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ANNEXUTE I

APPLICATION FORM FOR PEST AND DISEASE CONTROL

1. Name :

2. Address             :

3. Pest and diseases affected area :

4. Survey Number :

5. Ward Number :

6. Description on pest & diseases :

Place :

Dated : Signature of the Applicant.

 

FOR OFFICE USE (After site inspection )

1. Name of pests/diseases affected :

2. Total area affected       :

3. Name of Pesticide/Fungicides used :

4. Quantity utilized      :

5. Total area covered :

6. Name & Designation of the Officer :

supervised. :

7. Remarks           :

                                                                                         Agrl. Officer/Agrl. Demonstrator/                                                                                                    Agrl. Supervisor

 

 

 

 

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