GOVERNMENT OF JAMMU AND KASHMIR DEPARTMENT OF ANIMAL HUSBANDRY Application Form for Purchase of Chicks from Government Hatchery/Farm 1. Name of the Farmer : 2. Address of the Farmer: 3. Age: 4. Educational Qualification : 5. Experience (if any) (please tick) : a. beginner b. experienced : 6. Capacity of shed : 7. Equipments with hand (please tick) : a. Feeder : b. Waterer : c. Brooder : 8. Types of Birds Required : a. Layer Chicks : b. Broiler Chicks : c. Quails : d. Ducklings : e. Turkey : f. Guinea Fowls : 9. Number of Birds /Chicks Required : 10. Date on which Birds/Chicks Required : 11. Remarks if any : Date: Place: Signature of the applicant