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Ph:0484-2371266,67 Fax:0484-2371902 E-mail:cdbkochi@dataone.in, Web:www.coconutboard.nic.in

sX§p ]pXpIrjnv¡pÅ At]£mt^mdw (c­mw hÀjw)

PnÃ. . . . . . . . . . . . . . . . . . . . . . . . . . . . Irjn`h³ . . . . . . . . . . . . . . . . . . . . . . . . . .
tImUv \¼À
1. At]£Isâ t]cv
(Cw¥ojnÂ)

2. taÂhnemkw ................................................................................................................................................
................................................................................................................................................
]n³ tImUv ...................................t^m¬ \¼À........................................

3._m¦nsâ t]cv .....................................................Øew....................... A¡u­v \¼À............................

4. ]«nIPmXn ]«nIhÀ¤amtWm ]«nIPmXn ]«nIhÀ¤w aäpÅhÀ

5. sX§pIrjnsb kw_Ôn¨pÅ hniZhnhcw
(1) kÀtÆ \¼À :
(2) hnkvXoÀ®w (slIvSdnÂ) :
(3) H¶mw hÀjs¯ ssXIfpsS F®w :
(4) \nehnepÅ ssXIfpsS F®w :
(5) BZyhÀjwe`n¨ klmb[\w : Rs.
Øew
XobXn At]£Isâ H¸v

(Cer tificate of Agricultural Officer of the State/T

(Certificate ec
State/Tec hnical Officer of the Boar
echnical d)
Board)

At]£I³ . . . . . . . sX§n³ssXIÄ icnbmbn ]cnNcn¡p¶ps­¶pw apIfn ]dªncn¡p¶

Imcy§Ä kXyamsW¶pw km£ys¸Sp¯ns¡mÅp¶p.

Øew
XobXn H¸v
km£ys¸Sp¯p¶ DtZymKØsâ t]cpw DtZymKt¸cpw
(koÂ)

For Office use only

Verifying Officer's Remarks:

Order of the Chairman

Rs.......................... (Rupees...........................................................................only) sanctioned as maintenance subsidy.

Chairman
Coconut Development Board, Kochi