Application for Financial Assistance for Organic Manure Production Unit 1. Name of the Applicant (in Block letters) : 2. Address (in Block letters) : 3. Whether Belong to SC/ST : SC/ST/General 4. Whether the applicant is the owner of the land : 5. No. of Cattles / livestock possessed : 6. Details of Organic manure processing Unit : a) Size of the Unit : b) No. of Units established by the Applicant : c) Production Capacity per unit area : d) Total Production Capacity of all the units per year : 7. Details of expenditure incurred as fixed and Maintenance cost per unit: I Non-Recurring Expenditure a) Digging/Pit/Tank/Concrete Floor etc : Rs b) Construction of Shed : Rs c) Any other item : Rs Total II Recurring Expenditure a) Cost of agriculture waste/ coir pith : Rs b) Cost of Farm Yard/ Manure : Rs c) Cost of decomposing Culture /Earth Worm : Rs d)Cost of Urea : Rs e) Labor Cost : Rs f) Packing/Storage : Rs g) Maintenance Cost of the Unit : Rs h) Any other item Specify : Rs Total Declaration of Applicant I................ S/o/W/o/D/o ........... Address .................. Hereby declares that the information furnished above is true and correct and I shall abide by the terms and conditions prescribed by the Government for availing myself of the financial Assistance. I have incurred Rs ............. As actual expenditure (Recurring and Non-Recurring) for establishing the organic manure expenditure with a production capacity of ....... tones per year. Place : Signature of the Applicant Date : Recommendation of Agriculture Assistant : Recommendation of Panchayat Pradhan :
