FORM I AQUACULTURE AUTHORITY MINISTRY OF AGRICULTURE GOVERNMENT OF INDIA TRADITIONAL / IMPROVED TRADITIONAL - PRIOR APPROVAL FOR ADOPTING IMPROVED TECHNOLOGY Application for prior approval of Aquaculture Authority for adoption of Improved Technology for increased production, productivity and return by farmers who are operating traditional and improved traditional system of aquaculture (under Director 5* of the order of the Hon'ble Supreme Court of India in Judgement dated 11.12.1996 on Writ Petition (Civil) No.561 of 1994) 1. Name(s) of the Applicant(s)/ registered company/establishment (furnish full name and details of permanent address) : 2. Address for Communication : 3. Details of location/land, Details of the traditional/ Improved traditional shrimp farm in operation : a) State: b) Division/District : c) Revenue Village : d) Survey Numbers : e) Total extent of farm ** area (in hectares) for which approval is required and applied for : 4. Date of commencement of operations : a) Date of commencement of existing Traditional/improved traditional system: b) Date from which improved technology for increased production, productivity and return is proposed to be adopted for which approval is required and applied for : Page 2 of Supplement to Vol 17. No.12 of Fishing Chimes 5. Details of improved technology proposed to be adopted: (Please furnish separately and enclose a Project Report giving details of) (i) existing system : (ii) improved technology proposed to be adopted and : (iii) production, productivity and return proposed to be achieved: 6. Details of remittance of Processing Fee *** * Direction 5: "The farmers who are operating traditional and improved traditional systems of aquaculture may adopt improved technology for increased production, productivity and return with prior approval of the 'Authority' constituted by this order." ** Farm would denote total water spread area including bundhs and canals. *** A processing fee of Rs.100/ha is to be remitted in favour of Secretary In-charge Fisheries, Government of...........along with the application form. DECLARATION I/We........................son(s) / daughter (s) / wife of ....................... residing at ...... hereby declare that information furnished above is true to the best of my / our knowledge and belief. I/We am/are fully aware that if it is found at a later date that the information furnished by me/us is false and there is any kind of deviation/violation of the conditions on which approval may be granted by the Authority, the approval given may be either suspended or cancelled. Date: Signature of applicant (s) Place: Page 3 of Supplement to Vol 17. No.12 of Fishing Chimes