INTERVIEW-CUM-APPRAISAL FORM FOR FINANCING POULTRY ACTIVITY

Annexure B-8
Name of the Applicant (s) ……………………………………………………………

Breed No Average egg production

1. Give details of birds
Presently owned and
Proposed to be purchased
2. The sheds to be constructed, other
Equipments to be purchased,
Give details :
a) Size and total area (in sq. ft.)
b) Equipments proposed to be purchased
3. Estimated cost of : No. Amount (Rs.)
a) Birds
b) Shed(s)
c) Other equipments

I. Indicate arrangements for :
a) Purchase of Birds
b) Purchase of equipments
c) Feed
d) Water supply
e) Medical aid
f) Sale of eggs, birds, etc.
g) Availability of Electricity at the site

Whether arrangements of a supervisor
Been made to take care of the farm ?

Whether the climate is suitable ?

Repayment in _______ installments of Rs. ________ per month / Quarter / Half yearly / Yearly.

Signature of Appraising Officer Signature / Thumb impression of Applicant(s)
with Name and Designation
Place :
Date :