Particulars sought from the applicant Information furnished by the applicant Address for communication Location of the proposed feed mill a) State b) District c) Taluk/Mandal d) Revenue Village e) Survey Number(s) f) Ownership g) If on lease, duration of lease h) Total land area (in ha) SL No. (1) (2) (3) 1.0 2.0 3.0 Name and address of the applicant/ firm/ association (IN BLOCK LETTERS) ( telephone/ mobile number) (whether freehold or on lease) Application for Submission of Proposal for Financial Assistance from National Fisheries Development Board FORM-VIII Proposal for establishment of fish feed mill Published on National Portal of India (india.gov.in) Enclose land title document 4.0 a)Type of feed mill and Technology b) Production capacity (MT)/ annum Details of the Nationalized bank providing term loan for the unit-Enclose the loan sanction letter 5.0 6.0 Yes No Whether assistance for this purpose has been sought under any other scheme of the Central/ State Government? If so, please provide the Published on National Portal of India (india.gov.in) of the feed mill,(Design details/engineering works):Enclose the detailed project report Details of the proposed construction works covering the d)Total estimated cost of the project(show the capital cost+recurring costs separately) /-Rs. e) Approximate cost of the machinery and equipment /-Rs. monthsyearsExperience of the applicant in the proposed activity and their organization profile . Incorporate the details in the project report 8.0 Details regarding economics of operation: Incorporate the details in the project report 9.0 10.0 Expected date of operation of the farm and tentative schedule of activities Marketing tie up: Incorporate the details in the project report 12.0 c)Type of the machinery ( indigenous/ imported ) Declaration by the Applicant I/ We son/ daughter/ wife of hereby declare that the information furnished above is true to the best of my/our knowledge and belief. I am/we are fully aware that if it is found that the information furnished in the application is false or there is any kind of deviation/violation of the conditions under which assistance is provided to me by the NFDB, any action as deemed fit for violation of this condition may be taken against me/us. Signature of the applicant/s Place Date Countersigned by the implementing Agency The application has been verified as per the NFDB guidelines and found correct. The farm has been inspected by the Departmental Officer/s and found feasible for renovation for taking up intensive aquaculture as proposed in the application. Signature and seal Place Date of the Implementing Agency Published on National Portal of India (india.gov.in)