1. vkosnd dk uke / Name of the applicant 2. firk dk uke / Father s Name 3. LFkk;h irk / Permanent Address

Transkript

1 vameku rfkk fudksckj iz'kklu/ ANDAMAN AND NICOBAR ADMINISTRATION erl; fohkkx/ DEPARTMENT OF FISHERIES jk"vªh; d`f"k fodkl ;kstuk/ RASHTRIYA KRISHI VIKAS YOJANA u, xgjs leqnz esa erl;gj.k tgkt ds gsrq benkn izkirk djus gsrq vkosnu layxud ds lkfk nks izfr;ksa esa nks lsv izlrqr djsa / Application for availing subsidy for Construction/ Purchase of New Deep Sea Fishing Vessel (To be submitted in duplicate along with enclosures in 2 sets) 1. vkosnd dk uke / Name of the applicant 2. firk dk uke / Father s Name 3. LFkk;h irk / Permanent Address 4. i=kpkj gsrq irk ¼nwjHkk"k la-] bz&esy vkbz Mh] ;fn gks½ / Address for communication (Phone No., ID if any) 5. D;k }hilewg esa jg jgk gs vfkok ugha \ ;fn jg jgk gs rks nlrkosth lk{; layxuk djsa A /Whether residing in the islands or not? If so enclose documentary evidence. 6. vkosnd dh laf{kir ijs[kk iathd`r deiuh rfkk lfefr ds ekeys esa vafre foùkh; o"kz rd mi fu;e vksj ys[kk ijhf{kr fooj.k layxu djsa A / Brief profile of the applicant (enclose copy of MOA / Bye- Laws and Audited Statement of Accounts upto last financial year in case of registered Companies and Societies).

2 7. ftl tgkt ds fy, lgk;rk izkir dh xbz] mldk fooj.k / Detail of vessel for which assistance is sought i) yeckbz/ Length (In meters) ii) pksm+kbz /Breadth (In meters) iii) xgjkbz/depth (In meters) 8. tgkt dh cukov &,Q vkj ih@dk"b@blikr@vy;wfefu;e / Make of the vessel FRP/ Wooden/ Steel/ Aluminium 9. tgkt dh rduhdh fof'kf"v;k ¼dì;k vuqyxud ns[ksa½ / Technical specifications of the vessel (Please see Annexure) 10. tgkt dk izdkj ¼ykax ykbuj@ilz lsbuj@vªkoyj@eyvhiizl½ / Type of vessel (Long liner/ Purse Seiner/ Trawler/ Multipurpose) 11. tgkt dh ykxr ¼fuekZrk@vkiwfrZdÙkkZ ls izr;sd en ds fy, izlrkfor ykxr ds lefkzu esa dkxtkr layxu djsa ½ / Cost of the Vessel (Please enclose the document in support of the proposed cost of each item from the manufacturer/ supplier) 12. fuekz.k@[kjhn gsrq izlrkfor tgktksa dh dqy la[;k / Total No. of vessels proposed for construction / purchase 13. fuekz.k ;kmz dk LFky / Location of construction yard a) ;kmz dk uke/name of the yard b) jkt;/state c) ftyk/ District d) rglhy/ Tehsil e) jktlo xk o / Revenue Village

3 14. tgkt ds fuekz.k ds fy, lgk;rk ds laca/k esa fooj.k / Details regarding assistance for construction of the vessel a) vkosnd dk va'knku/ Applicant s contribution (Rs.) b) visf{kr benkn/ Subsidy required (Rs.) c) _.k / Loan (Rs.) d) ;ksx / Total (Rs.) 15. D;k csad _.k izkir djus ds fy, fdlh izdkj dk foùkh; izfrca/k yxk;k x;k gs \ ;fn gk ] dì;k fooj.k nsa A / Whether any financial tie up has been made for availing bank loan. If so, provide the details. 16. D;k vkosnd esa igys izkir fdlh _.k@lgk;rk ds fy, fdlh foùkh; lalfkku@jkt;@la?k jkt; {ks= ljdkj dks bldh vnk;xh djus es apwd gq, gsa \ ;fn gk ] rks bldk fooj.k nsa vksj pwd dk dkj.k crk, A / Whether the applicant is in default of payment to any financial institution / State / UT Govt. for any loan / assistance availed earlier. If so, provide details and reasons for default. 17. D;k tgkt dk izlrkfor fmtkbu l{ke izkf/kdkjh ¼lh vkbz,q Vh@izekf.kr vfhk;ark½ izekf.kr fd;k x;k gs ¼foLr`r izek.k layxu djsa A½ / Whether the proposed design of the vessel is certified by the competent authority (CIFT / Certified Engineer). Enclose detailed certified drawing. 18. tgkt ds fuekz.k dh izr;kf'kr rkjh[k / Expected date of commencing the construction of the vessel.

