give description:

a) Area (in hectares)

b) Cropped Area (in hectares)

c) Date of Installation

12. Crop proposed to be grown 13. Type of MI set to be installed

14. Crop for which MI set is required 15. Whether MI set is for Plantation crops or inter-cropping crop

16. If for inter-cropping, the Crop name 17. Total area under micro irrigation

18. Source of Water 19. Type of Well (Open/well/Tubewell)

20. Water level (in meters) 21. Please attach test analysis

22. Operation time of the Well per day

23. Whether any water harvesting structure is available if irrigation is being done through canal. if yes, size of the pond (L*B*H) x x

24. Whether any other farm pond. If yes, size of the pond (L*B*H) x x

25. Whether any alternate arrangements have been done if water source is not available

26. Availability of electricity (in hours)

27. Per day electricity Availability -

28. Pump capacity (in horsepower)

29. Horsepower of diesel engine, if available

30. Shape of holding/land

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31. Please attach soil analysis report

32. Depth of the soil

33. Depth of water table in the land

34. Applicant's Bank account Number, Name, Bank and RTGS/IFSC Code

(where the subsidy amount is to be transfered)

Declaration

The information provided by me is true to the best of my knowledge. As per policy, I will use the Subsidy myself and will not misuse. I hereby further state that I

have not received any Subsidy from any organization or scheme associated with this programme.

Applicant's Name and Telephone number Applicant's Signature