DIRECTORATE OF ANIMAL HUSBANDRY & VETERINARY SERVICES PASHUSAMVARDHAN BHAVAN, PATTO - PANAJI - GOA (APPLICATION FORM TO BE FILLED BY BENEFICIARY) Incentive for the Renovation/repair of cattleshed for the farmers of Western Ghat Region having crossbred cows. The farmer is eligible for availing subsidy, amounting to Rs.15,000/- (Rupees fifteen thousand only) for renovation/repair of his existing cattle shed with (1) Cemented concrete flooring and Pukka roof with more than capacity of 15 cattle (2) Drainage System (3) Dung pit (4) Water storage tank (5) Cemented manger 1. Name and Address of the farmer:- 2. Farther/Husband's Name:- 3. Full Address of the applicant:- a) House No:- b) Ward No:- c) Village/Town:- d) Taluka:- e) District:- 4. Profession/Occupation:- 5. Whether subsidy availed earlier for the construction/ renovation of cattle shed from Animal Husbandry Dept. 6. I declare that, I shall conduct the above repairs/renovation to the full satisfaction of the Department before release of subsidy. Date:- Signature of Applicant