Application Form

1 Details of Applicant

1. Full Name of the Applicant *

2. Name of Parent* (Father/Mother)

3. Full Address *

4. Mobile No. of Applicant *

5. Division *

6. District *

4. Details of land for which the produce is to be brought.Give area. If from a holding, give khasra Nos. and enclose relevant extracts of Khasra and Khatauni.

5. Details of trees of which the produce is proposed to be brought. Number of trees diameter class wise (diameter at breast height)

2Trees Number of Class Wise

1. Number of Trees and Species

Tree species

0-10 cm

10-20 cm

20-30 cm

30-40 cm

40-50 cm

50-60 cm

60-70 cm

Above 70 cm

2. Length of Trees and Species

#	Tree species	Applicant Trees Details
		Diameter	Length	Volume

6. Details of permission to fell and remove the trees including permission, if any required under the Uttarakhand protection of Tress Act.

7. Destination where the produce is proposed to be taken.

7.1. District *

7.2. City *

7.3. Village *

I agree that all information provided by me is true to my knowledge.