Directorate of Agriculture
Government of Goa
Goa
______________________________________________________________
Application to avail Government assistance for fencing
Serial No. __________ Year 20_ _ - _ _
Zonal Agriculture Office ________
Shri/Smt/Kum……………………
Street …………………………….
Ward ……………Village……….
Post ……………..Taluka………
Name of the Bank/Branch with
A/c No.………………………………..
………………………………………..
Mobile /Tel No……………………….
Date: …………………………………
To,
The Zonal Agriculture Officer,
_________________________
Sub: - Assistance for fencing schemes
Sir / Madam
I hereby apply for assistance for fencing scheme of the Agriculture
Department for the cultivated property mentioned here under:
1. Name of the field __________ 2. Survey No. ________
3. Location of the field:
(a) Ward ___________ (b) Village _________ (c) Taluka_______
4. Total Area (Ha) ___________ 5. Area proposed to be fenced (Ha) _____
6. Whether irrigated Yes / No 7. Irrigation source
8. Ownership status: (Strike of irrelevant entry) Sole Owner/Joint
Owner/Inherited from Parents/Other Inheritance Deed/Lesse by
Agreement/Tenant through Sanad/Power of Attorney holder.
9. Proposed fencing:
Type of fencing Length (running
metres)
Estimated cost per
R. Metre
Total
1. Crops presently grown and proposed to be cultivated in area to be fenced
Sr. No. Season Crop Area Ha
A. Before fencing
B. After fencing
Total:-
-2-
I hereby declare that
I. The fence will be maintained by me for a minimum of five years
(in case of field crops) and 10 years in case of perennial crops
II. I will take up additional plantation / multiple crop/intercrop as
proposed at serial number 10 B.
It is requested to approve my proposal for fencing at the earliest.
Yours faithfully,
Signature
(Full name in capitals)
The following documents shall be submitted to your office.
1. Copy of Form I and XIV.
2. Copy of survey plan of site (issued by the Directorate of
Settlement and Land Records.
3. Attested copy of Sale deed / Inheritance Deed/ Tenancy
Sanad/Power of Attorney/N.O.C. from Co-owner. Partition Deed/
Any other (specify)
4. Affidavit of applicant or N.O.C. from Local Authority
5. Xerox copy of first page of bank pass book.
6. Processing fee of Rs. 10/-.
DECLARATION CUM UNDERTAKING FOR SOLAR POWER
FENCING
I the undersigned, __________________________________ who intends to
has erected solar powered fencing do hereby declare that I shall not draw power
from A.C. power line of the Electricity Department.
I undertake to maintain the fence regularly and declare that I shall be
solely responsible for any death or damage to humans, wild animals or property
due to mismanagement of the solar power fencing.
Signature
Name
Address
Place:
Date: