national award of the coconut development board

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National Award of the Coconut Development Board Coconut Development Board has instituted National Awards under the following categories for promoting excellence in coconut farming, product development, diversification, quality improvement, export and marketing. 1. The Best Coconut Farmer: (a) National level, (b) South West Region, and (c) East-North East Region. 2. The Best Coconut Processor: (a) Conventional Coconut Products and (b) Non-Conventional Coconut Products. 3. The Best Research Worker: (a) Product Development / New Applications and uses for Coconut / nutritional & biochemical findings. (b) Machinery / Equipment Development 4. The Master Craftsman manufacturing Coconut based handicrafts: (a) Large scale category (b) Small scale category 5. The Best Exporter of Coconut Products: (Category A) Turnover above Rs.10 crore/year. (Category B) Turnover upto Rs.10 crore/year. 6. The Best Extension Worker in the field of Coconut Development. 7. The Best Co-operative Society / NGO in the field of coconut development. 8. The Best Palm Climber: (a) Climber using traditional methods (b) Climber using non traditional methods and (c) Coconut climbers under FoCT programme of the Board. 9.The Best Coconut Producer Society (CPS): (Two prizes) and 10. The Best Coconut Processing Unit Managed by Women. Applicants are requested to download the Guidelines and application Form. The last date of receipt of filled-in applications for the best coconut farmer award is 15.07.2013 and for all other categories is 20.07.2013 .

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National Award of the Coconut Development Board

Coconut Development Board has instituted National Awards under the following categories for promoting excellence in coconut farming, product development, diversification, quality improvement, export and marketing.

1. The Best Coconut Farmer:

(a) National level,

(b) South West Region, and

(c) East-North East Region.

2. The Best Coconut Processor:

(a) Conventional Coconut Products and

(b) Non-Conventional Coconut Products.

3. The Best Research Worker:

(a) Product Development / New Applications and uses for Coconut / nutritional & biochemical findings.

(b) Machinery / Equipment Development

4. The Master Craftsman manufacturing Coconut based handicrafts:

(a) Large scale category

(b) Small scale category

5. The Best Exporter of Coconut Products:

(Category A) Turnover above Rs.10 crore/year.

(Category B) Turnover upto Rs.10 crore/year.

6. The Best Extension Worker in the field of Coconut Development.

7. The Best Co-operative Society / NGO in the field of coconut development.

8. The Best Palm Climber:

(a) Climber using traditional methods

(b) Climber using non traditional methods and

(c) Coconut climbers under FoCT programme of the Board.

9.The Best Coconut Producer Society (CPS): (Two prizes) and

10. The Best Coconut Processing Unit Managed by Women.

Applicants are requested to download the Guidelines and application Form.

The last date of receipt of filled-in applications for the best coconut farmer award

is 15.07.2013 and for all other categories is 20.07.2013.

SCHEME OF NATIONAL AWARDS - 2012

COCONUT DEVELOPMENT BOARD Ministry of Agriculture, Government of India

Kera Bhavan, Kochi-682011, India Email: [email protected], Web: www.coconutboard.gov.in Fax: 91-484-2377902, Phone: 2376265/2377266/2377267

2 Coconut Development Board Scheme of National Awards

2 Coconut Development Board Scheme of National Awards

Scheme of National Awards 2012 of the Coconut Development Board - Guidelines

The objective of the Scheme of National Awards is to recognize and promote excellence in coconut cultivation, innovative methods in coconut farming, product development, product improvement, quality improvement, product diversification and marketing, export and extension activities. It is proposed to institute awards as given below:

Sl.No. Award Category Cash Prize

1. The Best Coconut Farmer

(i) National Level

Rs.50,000/-

(ii) South & West Region (Kerala, Karnataka, Tamil Nadu, Pondicheri, Andhra Pradesh, Goa, Gujarat, Maharashtra, Andaman & Nicobar Islands and Lakshadweep) (a) Big farmers – having coconut cultivation above 1 ha

Rs.25,000/-

(b) Small farmers – having coconut cultivation upto 1 ha (iii) East & North East Region(all other states which are not grouped under the South & West Region) (a) Big farmers – having coconut cultivation above 1 ha

Rs.25,000/-

Rs.25,000/-

(b) Small farmers – having coconut cultivation upto 1 ha Rs.25,000/-

2. The Best Coconut Processor (a) Conventional coconut products

Rs.50,000/-

(b) Non-conventional coconut products Rs.50,000/-

3. The Best Research Worker (i) Product Development / New Applications and uses for Coconut / nutritional & biochemical findings (ii) Machinery / Equipment Development

Rs.50,000/-

Rs.50,000/-

4. The Master Craftsman Manufacturing CoconutBased Handicrafts (i) Master Craftsman (Large scale category)

Rs.50,000/-

(ii) Master Craftsman (Small scale category) Rs.25,000/-

5. The Best Exporter of Coconut Products (i) Category- A (above Rs.10 crore/year)

Rs.50,000/-

(ii) Category-B (upto Rs.10 crore/year) Rs.25,000/-

6. The Best Extension Worker in the Field of Coconut Development Rs.50,000/-

7. The Best Co-operative Society / NGO in the field of Coconut Development

Rs.50,000/-

8. Best Palm Climber (i) Climber using traditional methods

Rs.25,000/-

(ii) Climber using non traditional methods (using climbing device) (iii) Coconut climbers coming under FoCT scheme of the Board

Rs.25,000/- Rs.25,000/-

9. The Best Coconut Producer Society (CPS) (Two prizes) Rs.25,000/- (each)

10. The Best Coconut Processing Unit Managed by Women Rs.25,000/-

3 Scheme of National Awards Coconut Development Board

CRITERIA TO BE FOLLOWED IN THE SELECTION

1.The Best Coconut Farmer Award

National Level : Trophy, certificate plus Rs.50,000/- Zonal Level : South & West: Trophy, certificate plus Rs.25,000/-

: East & North East: Trophy, certificate plus Rs.25,000/- 1 The applicant / nominee should be a coconut grower and have a minimum of 35 bearing palms

in a compact area in the case of national and South & West States and East & North East region.

2 The applicant / nominee should be the real owner of the garden with proper records. Copy of

the ownership documents is to be submitted.

3 The applicant/nominee should be a progressive farmer who has adopted scientific management practices/ innovations in productivity improvement, farm level processing and marketing.

4 In the prevailing agroclimatic conditions, the applicant / nominee should have adopted suitable cropping system including mixed farming so as to get maximum productivity and income per unit area.

5 The nominee/applicant has to follow recommended package of practices, which will help sustainable cultivation.

6 The initiative of the applicant / nominee shall be given due consideration and the bio-data shall contain the efforts taken by the applicant / nominee under unfavourable situation/ condition. Documentary proof such as Press reports, CDs of garden, photographs, etc. can be attached along with the application.

7 With regard to selection of the farmer for the award, 3 farmers will be selected from each State by the State Level Selection Committee constituted by the Director of Agriculture/Horticulture of the State concerned and the final selection will be done by the National level Committee constituted by the Chairman, Coconut Development Board. Video coverage of the garden will be arranged by the Board in the case of 3 best farmers from each State.

8 The nominee/applicant should make available for inspection the necessary registers to substantiate his yield and income from his garden. He/ she shall also extend necessary support and cooperation to the team who visit to take videography of his/her garden as documentary evidence, if necessary.

9 The nominee may be sponsored by any one of the following agencies:

State Department of Horticulture/ Agriculture, State Agricultural Universities, Coconut Development Board offices/Farms, National Horticulture Board, CPCRI and other ICAR institutes, Panchayats, Krishi Vigyan Kendra, NABARD, Registered Co-operative Societies, NGOs and Banking Institutions.

4 Coconut Development Board Scheme of National Awards

2.The Best Coconut Processor Award

Conventional Product : Trophy, certificate plus Rs.50,000/- Non-Conventional Product : Trophy, certificate plus Rs.50,000/-

Conventional Products

Units manufacturing quality copra using large modern hot air dryers, units manufacturing branded quality coconut oil using modern expeller and units manufacturing value added traditional coconut products viz., roasted coconut oil, coconut chips, coconut chutney powder, coconut burfi, coconut chocolate, coconut biscuits, coconut candy, coconut pickle, coconut jam, coconut balls, roasted coconut, frozen coconut gratings, snow ball tender coconut, minimally processed tender coconut, matured coconut water based beverages, coconut milk based beverages and other coconut convenience foods are eligible to apply under the category “Conventional Products”.

