Application for submission of proposal for financial assistance from National Fisheries Development Board Proposal for taking up Intensive Aquaculture in New Ponds and Tanks FORM-I Particulars sought from the applicant Information furnished by the applicant 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) f) Ownership g) If on lease, duration of lease (minimum 10 years) h) Total area of the proposed pond/s (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 copy (whether freehold or on lease) Published on National Portal of India (india.gov.in) 4.0 Details of the proposed construction works of the new pond/ tank.(Design details/ engineering works to be certified by the Department of Fisheries/ FFDA/ ICAR Fisheries Institute/ Colleges Fisheries) 7.0 8.0 9.0 10.0 11.0 6.0 5.0 Whether assistance for this purpose has been sought under any other scheme of the Estimates regarding input costs and source of procurement certified by a Fisheries professional.Enclose the details Experience of the applicant in the field and details of training undergone so far years months Details regarding economics of operation Whether any financial tie up has been made for availing Bank loan, if so please provide the details No Yes Expected date of operation of the farm and tentative schedule of activities Marketing tie up If so, please provide the details Central/ State Government ? No Yes Published on National Portal of India (india.gov.in) /-Rs. Declaration by the Applicant 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 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) I/
