APPLICATION FORM FOR HARD CASE KENDU LEAF GRANT BY INDIVIDUAL INSTITUTION

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1.   (a)    Name and address of the Institution                    :

      (b)   Registration number                                        :

 

2.           Number of members in the Institution               :

 

3.           Name of the Office Bearers and their term

              of appointment of office Bearers                        :

 

4.           Name of Project for which grant is required      :

 

5.           Total amount required for completion of

              the Project                                                      :

 

6.           Amount available with the Institution

              for the purpose                                                :

 

7.           Amount of grant required                                 :

 

8.           Whether the institution is ready to deposit

              the amount required to deposit the amount

              required from time to the Panchayat                               

              Samiti for execution of work by the                                                                

              Panchayat Samiti                                             :

 

9.           Any special reason for sanction of the funds      :

 

 

 

                                                                      SECRETARY

                                                                           (Seal)

 

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