GOVERNMENT OF JAMMU AND KASHMIR DEPARTMENT OF FISHERIES APPLICATION FORM FOR FINANCIAL ASSISTANCE FOR RENOVATION OF FRESH WATER FISH PONDS 1. Name of applicant (in block letters) _______________________________________ 2. Father's name _______________________________________________________ 3. Permanent address ___________________________________________________ 4. Address for communication ____________________________________________ 5. Locality of the existing pond _________________________________________ 6. Survey No./ Plot No. in which the pond is located. (Certified copies of documents from the Revenue Authority showing the pond belong to the applicant) _______________________________________ 7. Year of construction of pond _________________________________________ 8. When the pond was last renovated ______________________________________ 9. Amount spent during the last excavation ________________________________ 10. The size of the existing pond : Length____________ Breadth ______________ Depth _______________________ 11. Nature of soil in the tank bed (Sandy, Clay, Stony etc _____________________________________________ 12. Weeds present in the pond ________________________________________ 13. No. of inlet & outlet for entry and exit of water from the pond and how it is being controlled ________________________________________ 14. If, used for fish culture, types of fishes being cultured _________________________ 15. Any other use of the pond _______________________________________________ 16. When the pond was stocked with fish seed (State the date of stocking, numbers stocked species wise) ______________________________________________________ 17. How the pond will be used after the proposed renovation ___________________________________________________ 18. The detail of plan estimate for Renovation work ________________________________________________________ 19. The agency for renovation. If local labourers are available the number of labourers proposed to be availed at a time and present rate of earth work in the locality (Rs.) ________________________________________ 20. The minimum time required (days) to complete the work _____________________________________________________ 21. Whether any financial assistance was availed during any previous years and, if so indicate the year and fund availed _________________________________________ 22. Whether the applicant is a defaulter to any other department, if so furnish details ______________________________________ Certified that the information furnished above is true to the best my knowledge and belief and I shall be personally responsible, if any part of the information is found incorrect. Place : Date : Signature of the Applicant Recommendation of the members of the respective Panchayati Raj Institution/Counsellor of Municipal Ward (with name, signature, seal and date) For Office Use Only (i) Date of receipt of application (ii) Field verification report and specific recommendation of the Officer In-charge (with signature, date and seal) (iii) Recommendation of Zonal Officer In-charge (with signature, date and seal) (iv) For use in the Directorate of Fisheries