mara Registration rorm Prewew Tamil Nadu Horticulture Development Agency Spon CgreLésme amiée Yoow Back Home Logout Registration Form Print Vers. Registraion ID : MA0000020600128764 ‘Annexure V Registered Date : 28 Nov 2016 13:45:30:607 ‘Subsidy Type Departments rep Types ‘Scheme Types Farmer Ration Caré No/Veter ID Nos SSEMF Certificate No Soll Test No Water Test Nos Acceptence Leter From the individual former? ‘Name of the Faemer alarnidiet Quut Father's Name piengaied Guat Husband's Name( erate) evcrenfiat Quist (Quenteerse Beeitat) ‘Community as Relaion ines Farmer Toe Sean (2) sOGee ataona (0) Eps aera Address ‘sires Steet 1 Gao 2 surest 2 District wre’ rea Panchayat Villages STD Cede / Phone No Agree Bus wet Mobile No one Qsrme tue sant Total Aree In his name csumfefeh Quutied eater Gand so Extent in which proposed to install egGaneenuce gay ‘Survey number(s) of the field(s) where he wants to 100 Horticulture Horticulture PMKSY/OFWM ‘aarcioss0ttt ENCLOSED ENCLOSED ENCLOSED Yes Thirunath. 7 a [-Secaraouwian oevaR ac Hind © smal Farmer ve tg Old No — ( Insta the system (Enclose certiicate from Talat |5/3KSA92B Bogge otGa cot (Geeneswuce enepiey) Pats Narnber(s) ofthe field(s) where ne wants to instal S2A59/28 ‘the svster UCL sm Has ne or any of his family members avaled subsidy for Mi from any GOI scheme ear? uusrrerCur 05 676 EOSUBSerGrr opsaGa) Bee gtOUNEST Bev gser 2p ueatant Qappans? ‘crops cultivates Yesmara Registration rorm Prewew LUAU Geter utc VepetabIes Tyog of system reared Speiniage Gsemaiunse eon, ‘Sub Type of system required. +/LargeVolume Sprinkler (Rain gun) ¥| ‘Crop for which the system is required Vesceabies Uules@ Sgemunee genet, Ifthe system s fr plantation crop any intercrop ‘akon? sromcusiges Mguctet, eprag! — Yes 229 wut Lud eben © No Total area under iigation ie ty een Congo sursy ; Water Source of iriaation 7 Bae, = Open wel 1 Wellthen type certo mer a: Sap) Sree cece Sompgied ester Seid Slot pip © Guay arene te ftdureen Act gr (sooo OSE Ss sen ome nat Baas) Bemmdadu Germ Dally usage time of the well a eyen cemppiee G5 f.00.0 Hee 1 there is no mater source then what is the plan wba 99 St aones Bomnduans oOss 928 Hours of electricity avalable daily Foreh wustiOsgis ulaterrasot Spot ‘Time of electricity avaliable From Sons8 wustuGsge wternssat Coed © Horse power ofthe pump ude dead spat * Horse oower ofthe disel enaine use) cesfiatiet @Sieord spat Dimensions ofthe land Bois giat aeney © Soil is problematic or good (Enclose copy) rteomtgn eat)? ——) — Arise (Qmertetuce sa) ‘ttachement if any geneigs cma AOU : Bomndadun Beri So deoth sours entered aged et Water tobe eth inthe land eters SagGO ester Sossy Shot ayy * sm gpees | MAGS Ign) uetewtisustes omens * M/S.AGS Trrigaton