Non Conventional Coconut Products

Units manufacturing high end value added coconut products like desiccated coconut, coconut milk/cream, coconut milk powder, virgin coconut oil using centrifugal separation or fermentation process, packed tender coconut water, coconut water based vinegar, coconut water concentrate, coconut shell based activated carbon, shell powder, shell charcoal using pollution free technology or waste heat recovery technology, etc are eligible to apply for the award under the category “Non

Conventional Coconut Products”.

1 The nominee/applicant may be Proprietary Concerns, Public undertakings, Private Limited Companies, Joint Stock Company, Partnership Company or Co-operatives with a standing of minimum three years in the line.

2 Commercial success of the unit for the last three years, adoption of quality standards and profitable utilization of by-products will be the main criteria for consideration of the award.

3 All sale figures shall be supported by audited statement of account by a Chartered Accountant. In the case of Co-operative Societies, statement of accounts as approved by the Board of Directors will be accepted.

4 The nominee may be sponsored by any of the following agencies: Director of Industries, Commercial Banks, Ministry of Food Processing Industries, Government of India, State Agencies associated with development of industries, Coconut Development Board offices, CPCRI/ ICAR Institutions, Directorate of Marketing and Inspection, Government of India, CSIR institutes, DRDO institutes, Panchayats, Khadi and Village Industries Commission, Confederation of Indian Industries, Chamber of Commerce.

3. The Best Research Worker Award

The award will consist of a trophy and certificate besides cash prize of Rs.50,000/-

1 There will be two separate awards under the following categories

(i) Product development / Finding new applications and uses for coconut/coconut by-products other than coir and coir pith / nutritional and biochemical findings on coconut

5 Scheme of National Awards Coconut Development Board

(ii)Machinery/equipment development in the field of coconut other than coir and coir pith.

2 The applicant can be an Institute or research worker(s) who has/have developed new product/ machinery / equipment in the field of coconut (other than coir and coir pith) and new application and use for coconut / coconut byproducts other than husk, which is commercially viable and cost effective, during the last 3 years. The nominee / applicant should be the patentee of the product / machinery / equipment.

3 The Research worker(s) under Board’s sponsored project is / are not eligible for competing for the award.

4 The items covered under Product Development and New Applications are given below.

(i) Product Development

New product developed from coconut/coconut byproducts (except coir and coir pith) / coconut palm parts/coconut palm products during the past three years. The product should be distinct from existing products, which have already been developed in the country. The product can be edible or non-edible which has commercial use. The applicant should be the patentee of the product.

or

(ii) New Applications and Uses of Coconut / Coconut By-products other than Coir /Coir Pith or nutritional and biochemical findings on coconut and coconut products.

New applications and uses of coconut or coconut byproducts (except coir and coir pith), or new findings on biochemical and nutritional aspects of coconut and coconut products which will substantially increase the utilization of coconut and stimulate a demand for coconut.

5 The items covered under Machinery/Equipment Development are given below.

Machinery suitable for large processing unit developed during the last 3 years. The machinery should be cost effective and commercially viable. The machinery developed should be able to enhance productivity and reduce drudgery. The applicant should be the patentee of the product.

or

The equipments such as dehusker/desheller/climbing device/tender coconut cutting cum punching device/ sprayer, etc. developed during the last 3 years (2009-2010 to 2011-2012). The equipment/device should be cost effective/ innovative and reduce drudgery and improve the quality of the final output. The applicant should be the patentee of the product.

4 The Best Craftsman Award

There will be 2 Awards under this category viz., (a) Master Craftsman (Large scale category): Trophy, certificate plus Rs.50,000/- (b) Master Craftsman (Small scale category): Trophy, certificate plus Rs.25,000/-

1 The nominee/applicant should be an artisan by profession engaged in the manufacture and

marketing of various coconut based handicrafts.

2 The nominee / applicant should be in the line for a minimum period of three years for which a

6 Coconut Development Board Scheme of National Awards

Certificate from Commissioner of Handicrafts, Government of India, Panchayat or any competent authority alongwith CD/videography of works done to be attached with the application.

3 The nominee/applicant should be depending on the income from his / her unit for his / her sustenance.

4 A skilled artisan who creates/manufactures attractive craftworks on coconut manually with hand tools and less machinery can be coined as small artisan and a businessman/ craftsman having his own unit where the unit is being operated with the help of machineries/minimum number of 5 labourers can be coined as big craftsman.

5 Annual income of nominee / applicant for large scale category shall not be less than Rs.15 lakhs and for small scale category income shall be below Rs.5 lakhs.

6 The bio-data stating the awards received by the applicant / nominee for excellence in his/her work and the list of exhibitions participated may be submitted along with the application.

7 The nominee may be sponsored by any of the following agencies:

Commissioner of Handicrafts, Government of India, Khadi Board/ Khadi Village Commission, State Handicrafts Emporium, Commercial Banks, Government agencies promoting handicrafts/ cottage units ,CPCRI, State Agricultural Universities, Board’s offices, etc.

5 The Best Exporter Award

Category A (The export turnover of Rs.10 crore or above / year): Trophy, certificate plus cash prize-Rs.50,000/-

Category B (the export turnover of upto Rs.10 crore/year): Trophy, certificate plus cash prize-Rs.25,000/-

1 The nominee / applicant should be a registered Indian Company, Partnership firm, Proprietorship firm, Co-operative society or any commercial entity which has obtained registration from the competent registering authority.

2 The nominee / applicant should be a regular manufacturer exporter of coconut products (excluding coir/coir products) since the last three years (2009-2010 to 2011-2012) with a consistent growth record.

3 The nominee /applicant should have obtained RCMC from the Coconut Development Board and a copy of the same shall be submitted alongwith the application form with all relevant documents.

4 Necessary supporting documents like shipping bills with endorsements from Customs, list of Port-wise shipments and Bank Realization certificate are to be submitted in the prescribed application along with audited statement of accounts signed by a Chartered Accountant.

5 The nominee / applicant may be sponsored by any one of the following agencies:

FICCI/ASSOCHAM/FIEO, Chamber of Commerce registered under Appendix 4(c) of the Handbook of Procedures Vol.I, Confederation of Indian Industry, State Industries Department

7 Scheme of National Awards Coconut Development Board

or allied agencies, Government Export Development Organizations, Coconut Development Board offices.

6 The Best Extension Worker Award

The award shall consist of a trophy, certificate and cash prize of Rs.50,000/- 1 The nominee / applicant should be a grass root level worker involved in coconut development/

extension / farm journalism.

2 The nominee/applicant should be able to demonstrate

(i) Their capability in the promotion of appropriate coconut based farming systems and scientific management in the farmers’ field including introduction of hybrid coconuts and extension of knowledge from lab to field.

or

(ii) Promoting farm level processing for value addition.

or

(iii) Establishing marketing linkages leading to increased utilization of coconut and creating business opportunity which ultimately ensure fair price for coconut farmers.

(iv) Foundation of grass root level collectives and mobilizing group activities.

(v) Should be aware of the activities of CDB implemented and should have good contact with farmers.

3 The nominee/applicant should be able to demonstrate the dissemination of the latest technologies developed to the farmers and an enhancement in the farm income as well as quality of life for the coconut growers on account of their innovative interventions / innovative practices.

4 The application should be accompanied by documentation in support of the development work /extension work that has been done by the applicant / nominee at the field level / farm journalism along with his / her bio data.

5 Nomination for awards under this category can be made by the State Departments of Agriculture/ Horticulture, Coconut Development Board offices, State Agricultural Universities, National Horticulture Board, CPCRI, etc.

6 The nominee should maintain good handholding capacity with farmers/stakeholders

7 The nominee should have a good concept about participatory innovation.

8 The nominee (Farm Journalist) should be in the line for last one year, who is having good vision/ skill and enthusiasm to motivate the farmers/ stakeholders involved in cultivation, processing and marketing aspects in coconut.

7 The Best NGO/ Registered Co-operative Society

The award shall consist of a trophy, certificate and cash prize of Rs.50,000/-

8 Coconut Development Board Scheme of National Awards

1 The nominee / applicant should be a dedicated agency / registered society involved in coconut development.

2 The nominee / applicant should be able to demonstrate

(i) Their capability in the promotion of appropriate coconut based farming systems and scientific management in the farmers’ field including introduction of hybrid coconuts.

(ii)Promoting farm level processing for value addition. The successful adoption of post harvest processing including utilization of by-products excluding husk will be taken into consideration.

(iii) Foundation of grass root level collectives and mobilizing group activities.

(iv) Should be aware of the activities of CDB and should have good contact with farmers.

(v) Should act as a strong link between CDB and coconut farmers.

(vi)Involved in processing and value addition of coconut products.

(vii)Establishing marketing linkages leading to increased utilization of coconut.

3 The nominee/applicant should be able to demonstrate an enhancement in the farm income as well as quality of life for the coconut growers on account of their innovative interventions / innovative practices.

4 The application / nomination should be accompanied by documentation in support of the work done by the applicant / nominee at the field level along with the byelaws and the list of members.

5 The nominee may be sponsored by any of the following agencies. Departments of Agriculture/ Horticulture, Coconut Development Board offices, State Agricultural Universities, ICAR Institutes, National Horticulture Board, Registrar of Co-operative Societies etc.

8 The Best Coconut Palm Climber There will be three separate awards under the following categories.

Category A: Palm Climber using traditional methods: Trophy, certificate plus cash prize Rs.25,000/-

Category B: Palm Climber using mechanical devices: Trophy, certificate plus cash prize Rs.25,000/-

Category C: Coconut climbers come under FoCT programmes of the Board : Trophy, certificate plus cash prize Rs.25,000/-

1 The nominee/ applicant other than FoCT should be a coconut palm climber by profession engaged in coconut palm climbing.

2 The nominee / applicant should be in the line for a minimum period of three years for which a Certificate from the Panchayath or any competent authority is to be attached with the application.

3 With regard to selection of climbers in category 1 & 2, three climbers will be selected from each state by the state level selection committee constituted by the Department of Agri/Hort of the state concerned and final selection will be done by the committee constituted by the Chairman, Coconut Development Board by arranging national level competitions for state

9 Scheme of National Awards Coconut Development Board

winners. In the case of selection of category three, best FoCTs will be selected through concerned FoCT training centres of CDB and each training centre shall furnish the list of best three candidates and final selection will be done by a committee constituted by the Chairman, Coconut Development Board by arranging national level competition.

4 The nominee/applicant should be depending on the income from this job for his / her sustenance.

5 The bio-data stating the awards received by the applicant / nominee for excellence in his/her work may be submitted along with the application.

6 The nominee may be sponsored by any of the following agencies:

Government agencies promoting climbers, NGOs, Societies, CPCRI, State Agricultural Departments, Board’s offices, CPS/CPF etc. The agency should have to ensure that FoCT palm climber is easily approachable to the farmers at reasonable rates and willing to provide their services to the farmers.

7 In the case of FoCT/climber using mechanical devices, she/he should be in the line for a minimum period of 3 months.

8 Monthly income of FoCTs and the number of trees climbed per day etc. have to be certified by the concerned training centers viz, Panchayats/Agricultural Officers/ Charge Officers of CDB.

9 The Best Coconut Producers Society (CPS)

The award shall consist of a trophy, certificate and cash prize of Rs.50,000/-

1 The nominee/applicant should be a CPS registered with Board and engaged in the upliftment of member farmers

2 The nominee / applicant should be able to demonstrate:

(i) Their capability to get the member farmers acquainted with the new technologies in production, plant protection, processing and marketing.

(ii) To bring down the cost of cultivation through group activities.

(iii) Implementation Board’s Programmes such as LoDP, Coconut Nursery, Tender nut marketing, copra processing, procurement of copra, processing of value added products etc.

(iv) To procure inputs collectively for the requirement of CPS

(v) To produce organic manures in the CPS

(vi) To coordinate group approach for new planting, replanting and productivity improvement

(vii) Setting up of common processing facility.

(viii) To raise nurseries and supply high yielding planting materials to the members of CPS.

(ix) Any other welfare measures and programmes for the benefit of the members of CPS.

3 The nominee / applicant should be able to demonstrate enhancement in the farm income as well as quality of life for the member farmers on account of their group activity.

10 Coconut Development Board Scheme of National Awards

4 The application / nomination should be accompanied by documents in support of the work done by the applicant / nominee at the field level along with the byelaws of the CPS and the list of members.

5 The nominee may be sponsored by any of the following agencies:

Departments of Agriculture/Horticulture, Coconut Development Board offices, State Agricultural Universities, ICAR Institutes, National Horticulture Board, Registrar of Co- operative Societies, Local self government bodies etc.

10 The Best Coconut Processing Unit Managed by Women

The award will consist of a trophy and certificate besides cash prize of Rs.25,000/-

1 The nominee/applicant may be a women entreprenuer mananging Proprietary Concerns, Public undertakings, Private Limited Companies, Joint Stock Company, Partnership Company or Co- operatives with a standing of minimum three years in the line.The company may be registered in her name or she may be a manging partner or a major share holder.(Valid proof may be produced to this effect.)

2 Units manufacturing quality copra using modern hot air dryers, units manufacturing branded quality coconut oil using modern expeller and units manufacturing value added traditional coconut products viz., roasted coconut oil, coconut chips, coconut chutney powder, coconut burfi, coconut chocolate, coconut biscuits, coconut candy, coconut pickle, coconut jam, coconut balls, roasted coconut, frozen coconut gratings, snow ball tender coconut, minimally processed tender coconut, matured coconut water based beverages, coconut milk based beverages and other coconut convenience foods and units manufacturing high end value added coconut products like desiccated coconut, coconut milk/cream, coconut milk powder, virgin coconut oil using centrifugal separation or fermentation process, packed tender coconut water, coconut water based vinegar, coconut water concentrate, coconut shell based activated carbon, shell powder, shell charcoal using pollution free technology or waste heat recovery technology, etc are eligible to apply for the award under the category.

3 Commercial success of the unit for the last three years, adoption of quality standards and profitable utilization of by-products will be the main criteria for consideration of the award.

4 All sale figures shall be supported by audited statement of account by a Chartered Accountant. In the case of Co-operative Societies, statement of accounts as approved by the Board of Directors will be accepted.

5 The nominee may be sponsored by any of the following agencies:

Director of Industries, Commercial Banks, Ministry of Food Processing Industries, Government of India, State Agencies associated with development of industries, Coconut Development Board offices, CPCRI/ICAR Institutions, Directorate of Marketing and Inspection, Government of India, CSIR institutes, DRDO institutes, Panchayats, Khadi & Village Industries Commission, Confederation of Indian Industries, Chamber of Commerce.

11 Scheme of National Awards Coconut Development Board

GENERAL TERMS & CONDITIONS

1 The nominee / applicant should be an Indian citizen and a resident of India.

2 The application form for National Awards will be available from the Board’s offices and office of the Director of Horticulture/Agriculture in coconut growing states or can be downloaded from the Board’s website. The applications shall be submitted to the Directors of Agriculture / Horticulture of the States concerned. The application for the best palm climber shall be forwarded after conducting competitions and selection at the state level. In the case of other categories the application can be sent directly to the Chairman, Coconut Development Board, Kochi. The application forms will be available free of cost.

3 The awardee will be selected by an Expert Committee nominated by the Chairman, Coconut Development Board.

4 The nominee/applicant shall extend all facilities for the inspection of the unit / garden by the selection committee during the selection process.

5 The Chairman, Coconut Development Board reserves the right not to declare the award in the absence of sufficient and suitable applications worthy of an award.

6 Paper cuttings, photographs, video clippings, testimonials, etc. may be submitted to support the nominee’s/ applicant’s experience and excellence in the line.

7 The nominee’s / applicant’s bio data with a passport size photograph along with the application has to be submitted.

8 The applicant / nominee should not be a defaulter of income tax / sales tax / VAT payable to the Govt.

9 The Selection Committee shall recommend Consolation Prizes in case there are entries, which demonstrate a high level of talent, entrepreneurship and innovativeness, which needs to be encouraged and recognized. The Consolation Prize shall consist of a suitable cash award and a certificate.

10 The last date for receiving nomination / application for the best coconut farmer award by the State Director of Agriculture / Horticulture is 5 pm on 30th June 2013. The State Department of Agriculture/ Horticulture will prepare a short list of 3 farmers and send to the Coconut Development Board on or before 20th July 2013.

Nomination / application for all other awards may be sent to the Chairman, Coconut Development Board, Kera Bhavan, Kochi - 682 011 on or before 5 pm on 20th July 2013 in the prescribed form.

12 Coconut Development Board Scheme of National Awards

HEADQUARTERSL _uPH o N E ----------------------------

Coconut Development Board, Chainnan : 04&4-2375216 Government of India, Ministry of Agriculture, CCDO : 23759'J9 Kera Bhavan, Kochi - 682 0II,Kerala, India E-mail: [email protected]

Director Secretary

: 2375237 : 23ffl37

Website: http://www.coconutboard.gov.in Otr eePABX : 04&4-2376265, 237n67, 2376553, 2375266 Fax : 04&4-23n9D2

REGIONAL OFFICE

KARNATAKA Director, Cooonut Development lloar<l, Hulimavu, Bannerghaltl Road, Bangalore South Taluk, Bangalore.560 076, Kamatal<.a. Ph: (080) 26593750,26593713 Fax: 08(}.26591768 E-mail: [email protected],

[email protected]

ASSAM Director. Coconut Development Board, Housefed Complex (Sixth Aoor), VVIreless Basistha Ibid, Last Gate, Dispur, Guwahati - 781 006. A.sam. Ph:(0361)2220632 Fax: (0361) 2229791 E-mail: [email protected]

TAMILNADU Director, Coconut Development Board, Rrst Floor. Plot No.l579, A-I Plot,J Block,9th Street, 15th Main Ibid, Anna Nagar, Chennai- 600 010. Tamil Nadu. Ph:(0#) 2616"10'18 Fax: (0#) 2616-4047 E-mail: [email protected]

STATECENTRE ----------------------­ ANDAMAN & NICOBAR ISLANDS Dy. Diredor, Coconut Development Board,Houoe MB No.54, Gurudwar.a U!ne,Near Head Post Office, Opp. BSNL Quarters, Port Blair- 7"" I0I, South Andaman.Ph: (03 192) 233918 E-mail: [email protected]

MAHARASHTRA Dy. Director, Cooonut Development lloar<l, Road No.l6, Z U!ne, Estate, Thane -100 604. Maharashtra. Ph:(022) 25834566,25834566 E-mail: [email protected]

BIHAR Dy.Director; Coconut DMopment Board,134, PataliputrnColony.Patna8. 00 013, Bihar. Ph:(0612) 2272742 Fax: (0612) 2272742 E-mail:[email protected]

ODISHA Dy. Director, Coconut Development Board, Pitapally, Post Kumarbasta, District Khurda- 752055,Od ha. Ph:(06755) 320287,(06712) 111505 E-maH: [email protected]

ANDHRA PRADESH Dy. Director, Coconut Development Board, Plot No.49, Dr.Subba Rae Colony, Pld<et, PO Weg; Maredpally, Secundrabad- 500 026. Andhra Pradesh,Ph:(040) 27807303 Fax: (040) 27807303,E-mail: [email protected]

WEST BENGAL Director, Coconut Development Board, BJ-108- Sector -II, Salt l.ake, Kolkata7. 00 091.West Bengal Ph:(033) 23599674, Fax: (033) 23599671 E-mail:[email protected]

DEMONSTRATION-CUM-SEED PRODUCTION (DSP) FARM..._ ANDHRA PRADESH Asst Director, Coconut Development lloar<l, Vegivada (Village) P.O, Tadikalapu:li(Via),W. Godavari (Dist.) Andhra Pradesh - 534 452. Ph: (08812) 212359 E-mail: ds l.com

KERAI.A Asst. Director,

KARNATAKA Asst. Director, Coconut Development Board, Pura VIllage,l.oksara P.O., MandyaDistrict, Kamalalca . 571 403. Ph:(08232) 234059 E-maH: [email protected]

BIHAR Asst. Director,

ODISHA Asst. Director, Coconut Development Board, At Plitapally, Post Kumarbasta, District Khurda- 752 055 Odisha. Ph: (0674) 211 1505, (06755) 320287 E-mail: [email protected]

CHATTISGARH Asst. Director,

ASSAM Asst. Director, Coconut Development lloar<l, Abhayapuri,Bongaigoan, Assam • 783 384. Ph:(03664) 210025 Email:[email protected]

Cooonut Development lloar<l, Neriamangalam, Kerala Pln-686 693. Ph: {0485) 2554240 E-mail: [email protected]

Coconut Development Board, P.O. Si slrwar- 852 128, Madhepura District. Bihar. Ph:(06476) 283015 E-maH: [email protected]

Coconut Development Board, Kondagaon- 494 226, Bastar District,Chhattisgarh. Ph:(07786) 242""3 Fax: (07786) 242""3 E-mail: [email protected]

MARKET DEVELOPMENT CUM INFORMATION CENTRE, NEW DELHI Dy. Director, Coconut Development lloar<l, 120, Hargobind Encl....,, New Delhi - II0 092. Ph: {0II) 22377805 Fa>c (011)22377806 E-mail: [email protected]

I 52 I Coconut Development Board

FIELD OFFICE Dy.Director; Coconut OMopment Board, AgriculturalUrbanINholesale Market (World Market), Anayara PO, Thiruvananthapuram. Pin 695 029 Kerala, Ph:0471 2741006 E-mail:[email protected]

TECHNOLOGY DEVELOPMENT CENTRE & QUALITY TESTING LABORATORY Processing Engineer , Coconut D.....,jopment Board, Keenpuram,South Vazhakkulam, AJuva, Emakulam District. Pin - 683 I05.Kerala Ph:{0484) 2679680 Email: [email protected],[email protected]

Scheme of National Awards

ºÉ´ÉÉækÉ¨É xÉÉÊ®úªÉ±É ÊEòºÉÉxÉ {ÉÖ®úºEòÉ®ú Eäò ʱÉB +É´ÉänùxÉ/xÉɨÉÉÆEòxÉ ®úɹ]ÅõÒªÉ ºiÉ®ú {É®ú/nùÊIÉhÉ B´ÉÆ {ÉζSÉ¨É IÉäjÉ/{ÉÚ ÉÇ B´ÉÆ =kÉ®ú {ÉÚ ÉÔ IÉäjÉ

APPLICATION / NOMINATION FOR THE AWARD FOR THE BEST COCONUT FARMER

NATIONAL LEVEL/ SOUTH WEST REGION/ EAST & NORTH EAST REGION

1. +É´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É xÉÉ¨É (º ÉÉ¡ò + IÉ® úÉå ¨Éå) Name of the applicant / nominee (in block letters)

2. º l ÉÉxÉÒªÉ EÞò Ê¹É ¦É´ÉxÉ ªÉÉ EÞò ʹÉ/¤ÉÉM É´ÉÉxÉÒ Eò ɪÉÉDZ ÉªÉ Eò É nÚù®ú¦ÉÉ¹É º Éʽ þi É {Éi ÉÉ Address of the local Krishi Bhavan or Agriculture / Horticulture Office with Phone No.

3. xÉÉʨÉi É ´ªÉÊHò /+É´Éän ùEò Eò É {Éi ÉÉ Address of the nominee / applicant

ÊV ɱ ÉÉ Dist ®úÉV ªÉ State

n Úù®ú¦ÉÉ¹É Phone: ¡ èò C º É Fax:

¨ÉÉä¤ÉÉ<± É Mobile: < Ç-¨Éä± É Email:

´Éä¤Éº ÉÉ<]õ Website:

4. xÉÉÊ®úªÉ± É ¤ÉÉM É Eò É ºl ÉÉxÉ Location of the garden

5. Eò ) EÞò ¹ÉEò Eäò +vÉÒxÉ EÖò ± É ¦ÉÚ欃 a) Total area possessed by the cultivator

...............½äþ. ha. (...................B Eòc ÷ acres)

J É) xÉÉÊ®úªÉ± É Eäò +vÉÒxÉ EÖò ± É ¦ÉÚ欃 b) Total area under coconut

...............½äþ. ha. (...................B Eòc acres)

M É) xÉÉÊ®úªÉ± É {Éäc ÷Éå Eò Ò º ÉÆJ ªÉÉ (| ÉV ÉÉÊi É´ÉÉ®ú) c) No. of coconut palms (variety wise)

P É) +Éèº Éi É +ɪÉÖ d) Average age

b ÷.) {Éäc ÷Éå Eäò ¤ÉÒS É nÚù®úÒ e) Spacing

6. C ªÉÉ ¤ÉÉ®úÉxÉÒ ªÉÉ Ëº ÉÊS Éi É J Éäi ÉÒ ½ èþ

Whether grown under irrigated or rainfed condition

7. ʨÉ]Âõ]õÒ Eäò | ÉEò É®ú: ®äúi ÉÒ± ÉÒ Sandy / n Öù¨¨ É]õÒ Loamy / Eò Uô É®úÒ Alluvial / ¨ÉJ É®ú± ÉÒ Laterite / ¨ÉÊ]õªÉ É®ú Clayey Type of soil :

8. ˺ ÉS ÉÉ<Ç Eò Ò | ÉhÉɱ ÉÒ Mode of irrigation: l Éɱ ÉÉ Basin / κ | ÉÆC ± É®ú Sprinkler / Êb Å÷{É Drip / xɽ þ®ú Canal / P Éc ÷É Pot

9. | ÉÊi ɴɹÉÇ xÉÉÊ®úªÉ± É º Éä | ÉÉ{i É ={ÉV É Total yield per annum from coconut

10. xÉÉÊ®úªÉ± É ¤ÉÉM É Eäò ¨ÉÖJ ªÉ Eò Ò]õÉå ´É ®úÉä M ÉÉå Eäò Ê´É´É®úhÉ +Éè®ú +{ÉxÉÉB M ÉB ÊxɪÉÆj ÉhÉ ={ÉÉªÉ (ªÉÊn ù +ɴɶªÉEò ½ þÉä i ÉÉä +± ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Details of major pests and diseases in the garden and the control measures adopted (use separate sheet if required)

11. ={ɪÉÉäM É ÊEò B M ÉB J ÉÉn ù / =´ÉÇ®úEò Éå Eäò Ê´É´É®úhÉ (¨ÉÉj ÉÉ º {ɹ]õ Eò ®åú) V Éè É J Éäi ÉÒ Eäò ¨Éɨɱ Éä ¨Éå V Éè É J Éäi ÉÒ | ÉÉ®Æú¦É Eò ®úxÉä Eäò Ê´É´É®úh É, +xÉÖ ÉÉ äÊn ùi É +ʦÉEò ®úhÉ uùÉ®úÉ | ɨÉÉÊhÉi É ½ èþ ªÉÉ xɽ þÓ +ÉÊn ù Eäò Ê´É´É®úhÉ | ɺ i ÉÖi É Eò ®åú* Details of manures/ fertilizers applied (specify the quantity). If organic cultivation furnish the details such as commencement of organic cultivation, whether certified by the approved agency etc.

12. Ê{ÉUô ± Éä 3 Eèò ± Ééb ÷®ú ´É¹ÉÇ Eäò n ùÉè®úÉxÉ Ê Eò B M ÉB ´ªÉªÉ Expenditure incurred during the last three calendar years

Gò¨É ºÉÆ. Sl. No

¨Énù Item ®úÉ榃 (¯û.) Amount (Rs.)

2010 2011 2012

(i) ®úÉä{ÉhÉ º ÉɨÉÊO ɪÉÉå Eò Ò ± ÉÉM Éi É Cost of planting materials

(ii) ¦ÉÚ欃 Eò Ò i ÉèªÉÉ®úÒ ´É ®úÉä{ÉhÉ Preparation of land and planting

(iii) ¤ÉÉc ÷É ± ÉM ÉÉxÉÉ, º ɽ É®úÉ n äùxÉÉ, Uô ɪÉÉ näùxÉÉ Fencing, Propping, Shading

(iv) ˺ ÉS ÉÉ<Ç ´ªÉªÉ Irrigation expenses

(v) J ÉÉn ù º ÉƤÉÆvÉÒ ´ªÉªÉ Manuring expenses

(vi) +xi É®úÉ J Éäi ÉÒ/J É®ú{Éi É´ÉÉ®ú ÊxɪÉÆj ÉhÉ Inter-cultivation/weed control

(vii) {ÉÉèvÉÉ º ÉÆÆ®úI ÉhÉ Plant protection

(viii) EÞò Ê¹É ={ÉEò ®úhÉÉå Eò É Gò ªÉ Purchase of agricultural implements

(ix) +xªÉ ± ÉÉM Éi É ªÉÊn ù Eò Éä<Ç ½ þÉä i ÉÉä Other cost if any

EÖò±É Total

13. +xi É®úÉ¡ ò º ɱ Éå/ʨÉʸÉi É ¡ ò º ɱ Éå/+{ÉxÉÉ<Ç M É<Ç Ê¨ÉʸÉi É J Éäi ÉÒ +Éè®ú | Éi ªÉäEò P É]õEò º Éä | ÉÉ{i É +ÉªÉ (ªÉÊn ù +ɴɶªÉEò ½ þÉä i ÉÉä +± ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Details of inter crops/ mixed crops/ mixed farming adopted and income from each component. (Use separate sheet if required)

14. =M ÉÉ<Ç ½ þ®úÒ J ÉÉn ù / Uô Én ùxÉ ¡ò º ɱ Éå º ÉƤÉÆvÉùÒ Ê´É´É ®úhÉ Details of green manure/cover crops grown

15. =i {ÉÉn ùEò i ÉÉ º ÉÖvÉÉ®ú, ¡ ò ɨÉÇ º i É®úÒªÉ º Éƺ ÉÉvÉxÉ B ´ÉÆ Ê´É{ÉhÉxÉ ¨É å ÊEò º ÉÉxÉ uùÉ®úÉ +{ÉxÉÉ<Ç M É<Ç Ê ´ÉÊ´ÉvÉ x É´ÉÒEò ®úhÉÉå Eò É Ê´É´É®úhÉ (ªÉÊn ù +ɴɶªÉEò i ÉÉ ½ þÉä i ÉÉä +± ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Details of various innovations adopted by the farmer in productivity improvement, farm level processing and marketing. (use separate sheet if required)

16. ÊEò º ÉÉxÉ Eò Ò {ɽ þ± É Êº Érù Eò ®úxÉä ½ äþi ÉÖ +xªÉ º ÉÚS ÉxÉÉ/Ê{ÉUô ± Éä 3 ´É¹ÉÉç Eäò n ùÉè®úÉxÉ | ÉÉ{i É {ÉÖ®úº Eò É®úÉå Eäò Ê´É´É®úh É ªÉÊn ù Eò Éä<Ç ½ þÉä i ÉÉä Other information to substantiate the initiatives of the farmer / Details of awards received if any during the last 3 years.

+É´ÉänùEò/xÉÉʨÉiÉ ´ªÉÊHò EòÒ PÉÉä¹ÉhÉÉ Declaration of Nominee / Applicant

¨Éé . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ({ÉÖj É/{ÉÖj ÉÒ/{Éi xÉÒ) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .

{Éi ÉÉ . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B i ÉnÂùuùÉ®úÉ P ÉÉäʹÉi É

Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ ÊEò >ð{É®ú n ùÒ M É<Ç º ÉÚS ÉxÉÉ º ɽ þÒ B ´ÉÆ º ÉS É ½èþ +Éè®ú ¨Éé º É´ÉÉækÉ¨É xÉÉÊ® úªÉ± É ÊEò º ÉÉxÉ {ÉÖ®úº Eò É®ú Eäò ʱ ÉB | ÉÊi ɪÉÉäÊM Éi ÉÉ ¨Éå ¦ÉÉM É ± ÉäxÉä ½ äþi ÉÖ xÉÉÊ®úªÉ± É

Ê´ÉEò ɺ É ¤ÉÉäb Ç÷ uùÉ®úÉ ÊxÉvÉÉÇÊ®úi É ÊxɤÉx vÉ xÉ +Éè®ú ¶Éi ÉÉç Eò É {Éɱ ÉxÉ Eò °ÄüM ÉÉ/Eò °ÄüM ÉÒ*

I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (S/o/W/o/D/o) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . hereby declare that the information furnished above is true and correct and I shall abide by the terms and

conditions prescribed by the Coconut Development Board for contesting for the best Coconut Farmer Award.

