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APPLICATION FORM

i) Name of the farmer _______________________________

ii) NIC No. ________________________________________

iii) Father’s / Husband’s name ________________________

iv) Permanent Address:

  Village: __________________ Tehsil: ___________________
  District: __________________ Province: _________________
 

v) Total hectarage in his name __________

vi) Survey Number(s) of the field( s ) where he wants to install the system ________________________
(Enclose a copy of Jamabundi)

vii) Has he or any of his family members early availed subsidy from any GOP scheme? _____________

viii) Crops cultivated _____________________________

ix) Type of system required ________________________

x) Crop for which the system is required ________________________

xi) If the system is for plantation crop then any inter crop is taken?

xii) If, so the type(s) of inter crop ________________________

xiii) Total area under irrigation __________________________

xiv) Source of irrigation water ___________________________

xv) If wells, then open or tube well _______________________

xvi) Depth of the water table in the well ___________________

xvii) Depth of the tube well _____________________________

xviii) Quality of the irrigation water (Fit / Unfit) _____________

xix) Daily usage time of the well__________________________

xx) If canal then any provision made for storage _________________________

xxi) If, yes, then the dimensions of the reservoir (L x B x D) _______________

xxii) Any farm pond available ___________________________

xxiii) If yes the dimensions of the pond (L x B x D) ________________________

xxiv) If there is no water source Then what is the plan _____________________

xxv) Hrs. of electricity available daily ____________________

xxvi) Time of electricity available ________________________

xxvii) Horse power of the pump (if any) ___________________

xxviii) Horse power of the diesel engine (if any) __________________________

xxix) Dimensions of the land ____________________________

Soil is problematic or good ______________________________

xxx) Water table depth in the land ________________________

xxxi) Choice of Supply & Services Companies

a) _____________________________

b) _____________________________

c) _____________________________

It is certified that undersigned has not availed subsidy for Drip / Sprinkler under Government of Pakistan (GOP) scheme. Further, it will be allowed to any officers from Agriculture Department or any other government officials to inspect the system installed in his field any time during the 7 year period.

 

Signature

 
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