Sub District Solan Block Dharampur Village Dharampur Farmer’s Name : Ramesh Dutt

Sex M/F Category : General AADHAR ID :

IFSC CODE BANK A/C

Mobile : 9816037045 D.O.B : 22 /06/1987 F/H Name : Ramesh Dutt

Address : Village Dharampur , PO Dharampur , Tehsil Kasauli, Distt. Solan (H.P.) – 173209

Ownership : Single / Joint Land Details : Survey / Khata No. / Khewat No. : 162/132

Area in Hectare : 20 Khasra No. : 162 (More land detail , if any may be written on back page)

Permission to use AADHAR Number :

I Ramesh Dutt S/o Sh. Tulsi Kumar R/o Village Dharampur hereby grant my persmission to use my
AADHAR number for verification purpose under (PM – KISAN) Scheme only.

Date & Place : Dharampur Signature

Declaration by the applicant

I Ramesh Dutt S/o Tulsi Kumar R/o Village Dharampur hereby declare that above information provided
by me is true to my knowledge , and if found incorrect only I would be liable for the same. My total
cultivable land is less than 2 hectares.