º l ÉÉxÉPlace:

Êi ÉÊl É Date: +É ´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É ½ þº i ÉÉIÉ®ú

Signature of applicant / nominee

|ÉɪÉÉäVÉEò EòÒ ºÉƺiÉÖÊiÉ Recommendation of the Sponsor

¨Éé | ɨÉÉÊhÉi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ ÊEò ¸ÉÒ/¸ÉÒ¨Éi ÉÒ ................................................................. | ÉM ÉɨÉÒ EÞò ¹ÉEò ½èþ +Éè®ú º É´ÉÉækÉ ¨É xÉÉÊ®úªÉ± É ÊEò º ÉÉxÉ {ÉÖ®úº Eò É®ú Eäò ʱ ÉB =xÉEäò n ù É´Éä Eò Ò V ÉÉÄS É Eò Ò +Éè®ú =xÉEäò uùÉ ®úÉ | ɺ i ÉÖi É ÊEò B M ÉB Ê´É´É®úhÉ º ɽ þÒ {ÉÉ <Ç ½ èþ +Éè®ú ¨Éé xÉÉÊ®úªÉ± É Ê ´ÉEò ɺ É ¤ÉÉäb Ç÷ Eäò º É´ÉÉækÉ¨É xÉÉÊ®úªÉ± É ÊEò º ÉÉxÉ {ÉÖ®úº Eò É®ú Eäò ʱ ÉB =xÉEò Ò º Éƺ i ÉÖÊi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ* I certify that Shri. / Smt. ……………………………………………………. is a progressive farmer and I have verified his claim for the best coconut farmer award, and found that the details furnished are correct and I recommend him / her for the best coconut farmer award of Coconut Development Board. º l ÉÉxÉ Place ½ þº i ÉÉIÉ®ú Signature:

Êi ÉÊl É Date xÉÉ¨É ´É {Éi ÉÉ Name and Address:

ºÉ´ÉÉækÉ¨É xÉÉÊ®úªÉ±É ºÉƺÉÉvÉEò {ÉÖ®úºEòÉ®ú Eäò ʱÉB +É´ÉänùxÉ/xÉɨÉÉÆEòxÉ ({É®Æú{É®úÉMÉiÉ xÉÉÊ®úªÉ±É =i{ÉÉnùù +Éè®ú MÉè®ú-{É®Æú{É®úÉMÉiÉ xÉÉÊ®úªÉ±É =i{ÉÉnù)

APPLICATION / NOMINATION FOR THE AWARD FOR THE BEST COCONUT PROCESSOR (Conventional coconut products / non-conventional coconut products)

1. ªÉÚÊxÉ]õ Eò É xÉÉ¨É ´É {Éi ÉÉ Name and Address of the unit

ÊV ɱ ÉÉ Dist ®úÉV ªÉ State

n Úù®ú¦ÉÉ¹É Phone: ¡ èò C º É Fax:

¨ÉÉä¤ÉÉ<± É Mobile: < Ç-¨Éä± É Email:

´Éä¤Éº ÉÉ<]õ Website:

2. º ´ÉɨÉÒ/¨ÉÖJ ªÉ Eò ɪÉÇ{Éɱ ÉEò Eò É xÉÉ¨É Name of the proprietor / Chief Executive (in block letters)

3. B º É Bº É +É<Ç {ÉÆV ÉÒEò ®úhÉ º ÉÆ. SSI registration No.

4. º l ÉÉ{ÉxÉÉ Eò Ò Êi ÉÊl É Date of establishment

5. º ÉÆM É`öxÉ Eò Ò | ÉEÞò Êi É (º ´ÉÉʨÉi ´É/º ÉÉÆZÉän ùÉ®úÒ/| ÉÉ<´Éä]õ ʱ É. {ÉΤ± ÉEò ʱ É./M Éè º É º ÉÆ/º ɽ þEò É®úÒ º ÉÉäº ÉÉ<]õÒ ) Nature of the organization (Proprietorship/Partnership/ Pvt Ltd Public Ltd. / NGO/Co-op. Society)

6. ÊxĘ́Éi É =i {ÉÉn Product(s) Manufactured 1.

3.

2.

4.

7. | Éi ªÉäEò =i {ÉÉn ù Eäò Ê´ÉÊxÉn æù¶É/O Éäb ÷ Specifications / grades of each product

8. +{ÉxÉÉ< Ç M É<Ç {ÉèEäò ËV ÉM É Eäò Ê´É´É®úhÉ (¤ÉÉ®ú Eò ÉäËb ÷M É +{ÉxÉÉxÉÉ º Éʽ þi É) Description of packaging adopted (including adoption of bar-coding)

9. {ÉÊ®úªÉÉäV ÉxÉÉ Eäò EÖò ± É ÊxÉ´Éä¶É Total investment of the project

a) ¦ÉÚ欃 B ´ÉÆ ¦É´Éx É {É®ú ÊxÉ ´Éä¶É Investment on land & building

b) º ÉƪÉÆj É ´É ¨É¶ÉÒxÉ®úÒ {É ®ú ÊxÉ´É ä¶É Investment on plant & machinery

10. | ÉÉètÉäÊM ÉEò Ò Eò É » ÉÉäi É Source of Technology

11. <Eò É<Ç Eò Ò ºl ÉÉÊ{Éi É IɨÉi ÉÉ (ªÉÊn ù BEò =i {ÉÉn ù º Éä +ÊvÉEò ½ þÉä i ÉÉä | Éi ªÉäEò =i {ÉÉn º {ɹ]õ Eò ®åú) Installed capacity of the unit (If more than one product, specify for each product(s)

12. Ê´ÉkÉ Eò É » ÉÉäi É Source of finance

a) | ÉÉ{i É º ɽ þɪÉi ÉÉ-+xÉÖn ùÉxÉ Eäò Ê´É´É®úhÉ

Details of grant-in-aid received from

(i) ®úÉV ªÉ º É®úEò É®ú º Éä State Government

(ii) Eäò xp ùÒªÉ º É®úEò É®ú º Éä Central Government

b) | ÉÉ{i É º ÉÉä}]õ @ñ hÉ Eò É Ê´É´É®úhÉ Details of soft loan received

c) +xªÉ » ÉÉäi ÉÉå º Éä | ÉÉ{i É Ê´ÉkÉ ªÉÊn ù Eò Éä<Ç ½ þÉä i ÉÉä Finance from other source if any

13. ¤ÉèËEò M É º Éƺ l ÉÉ Eäò xÉÉ¨É ´É {Éi ÉÉ Name and address of the banking institution

14. Ê´É{ÉhÉxÉ xÉ ä]õ -´ÉEÇò +Éè®úú Ê ´É{ÉhÉx É ®úh ÉxÉÒÊi É º ÉƤÉÆvÉÒ Ê´É´É® úhÉ (ªÉÊn ù +ɴɶªÉEò ½èþ i ÉÉä +± ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Details of market net-work and marketing strategy (Use separate sheet if required)

15. Ê{ÉUô ± Éä 3 ´É¹ÉÉç ¨Éå IɨÉi ÉÉ Eò Ò ={ɪÉÉäÊM Éi ÉÉ (B Eò =i {ÉÉn ù º Éä +ÊvÉEò ½ þÉä i ÉÉä, | ÉiªÉäEò =i {ÉÉn ù º {ɹ]õ Eò ®åú) Capacity utilization for the last 3 years (If more than one product, specify for each product)

16. ={ÉÉäi {ÉÉn ù ={ɪÉÉäÊM Éi ÉÉ º ÉƤÉÆvÉÒ Ê´É´É® úh É Details regarding by-products utilization

