Application for a license: FOR REARING OF SILKWORM REQUIRED FOR SEED PURPOSE (OR) FOR REARING OF SILKWORM OTHER THAN SEED PURPOSE 1. Name of the Applicant : 2. Education Qualifications : 3. Father's Name : 4. SC/BC/ST Others (specify caste) : 5. Address : 6. Category of the applicant : Small farmer/marginal farmer/ Medium farmer/big farmer : 7. Extent of Mulberry holding : 8. a) Village and Sy no of mulberry garden : b) Probable data of plantation : 9. Description of rearing : a) Silkworm rearing for seed purpose : b) Bi-voltine races : c) Local races : d) Silkworm rearing for purpose other than seed purpose : e) Cross breeds : f) Bi-voltine : 10. Capacity for : a) Silkworm rearing for seed purpose : b) Silkworm rearing for purpose other than seed purposes : 11. Amount of license fee remitted with challan no and date (original challan be enclosed) : Place Signature of the applicant Date Contd... For office use: Remarks of the recommending officer. Date of inspection: Observations of Issuing authority Signature with Seal ( Name & Designation of Issuing Authority)