4 19. fuekz.k dk;z ds iwjk gksus dh izr;kf'kr rkjh[k / Expected date of completion of the construction work. 20. izlrkfor ifj;kstuk ds fy,,d folr`r ifj;kstuk fjiksvz layxu djsa A / Enclosed a detailed project report for the proposed project 21. dksbz vu; lwpuk / Any other information fvii.kh / Note bl vkosnu esa xgjs leqnz esa erl;gj.k tgkt ds fuekz.k ds fy, benkn laforj.k gsrq ljdkj dh vksj ls dksbz opuc)rk ugha gs A This application is not a commitment on the part of the Government to disburse subsidy to the applicant for construction / purchase of Deep Sea Fishing Vessel. vkonsd }kjk?kks"k.kk/ DECLARATION BY THE APPLICANT esa],rn~}kjk izekf.kr djrk gw fd vkosnu i= esa fn;k x;k fooj.k vksj mlds }kjk layxu dkxtkr esjh tkudkjh vksj fo'okl ds vuqlkj lgh gs A esa,rn~}kjk ;g opu Hkh nsrk gw fd tc dhkh bl vkosnu ds laca/k esa erl; fohkkx] vameku rfkk fudksckj iz'kklu }kjk dksbz vfrfjdr fooj.k iwns tkus ij esa lwpuk iznku d xk A I, do hereby certify that the particulars given in the application and the papers appended thereto are true to the best of my knowledge and belief. I hereby undertake to provide wherever additional particulars that may be called for by the Department of Fisheries, Andaman and Nicobar Administration in connection with this application. LFkku/ Place rkjh[k/ Date vkosnd dk uke rfkk glrk{kj Name and Signature of the applicant

5 erl;gj.k tgkt dh rduhdh fof'kf"v;k TECHNICAL SPECIFICATION OF FISHING VESSEL vuqyxud/ Annexure tgkt dk fooj.k / Vessel Particulars yeckbz / Length pksm+kbz /Breadth xgjkbz /Depth batu ¼ekWMy rfkk ch-,p- ih½/ Engine (Model and BHP) xh;j ckdl / Gear Box enyh /kkj.k {kerk ¼D;w- ehvj esa½/ Fish hold capacity (cu. Mtrs.) izksisyj 'ks V,lsEcyhl / Propeller Shaft Assemblies LVuZ fx;j,lsecyhl / Stern Gear Assemblies रड र और स च लन ण ल / Radar and Steering System csvjh rfkk dsfcy /Batteries and Cable ukslapkyu midj.k / Navigation equipments ¼dEikl] th ih,l] oh,p,q] fq'k QkbUMj],dks lkåamj½ / (Compass, GPS, VHF, Fish Finder, Echo-sounder) yaxj / Anchor bz/ku rsy Vadh dh {kerk ¼yhVj esa½/ Cap. of Fuel oil tank (in ltrs.) ehbk ikuh Vadh dh {kerk ¼yhVj esa½/ Cap. of Freshwater tank (in ltrs.) thou j{kk midj.k ¼vnn esa½ ¼ykbQ tsdsv] ykbq cks;k vksj jk V½/Life Saving Equipments (in Nos.) (Life Jacket, Life Buoyes and Raft) leqnzh ty iei ¼vnn esa½/ Seawater pump (in Nos.) xank ikuh ty ¼vnn esa½/ Bilge Water Pump (in Nos.) Msd gsam iei ¼vnn esa½ /Deck Hand Pump (in Nos.) fudkl iz.kkyh / Exhaust systems fof'kf"v;k / Specifications

6 tgkt dk fooj.k / Vessel Particulars erl;gj.k fx;j ¼Dykse&uky fd-xzk-esa] dk Vk rfkk jllh lkfk esa dk Vk tky dh la[;k] dks"k laikk tky vksj dksbz vu; fxvj / Fishing gear (Gill net in kgs, hook and line with no. of hooks trawl net,purseseine net and any other gear) erl;gj.k fxvj midj.k ¼esu Mªe@ykax ykbu gksyj@foap@vu;½/fishing gear equipment (Main drum/long line hauler/winch/others) fo qr QhfVax dk;z / Electrical fitting works tgkt dh xfr ¼leqnzh ehy esa½/ Speed of the vessel (in knots) xzkgh laj{k.k i)fr / Catch Preservation Method {kerk / Endurance dfeze.my / Crew complement bz/ku [kir / Fuel consumption fof'kf"v;k / Specifications fvii.kh / Note ukslsuk ds oklrqdkj ls mdr fof'kf"v;ksa ij vk/kkfjr tgkt ds MªkWbax dh,d izekf.kr izfr vksj fuekzrk@vkiwfrzdùkkz ls tgkt ds enokj ykxr n'kkzrk chtd izkir dj layxu djsa A Enclose a certified copy of the drawing of the vessel based upon above specifications from a Naval Architect and invoice from the manufacturer/ supplier indicating item wise cost of the vessel. vkosnd dk glrk{kj Signature of Applicant