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) 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) Application for Submission of Proposal for Financial Assistance from National Fisheries Development Board Proposal for taking up Intensive Aquaculture in paddy fields FORM-IX 4.0 Month & year of construction/renovation of the paddy field and financial assistance received. /-Rs. Published on National Portal of India (india.gov.in) Whether any fish/ prawn is being cultured in the paddy fields.If so, furnish the production details 5.0 Yes No Present condition of the paddy field and justification for renovation- Enclosure 6.0 Department of Fisheries/FFDA/ICAR Fisheries Institute/Colleges of Fisheries)- Enclose the details Details of the proposed renovation/repair works of the paddy fields.(Certified by the 7.0 Whether the proposed aquaculture is an alternate crop with the paddy crop or synchronized with the paddy crop ? 8.0 Estimates regarding input costs and economics of operations, certified by a Fisheries professional Enclose the details 9.0 /-Rs. Yes No Details of bank providing financial assistance towards non-subsidy portion of the funds 10.0 11.0 Whether assistance for this purpose has been sought under any other scheme of the Central/ State Government? If so, please provide the details 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: 12.0 No Yes Proposed date of operation of the farm and tentative schedule of activities 13.0 Marketing tie up 14.0 Published on National Portal of India (india.gov.in) 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)
