APPLICATION TO AVAIL SUBSIDY FOR SHADENET BY FARMERS 1. Name of the beneficiary : 2. Father's/Husbands Name : 3. Address of the beneficiary in full : 4. Location of the Garden : a) Village : b) Mandal : c) District : 5. Survey No. : 6. Category of farmer SC/ST/BC/OC SF/MF/BF 7. Total extent owned by the farmer with existing crops : 8. Horticulture crops proposed for Shadenet : Crop Area (Hec.) No. of Plants Age 9. Whether any Bank loan is proposed to be taken. : If so name and address of the bank 10. Any other information. : Place: Date: SIGNATURE OF BENEFICIARY