ANNEXURE - II Application Form for claiming Vessel Building Subsidy under Inland Vessel Building Subsidy Scheme. To The Chairman, Inland Waterways Authority of India A-13, Sector 1, Nodia, U.P-201301 Dear sir, The vessel building subsidy of Rs............................................................... (in words) ....................... ......................................................................................................................... for the Vessel acquired by us has become due. The details are given below. 1. Constructed by ................................................................................................................. Name of the Yard .............................................................................................................. Address ............................................................................................................................. 2. Name of the Party ............................................................................................................. Registered Office .............................................................................................................. 3. Details of Vessel : Length ................................................................................... Breadth .............................................................. Draught ............................................................. BHP .................................................................. Engines ............................................................ GRT ................................................................. NRT ................................................................. Type of Vessel: (Please tick one of the following) (a) Self propelled Cargo vessel tonnage (b) Dumb barge (c) Mechanically Propelled vessel (Specify whether Tug/Survovy Launch) (d) Inland dredger (e) Any other type (Please specify) 4. Copy of the documents attached (tick the following) (1) Registration certificate (2) Details of Vessel Building Subsidy claim (3) Certificate of cost of vessel (4) Loan, if any, sanctioned /obtained (with details) 5. Affidavit I certify that (i) the vessel is operated/ will be operated in NW ............................................................... (ii) the vessel will continue to be operated in NW ................................................................ at least for a period of eight years from the date of registration of the vessel. (iii) In case the vessel is taken away from NW, the Authority will be intimated immediately of the same and the subsidy will be remitted by me/ us forthwith together with interest due thereon. (iv) I / We are not in receipt of subsidy for the said vessel from any other source. Date: Signature Stamp