17. +{ÉxÉÉ< Ç M É<Ç EÖò ± É M ÉÖhÉ´ÉkÉÉ | ɤÉÆvÉxÉ | ÉhÉɱ ÉÒ º ÉƤÉÆvÉÒ Ê´É ´É®úhÉ (+É< B º É +Éä 9000, B S ÉBº ÉÒº ÉÒ{ÉÒ, V ÉÒB ¨É{ÉÒ +ÉÊn ù º Éʽ þi É) Details regarding total quality management system adopted, including ISO9000, HACCP, GMP, etc

18. <Eò É<Ç ¨Éå ÊxɪÉÖHò Eò ¨ÉÇS ÉÉÊ®úªÉÉå Eò Ò º ÉÆJ ªÉÉ No. of employees engaged in the unit

{ÉÚhÉÇ º É¨ÉªÉ Full Time +¶ÉÆEò Éʱ ÉEò Part Time

{ÉÖ û¹É Male ¨Éʽ þ± ÉÉ Female {ÉÖ û¹É Male ¨Éʽ þ± ÉÉ Female

19. Ê{ÉUô ± Éä 3 ´É¹ÉÉç Eäò n ùÉè®úÉxÉ <Eò É<Ç Eò Ò EÖò ± É Ê¤ÉGò Ò (º ÉxÉn ùÒù ± ÉäJ ÉÉEò É®ú uùÉ®úÉ | ɨÉÉÊhÉi É ± ÉäJ ÉÉ {É®úÒÊIÉi É ± ÉäJ ÉÉ+Éå Eò Ò | ÉÊi É º ÉƱ ÉM xÉ Eò ®åú) Annual sales turnover from the unit during the last 3 years (Attach audited statement of accounts certified by a Chartered Accountant)

20. ¤ÉÉW ÉÉ®ú Ê´ÉEò ɺ É, M ÉÖhÉ´ÉkÉÉ ¨Éå º ÉÖvÉÉ®ú +ÉÊn ù {É®ú Ê{ÉUô ± Éä 3 ´É¹ÉÉç Eäò n ùÉè®úÉxÉ ¨ÉÖJ ªÉ ={ɱ ÉΤvɪÉÉÄ (ªÉÊn ù +ɴɶªÉEò ½ þÉä i ÉÉä +± ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Major achievements during the last three years with reference to market development, quality improvement, etc. (use additional sheet if required)

21. Ê{ÉUô ± Éä 3 ´É¹ÉÇ Eäò n ùÉè®úÉxÉ | ÉÉ{i É {ÉÖ® úº Eò É®úÉå Eäò Ê´É´É®úhÉ Details of awards received if any during the last 3 years

22. C ªÉÉ ´ªÉÉ{ÉÉ®ú º ÉÆM É`öxÉ/´ªÉɴɺ ÉÉʪÉEò º ÉÉäº ÉÉ<]õÒ/S Éä ¤É®ú +Éì¡ ò Eò Éì Éäº ÉÇ/º ÉÒ +É<Ç +É<Ç Eäò º Én ùº ªÉ ½èþ i ÉÉä Ê´É´É®úhÉ n åù * If a member of a trade organization/Professional Societies/Chamber of Commerce / CII, give details

23. +xªÉ º ÉÚS ÉxÉÉ ªÉÊn ù Eò Éä<Ç ½ þÉä i ÉÉä (ªÉÚÊxÉ]õ Eò Ò º É¡ ò ± Éi ÉÉ | ɨÉÉÊhÉi É Eò ®úxÉä ½ äþi ÉÖ) Other information if any (To substantiate the success of the unit)

PÉÉä¹ÉhÉÉ Declaration

¨Éé /½ þ¨É. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ({ÉÖj É/{ÉÖj ÉÒ/{Éi xÉÒ) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . {Éi ÉÉ . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B i ÉnÂùuùÉ®úÉ P ÉÉäÊ ¹Éi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ ÚÄþ Ê Eò >ð{É®ú n ùÒ M É<Ç º ÉÚS ÉxÉÉ º ÉS É B ´ÉÆ º ɽ þÒ ½ èþ +Éè®ú ¨ Éé =kÉ¨É xÉÉÊ ®úªÉ± É º Éƺ ÉÉ vÉEò {ÉÖ®úº Eò É®ú Eäò ʱ ÉB xÉÉÊ ®úªÉ± É Ê ´É Eò ɺ É ¤ÉÉäbÇ÷ uùÉ®úÉ ÊxÉvÉÉÇÊ ®úi É ÊxɤÉxvÉxÉ +É è®ú ¶Éi ÉÉç Eò É {Éɱ ÉxÉ Eò °ÄüM ÉÉ/Eò °ÄüM ÉÒ*

I / we. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (S/o/W/o/D/o) . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . hereby declare that the information furnished above is true and correct and I shall abide by the terms and

conditions prescribed by the Coconut Development Board for the Best Coconut Processor Award.

º l ÉÉxÉ Place:

Êi ÉÊl É Date: +É´É än ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É ½ þºi ÉÉIÉ®ú Signature of applicant / nominee

|ÉɪÉÉäVÉEò EòÒ ºÉƺiÉÖÊiÉ Recommendation of the sponsor

¨Éé =kÉ¨É xÉÉÊ®úªÉ± É | ÉGò ¨ÉhÉ Eò i ÉÉÇ {ÉÖ ®úº Eò É®ú Eäò ʱ ÉB ................................................... º Éƺ i ÉÖÊiÉ Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ*

I recommend ……………………………………………..……. for the Best Coconut Processor Award.

º l ÉÉxÉ Place: ½ þº i ÉÉIÉ®ú Signature: Êi ÉÊl É Date: xÉÉ¨É ´É {Én ùxÉÉ¨É Name and designation:

ºÉ´ÉÉækÉ¨É ¶ÉÉävÉEòiÉÉÇ ú{ÉÖ®úºEòÉ®ú Eäò ʱÉB +É´ÉänùxÉ/xÉɨÉÉÆEòxÉ (i.=i {ÉÉnù Ê´ÉEò ÉºÉ /x ÉÉÊ®úªÉ±É Eäò x ÉB |ɪÉÉäMÉ ´É ={ɪÉÉäMÉ / {ÉÉä¹ ÉÊhÉEò B´ÉÆ VÉÒ´É®ºÉɪÉx ÉÒ +x ÉÖºÉÆvÉÉx É- Êx ɹ Eò ¹ ÉÇ

ii ¨É¶ÉÒx É®úÒ /={ɺEò ®ú Eò É Ê´ÉEò ÉºÉ ) APPLICATION / NOMINATION FOR THE AWARD FOR THE BEST RESEARCH WORKER

(i. Product Development / New Applications and uses for Coconut / nutritional & biochemical findings.ii. Machinery / Equipment Development)

1. +É´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É xÉÉ¨É (º ÉÉ¡ ò +IÉ®úÉå ¨Éå) Name of the applicant / nominee (in block letters)

2. +É´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É {Éi ÉÉ Address of the applicant / nominee

ÊV ɱ ÉÉ Dist ®úÉV ªÉ State

n Úù®ú¦ÉÉ¹É Phone: ¡ èò C º É Fax:

¨ÉÉä¤ÉÉ<± É Mobile: < Ç-¨Éä± É Email:

´Éä¤Éº ÉÉ<]õ Website:

3. a. ªÉÊn ù º Éƺ l ÉÉxÉ/EÆò {ÉxÉÒ ½ þÉä i ÉÉä <xÉEäò ± ÉIªÉ +Éè®ú | ÉÊi ɤÉrùi ÉÉ Eäò Ê´É´É®úhÉ n åù If an Institute/Company, give its objectives & commitments

b. ´ÉèªÉÊHò Eò Individual

i. V Éx¨ ÉÊi ÉÊl É/+ɪÉÖ Date of birth/age ii. ¶É èIÉÊhÉEò ªÉÉäM ªÉi ÉÉB Ä Qualifications

iii. Ê´É¶É Éä¹É +vªÉªÉxÉ IÉäj É Specialized Discipline

4. +xÉÖº ÉÆvÉÉxÉ Eò É ´Éi ÉÇ ÉÉxÉ IÉäj É Current areas of research

5. C ªÉÉ +xÉÖº ÉÆvÉÉxÉ ÊEò º ÉÒ º Éƺ l ÉÉxÉ/º ÉÆM É`öxÉ uùÉ®úÉ ÊxÉÊvÉ {ÉÉäʹÉi É ½ èþ ªÉÊn ù ½ þÉÄ i ÉÉä º Éƺ l ÉÉxÉ/º ÉÆM É`öxÉ Eò É xÉÉ¨É n åù State whether the research was funded by any Institute/ Organization. If so, give the name of the Institute / Organization

