Application for submission of proposal for financial assistance from National Fisheries Development Board Proposal for taking up Intensive Aquaculture in Existing Ponds and Tanks FORM-II Particulars sought from the applicant Information furnished by the applicant Address for communication Details of land where aquaculture activity title document a) State b) District c) Taluk/Mandal d) Revenue Village e) Survey Number(s) f) Ownership g) If on lease, duration of lease h) pond/s area (in ha) i) Total water spread area (in ha) j) Approximate area of fish ponds within the 25-30 kms radius from the proposed site SL No. (1) (2) (3) 1.0 2.0 3.0 Name and address of the applicant/ firm/ association/ Self Help Group (IN BLOCK LETTERS) ( telephone/ mobile number) is proposed to be taken up: Enclose land (whether freehold or on lease) Published on National Portal of India (india.gov.in) 4.0 11.0 12.0 10.0 9.0 8.0 7.0 6.0 5.0 13.0 Month & year of construction of the ponds and financial assistance received. Production details of Fish/prawn from the year of construction. Whether assistance for this purpose has been sought under any other scheme of the If so, please provide the details Central/ State Government ? Yes No Present condition of the ponds and justification for renovation-Enclosure Details of the proposed renovation/ repair Department of Fisheries/ FFDA/ ICAR Fisheries Institute/ Colleges of Fisheries)- Enclosure works of the ponds/ tank. (Certified by the Estimates regarding input costs and Fisheries professional.Enclosure the details economics of operations, certified by a Details of the bank providing financial the funds assistance towards non-subsidy portion of Whether the applicant is in default of payment to any Financial Institution/ Government.If yes, please provide the details and the reasons for default Yes No Proposed date of operation of the farm and tentative schedule of activities Marketing tie up /-Rs. /-Rs. Published on National Portal of India (india.gov.in) 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 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) We
