The land of the Dancing Deer

 

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                                                                                                                                No. (For official Use)

Application Form Schemes
for Participation to the Manipur Sericulture project

 

1. Date of Submitting Application : …………………………………………( Date/Month/Year)

2. General Informatiom :


  i.  Village Name :- ………………………………………………………………………..
  ii. Sub-division Name :- …………………………………………………………………..
  iii. District Name :-………………………………………………………………………...
  iv. Name of Representative of Village Society :………………………………………….....
  v. Place of the Proposed Schemes :……………………………………………………….
  vi. Name of NGO/Sericulture Cooperative Societies to be attached Proposed 
       Schemes ………………………………………………………………………………….
         ……………………………………………………………………………………………
  vii. Name of Representative NGO/ Sericulture Cooperative Societies……………………......
        …………………………………………………………………………………………....
  viii. Population of the Village ………………………………………………...............persons
  ix. Total Number of Household in the Village …………………………………... households

3. Proposed Land : 

     1. Acquisition of Land to be Used for the proposed Schemes :
     1. Present land ownership and /or tenure system;
               o Community land of Village Society ……………………………………………….. .ha
               o Land under Management of Dept. of land revenue…………………………………..ha
               o Other ( Private land/ Patta land etc)……………………………………………........ha
     1. Certificate to land Use
               o Certificate or authority for the above land use shall be attached here to 
     2. Distance from home village (km) …………………………………………….. km.

4. Proposed Field Operation Unit (FOU) :

         1. Total Number of FOUs ……………………………………………………….. groups
         2. Total Number of Beneficiaries ………………………………………………….persons
         3. List of FOU and Meeting Record and /or agreement
                  o List of FOU and name of group leader shall be attached hereto
                  o Meeting record and or agreement in the Village for the FOUs shall be attached hereto



                                                                                           Signature of Representative