Online Scheme Application Form

[md-form] [md-text label="Your name in full"] [/md-text] [md-text label="Your Parentage"] [/md-text] [md-text label="Your age"] [/md-text] [md-textarea label="Your permanent address"] [/md-textarea] [md-select label="Your District"] AnantnagBandiporaBaramullaBudgamGanderbalKulgamKupwaraPulwamaShopianSrinagarOther [/md-select] [md-text label="Your email address"] [/md-text] [md-text label="Your 12 digit Aadhaar number"] [/md-text] [md-text label="Your 10 digit cell number"] [/md-text] [md-raw]Information about your farm[/md-raw] [md-textarea label="Full farm address"] [/md-textarea] [md-select label="Type of Farm"] DairyPoultry [/md-select] [group Dairy] [md-raw]Details regarding your dairy farm (for new farm provide proposed figures)[/md-raw] [md-text label="Name of the farm"] [/md-text] [md-select label="Whether existing or new"] ExistingNew [/md-select] [md-text label="Date of establishment (or proposed date)"] [/md-text] [md-text label="Number of Cows"] [/md-text] [md-checkbox label="Breeds of Cows" help="Check all applicable" display="inline"] CB JerseyCB HolsteinIndigenous [/md-checkbox] [md-text label="Land available at farm (in sq feet, kanal, acre etc.)"] [/md-text] [md-select label="Assistance availed or required"] NoYes - DEDSYes - IDDSYes - Other [/md-select] [group Dairy-other] [md-text label="For other, please mention here"] [/md-text] [/group] [/group] [group Poultry] [md-raw]Details regarding your poultry farm (for new farm provide proposed figures)[/md-raw] [md-text label="Name of the farm"] [/md-text] [md-select label="Whether existing or new"] ExistingNew [/md-select] [md-text label="Date of establishment (or proposed date)"] [/md-text] [md-checkbox label="Type of birds" help="Check applicable" display="inline"] Commercial BroilerCommercial LayerBackyard [/md-checkbox] [md-text label="Rearing capacity (birds per cycle)"] [/md-text] [md-text label="Land available at farm (in sq feet, kanal, acre etc.)"] [/md-text] [md-select label="Assistance availed or required"] NoYes - VCFYes - IPPYes - Other [/md-select] [group Poul-other] [md-text label="For other, mention here"] [/md-text] [/group] [/group] [md-accept label="Review and accept terms and conditions"] I hereby declare that all information furnished by me is true, correct and complete to the best of my knowledge and belief. I further agree to abide by the Terms and Conditions of this service in full. [/md-accept] [md-quiz label="Please solve this question"] 2+4? [/md-quiz] [md-submit] [/md-submit] [/md-form]