MeeSeva Agriculture Farm Mechanization Application Form
Farm Mechanization Application Form Download by clicking here.Farm Mechanization Application Form:
Financial Year: _________
Consumer Details:-
Aadhar Number: _______________________
Father Name*: _______________________
Caste*: SC-General ST-General BC-General
Farmer Type*: MF SF Other Farmer
District*:_____________________Mandal*
Proof Document*: PPB LEC D-Form
Area (in Acres) *: ______________________ Mobile
Applicant Type: Individual CHC
Machinery Details For Individual
Type of
Machinery
Scheme Name of Manufacture
DD Number
Machinery Details for CHC/HIS :
FARM MECHANIZATION APPLICATION FORM
Aadhar Number: ___________________________ Name of the farmer*: _________________________________________
______________
General OC-General SC-Women ST-Women BC-Women
Farmer Gender: Male/ Female
*:______________________________Village/Ward*:________________
Form Patta Other Khata No*: _______Pattadhar Passbook No:
_____ Mobile*: __________________________
CHC IHS
For Individual:-
Name of Manufacture Name of Dealer Name of
Machine
Bank Name Date of DD DD Amount
CHC/HIS : Individual/Group
____________________
Women OC-Women
_________________________
Pattadhar Passbook No: __________
Name of
Machine
Specifications Quan
tity
DD Amount
Group:-
Group Name: _______________________
Group Member Details:-
Name Father Name
Implement Details: - Either Group or Individual for CHC/IHS
Package
subtype
Quantity Manufacture
Owner Details:-
Tractor Owner Name : _____________ Tractor R.C No
Address for Communication:-
Door No: ________________ Locality:
State*: ________________________ District
Village/Ward*: _______________________________
Informant Details:-
Informant Name*: ________________________
Informant Relation*: ________________________
Documents List: - (Upload All Documents in PDF Format)
1. Application Form*
2. Proof Document*
3. RC Document
4. Demand Draft *
(* - Indicates Mandatory)
Caste Farmer Type District Mandal
Either Group or Individual for CHC/IHS
Dealer DD No. Bank Name
______ Tractor R.C No : _____________ Tractor engine chassis no : ________________
Locality: _____________________________________________
District*: _________________________ Mandal*: ________________
_________________ Pin code: ________________
______________________________________________________________________
: ________________________ Informant Mobile*: ____________________________
(Upload All Documents in PDF Format)
Applicant’s
Mandal Village Katha
Number
DD Date DD Amount
: ____________________
_________________
_____________________
________________
____________
________
Applicant’s Signature