Interview cum Appraisal form
For purchase of two/three/four wheelers to farmers

ANNEXURE

Name of the Applicant _____________________

1. Description of the two/three/four wheelers to be purchased.

Sr. No. Proposed investment Make/Brand/H.P./Breed Name of Supplier Estimated cost Margin subsidy Bank loan

Irrigated Un-irrigated
2. Size of land holding : Acres
i) Land holding scattered or one plot -
ii) In case of scattered land holding distance -

3.
Cropping pattern - Single season/intensive/multiple
4. Details of allied activities.
Dairy/poultry/fisheries/sericulture/bee keeping growing of vegetables, horticulture, plantation etc.

5. Utility of vehicle to be purchased.

6. Incremental Income (Net surplus)

A. Visible Income

B. Invisible Income (Supervision of field, transportation of perishable produce or other produce to fetch better price)

Signature of Appraising Officer Signature/Thumb impression of Applicant/s