Annexure B-1
Name of the Applicant (s) ……………………………………………………………
INTERVIEW-CUM-APPRAISAL FORM
FOR VARIOUS ASPECTS OF DEVELOPMENT OF MINOR IRRIGATION
A. SINKING OF NEW WELL :
1. Location of the proposed well :
(Give Survey / Khasra No.)
2. Type of proposed well :
3. Size of proposed well : Depth Diameter / Surface
4. Estimated total cost of the proposed well :
1. How is water proposed to be lifted from the proposed well ?
2. Area to be benefitted
B. REPAIRS TO WELL (S) :
1. Location of well(s) :
(Survey/Khasra No.)
2. Particulars of Proposed repairs
Nature of repairs Estimated Cost
a) Deepening
b) Walls
c) Others (specify)
______
Total ______
3. What is the arrangement for lifting the water from the well?
B. CONSTRUCTION OF TUBE WELL :
1. Location of well(s) :
(Survey/Khasra No.)
2. Type of size of tube well :
a) Electric or diesel (with H.P.)
b) Cavity or stainer
c) Size of boring pipe (diameter)
d) Size of delivery pipe (diameter)
3 Estimate of the cost (including boring material.
Labour charges, development of cavity, motor/
Diesel engine cost, accessories, water tank.
Pump-house, installation, digging and other charges).
4. How the excess water, if any, is proposed to be used ?
5. Area to be benefitted.
D. PURCHASE OF PUMPSET WITH OIL ENGINE / ELECTRIC MOTOR
1. Location where the proposed pump set / oil engine / electric motor is to be installed.
2. Give particulars of the pump set proposed to be purchased :
3. Estimated total cost including accessories
(Enclose quotation from the proposed supplier)
Item Make H.P.
Whether pumping system to be purchased is as per BIS mark? Y/N
4. Indicate the source of water :
5. Area to be benefitted
6. Cropping pattern :
Existing (pre-development) / Proposed (post-development)Crop / Area (in acres) / Total Value / Crop / Area (in acres) / Total Value
Irrigated / Un-irrigated / Of Produce / Irrigated / Un-irrigated / Of Produce
Kharif / Kharif
i) / i)
ii) / ii)
iii) / iii)
iv) / iv)
Rabi
/Rabi
i) / i)ii) / ii)
iii) / iii)
Summer
/ Summeri) / i)
Total (A)
/ Total (B)Annual expenditure incidental to the proposed activity : Rs. …………….. ( C )
Net increase in annual income (B-A-C) : Rs. …………………..
· Whether feasibility / clearance certificate from Groundwater Survey Deptt. Is obtained as required ? Y/N
· Whether quality of water is suitable for irrigation ? Y/N
· Indicate the water level during summer in the well / tube well. …………………..
· Tentative time required for completion of the proposed work ……………..
· Whether the applicant proposes to sell water and if so, indicate the net income ? ……………….
· Whether spacing norms between two wells, tube wells is maintained ?
7. Repayment – Loan of Rs. ……………….. to be repaid in …………….. Annual/HY/Quarterly / Monthly installments of Rs. …………………. Each plus interest due
Signatures of the Appraising Officer
Signatures/Thumb Impression of the Applicant
Place :
Date :
For Office Use
Memorandum for sanction of Term Loan for minor irrigation schemes
Observations of Appraising Officer :
1. The applicant(s) is / are genuine agriculturist/s and is/are capable of successfully pursuing the activity. Y/N
2. The farm has the necessary technical facilities / infrastructure to support the activity proposed by availing the loan. Y/N
3. The techno economic viability of the proposal has been found satisfactory. Y/N
4. The farmer has the knowledge of maintenance and operation of machinery. Y/N
5. After sale services including repairs facility are available adequately. Y/N
6. The estimated cost of the machinery / item being purchased is as per the market rate in the area. Y/N
Recommendations of the appraising Officer:
The relevant land record / documents have been obtained and verified and found correct. The farm was visited by me on …………………………….. (Give date).
a) Loan recommended : Rs.
b) Security proposed : (I) Hypothecation of ……………………………
(ii) Mortgage / charge on land measuring acres
(iii) Guarantee of
Shri ______
s/o ______
Shri ______
s/o ______
c) Repayment Schedule : ______(Number of installments) Monthly/Quarterly/Half yearly / Yearly
d) Gestation period : ______(Number of months)
Therefore, the first installment will become due on ……………….
e) Insurance, wherever applicable :
Place Signature of Appraising Officer with name and designation
Date
Sanctioned
Place Branch Manager / Manager of Division
Date