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