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KCC Application Form

This document is an application form for the Kissan Credit Card (KCC) in the Animal Husbandry sector for residents of Udhampur district. It requires personal details, information about the applicant's livestock, and mandatory attachments such as an Aadhar card and photographs. Incomplete applications will be rejected, and the applicant must certify the accuracy of the provided information.

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Deepak Sadotra
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144 views1 page

KCC Application Form

This document is an application form for the Kissan Credit Card (KCC) in the Animal Husbandry sector for residents of Udhampur district. It requires personal details, information about the applicant's livestock, and mandatory attachments such as an Aadhar card and photographs. Incomplete applications will be rejected, and the applicant must certify the accuracy of the provided information.

Uploaded by

Deepak Sadotra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ANIMAL HUSBANDRY DEPARTMENT DISTRICT UDHAMPUR

APPLICATION FORM FOR KISSAN CREDIT CARD (KCC) IN ANIMAL HUSBANDRY SECTOR

1. Name of the Applicant *:………………………………………………………………….


Photograph duly
2. Parentage*……………………………………………………………….......................... attested by the
concerned Veterinary
3. Address*:-…………………………………………………………………………………… Assistant Surgeon
4. Aadhar Card No*…………………………………………………………...

5. Mobile No*…………………………………………………………………..

6. No. of Poultry Birds/Dairy animals*____________________ ( Mention Tag No. of Animals)

a.) __________________ (Jersey /HF//CB Cows) with Tag No’s*_______________________________

_____________________________________________________________________________________

b.)______________ Graded Buffaloes With Tag No’s*_________________________________________

_____________________________________________________________________________________

Note:- Documents to be attached are Aadhar Card, Bank Passbook, Photographs of the animals mentioned in the application form and one
additional Photograph of the beneficiary along with the application form. All the details to be filled in the application form are mandatory and
Incomplete applications will be rejected without any intimation
Declaration/Verification by the applicant:-

It is certified that the above information given by is true and correct and I shall be personally
responsible if any information is found incorrect and in such case the department/ concerned authorities have the right
to cancel my application form.

Signature /Thumb impression of the beneficiary

Undertaking /Certificate
It is certified that Sh,Smt ___________________________________S/o, W/o, D/o
_________________________ R/o ___________________ has ________________No. Poultry birds/ Dairy animals
detailed below:-
a.) __________________ (Jersey /HF/CB Cows With Tag No’s__________________________________________
_____________________________________________________________________________________________
b.)______________ Graded Buffaloes with Tag No’s __________________________________________________
____________________________________________________________________________________________
and the Poultry /Dairy Unit is functional at his house in the above mentioned Village.

Sign. Of I/C Sub Centre Seal & Signature of the Concerned Veterinary Assistant Surgeon
With date With date

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