Application For Availing Tractor Implements & Accessories On Loan Cum-Subsidy 1 Name of the applicant (in Block Letter) : 2 Father's/Husband's name on the applicant : 3 Village and full postal address : 4 Agriculture land owned by the farmer (in ha.) with supporting documents. : 5 Type and make of tractor and implements required.: i. Make & type of tractor. : ii. Type of trailor required (2 wheeler or 4 wheeler) : iii. Type of implements required (cultivators, Disc Hardow, o Disc Plow) : iv. Type of extra wheels (cage wheel or extension wheel) : 6. Recommendation of the Zonal Agriculture Officer : 7 Recommendation of Assistant Engineer (Agri.) Directorate of Agriculture. : Declaration I do hereby declare that I do not have/had any tractor in my name or in the name of any of my family members and I will hire out the tractor to small & marginal farmers on reasonable rate. Signature of the Applicant Place: Date :
