Application for Submission of Proposal for Financial Assistance from National Fisheries Development Board Proposal for Establishment of fish seed hatchery FORM - III Particulars sought from the applicant Information furnished by the applicantSL No. (1) (2) (3) 1.0 Name and address of the applicant/ firm/ association/ Self Help Group (IN BLOCK LETTERS) Address for communication Details of land where aquaculture activity of the land title document a) State b) District c) Taluk/Mandal d) Revenue Village e) Survey Number(s) 2.0 3.0 ( telephone/ mobile number) is proposed to be taken up: Enclose copy f) Ownership g) If on lease, duration of lease h) Total land area in which the hatchery would be set up (in ha) (whether freehold or on lease) Published on National Portal of India (india.gov.in) Details of the proposed hatchery Enclose detailed project report showing the following details 4.0 a)Type of hatchery b) Numbers and size of hatching tanks h)Source of water g)Facilities, if any for nursery rearing with capacity. f) Production cycles proposed to be taken per year e) Production capacity, spawn per cycle (in millions) d) Fish species c) Technology to be adopted i) Source of brood stock Fisheries Institute/ Colleges of Fisheries) Department of Fisheries/ FFDA/ ICAR engineering works to be certified by the j)Details of the proposed construction works of the hatchery.(Design details/ Details of the Bank for providing loan for construction and working capital money towards non-subsidy portion of funds 5.0 Whether assistance for this purpose has been sought under any other scheme of the Central/ State Government ? If so, please provide the details 6.0 Yes No Whether the applicant is in default of payment to any Financial Institution/ Government. If yes, please provide the details and the reasons for default 7.0 Published on National Portal of India (india.gov.in) Yes No Details regarding economics of operation9.0 10.0 Expected date of operation of the hatchery and tentative schedule of activities such as distribution and marketing of seed and transport arrangements,etc. 11.0 radius of 50kms of the proposed hatchery and their production capacities Number of hatcheries set up within a Marketing tie up12.0 Declaration by the Applicant I/ 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 establishment of fish seed hatchery Signature and seal Place Date of the Implementing Agency as proposed in the application. Published on National Portal of India (india.gov.in) monthsyears Experience of the applicant in operation of hatcheries and details of trainings undergone so far 8.0 We