6. Ê´ÉEò ʺ Éi É =i {ÉÉn ùÉå Eò É ¨É½ þi ´É (250 º Éä 300 ¶É¤n ùÉåÆ ¨Éå Ê´É´É®úh É) (ªÉÊn ù +ɴɶªÉEò ½ þÉä i ÉÉä +± ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Significance of the product(s) developed (statement in 250 to 300 words) (Use separate sheet if required)

7. =i {ÉÉn ùÉå Eäò i ÉEò xÉÒEò Ò Ê´É´É®úhÉ Technical details of the product(s)

8. {Éå]õ]õ º ÉÆ. Patent No. (ªÉÊn ù ¦ÉÉ®úi É Eäò ¤Éɽ þ®ú {Éå]õ]õ ÊEò ªÉÉ M ɪÉÉ ½èþ i ÉÉä Ê´É´É®úhÉ n åù ) (If patented outside India give details)

9. º ɦÉÉ/º l ÉÉxÉ V ɽ þÉÄ Eò ɪÉÇ Eò Ò | Él É¨É | ɺ i ÉÖÊi É Eò Ò M É<Ç Forum where the work was first presented

10. C ªÉÉ | ÉÉètÉäÊM ÉEò Ò Eò É ´ªÉÉ{ÉÉ®úÒEò ®úhÉ ÊEò ªÉÉ M ɪÉÉ ½èþ ªÉÉ xɽ þÓ ªÉÊn ù ½ þÉÄ i ÉÉä Ê´É´É ®úhÉ n åù State whether the technology has been commercialized. If so, give the details

11. Eò ɪÉÇ Eäò ʱ ÉB | ÉÉ{i É ¨ÉÉxªÉi ÉÉú/{ÉÖ®úº Eò É®ú Recognition/awards received for the work

12. {ÉÖ®úº Eò É®ú Eäò ʱ ÉB {ÉÉj Éi ÉÉ Êº Érù Eò ®úxÉä º ÉƤÉÆvÉÒ +xªÉ º ÉÚS ÉxÉÉ Other information to substantiate the eligibility for the award

xÉÉʨÉiÉ ´ªÉÊHò/+É´ÉänùEò EòÒ PÉÉä¹ÉhÉÉ Declaration of the Nominee / Applicant

¨Éé . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ({É Öj É/{ÉÖj ÉÒ/{Éi xÉÒ) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . {Éi ÉÉ . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bi ÉnÂùuùÉ®úÉ P ÉÉäʹÉi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ ÊEò >ð{É®ú n ùÒ M É<Ç º ÉÚS ÉxÉÉ º ÉS É B ´ÉÆ º ɽ þÒ ½ èþ +É è®ú ¨Éé =i {ÉÉn ù Ê´ÉEò ɺ É/xÉÉÊ®úªÉ± É B ´ÉÆ xÉÉÊ ®úªÉ± É ={ÉÉäi {ÉÉn ùÉå Eäò ʱ ÉB xÉB ={ɪ ÉÉäM É º ÉƤÉÆvÉÒ º É´ÉÉækÉ¨É ¶ÉÉävÉEò i ÉÉÇ Eäò ʱ ÉB xÉÉÊ®úªÉ± É Ê´ÉEò ɺ É ¤ÉÉäb Ç÷ uùÉ®úÉ ÊxÉvÉÉÇÊ ®úi É º ɦÉÒ ÊxɤÉxvÉxÉ +Éè ®ú ¶Éi ÉÉç Eò É {Éɱ ÉxÉ Eò °ÄüM ÉÉ/Eò °ÄüM ÉÒ*

I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (S/o/W/o/D/o) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . hereby declare that the information furnished above is true and correct and I shall abide by the terms and conditions prescribed by the Coconut Development Board for the best research worker award for product development / new uses for coconut and coconut by-products.

º l ÉÉxÉ Place:

Êi ÉÊl É Date: +É´É än ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É ½ þºi ÉÉIÉ®ú

Signature of applicant / nominee

|ÉɪÉÉäVÉEò EòÒ ºÉƺiÉÖÊiÉ Recommendation of the sponsor

¨Éé =i {ÉÉn ù Ê´ÉEò ɺ É/xÉÉÊ®úªÉ± É B ´ÉÆ xÉÉÊ®úªÉ± É =i {ÉÉn ùÉå Eäò ʱ ÉB xÉB ={ɪÉÉäM É ½ äþiÉÖ º É´ÉÉækÉ¨É ¶ÉÉävÉEò i ÉÉÇ {ÉÖ ®úº Eò É®ú Eäò ʱ ÉB

.......................................................................Eò Ò º Éƺ i ÉÖÊi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ ÚÄþ*

I sponsor ……………………. ……………………………. for the best research worker award for product development / new uses for coconut and coconut by-products. º l ÉÉxÉ Place: ½ þº i ÉÉIÉ®ú Signature:

Êi ÉÊl É Date: xÉÉ¨É ´É {Én ùxÉÉ¨É Name and designation:

xÉÉÊ®úªÉ±É +ÉvÉÉÊ®úiÉ ½þºiÉʶɱ{É Eäò ÊxɨÉÉÇhÉ Eò®úxÉä ÉɱÉÉ ºÉ´ÉÉækÉ¨É EòÉ®úÒMÉ®ú {ÉÖ®úºEòÉ®ú Eäò ʱÉB +É´ÉänùxÉ/xÉɨÉÉÆEòxÉ

(i) ºÉ´ÉÉækÉ¨É EòÉ®úÒMÉ®ú (¤Écä÷ {Éè ÉÉxÉä) (ii) ºÉ´ÉÉækÉ¨É EòÉ®úÒMÉ®ú (UôÉä]äõ {Éè ÉÉxÉä)

APPLICATION / NOMINATION FOR THE MASTER CRAFTSMAN MANUFACTURING COCONUT BASED HANDICRAFTS

(i) Master Craftsman (Large scale category) (ii) Master Craftsman (Small scale category)

1. +É´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É xÉÉ¨É (º ÉÉ¡ò + IÉ® úÉå ¨Éå) Name of the applicant / nominee (in block letters)

2. +É´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É {Éi ÉÉ

Address of the applicant / nominee

ÊV ɱ ÉÉ Dist ®úÉV ªÉ State

n Úù®ú¦ÉÉ¹É Phone: ¡ èò C º É Fax:

¨ÉÉä¤ÉÉ<± É Mobile: < Ç-¨Éä± É Email:

´Éä¤Éº ÉÉ<]õ Website:

3. B º É Bº É +É<Ç {ÉÆV ÉÒEò ®úhÉ º ÉÆ. SSI registration No.

4. ½ þº i Éʶɱ {É +ɪÉÖHò , ´Éºj É ¨ÉÆj Éɱ ɪÉ, ¦ÉÉ®úi É º É®úEò É®ú uùÉ®úÉ W ÉÉ®úÒ {ɽ þS ÉÉxÉ {Éj É º ÉÆ. Identity card no. issued by Commissioner of Handicrafts, Ministry of Textiles, Govt. of India

5. º l ÉÉ{ÉxÉÉ Eò Ò Êi ÉÊl É Date of establishment

6. +É´Éän ùEò Eò Ò +ɪÉÖ/V Éx¨É Êi ÉÊl É Age/date of birth of the applicant

7. ={ɪÉÉäM É ÊEò B M ÉB Eò SS Éä ¨Éɱ É Raw materials used

8. ={ɪÉÉäM É ÊEò B M ÉB ¨É¶ÉÒxÉ®úÒ/={ÉEò ®úhÉ Eäò Ê´É´É®úhÉ Details of machinery/equipment used

9. +´Éº ÉÆ®úS ÉxÉÉ+É å Eäò ʱ ÉB ÊEò B M ÉB ÊxÉ´Éä¶É Investment made on infrastructure

10. Ê´ÉkÉ Eò É » ÉÉäi É Source of finance

11. ªÉÚÊxÉ]õ º Éä +Éèº Éi ÉxÉ ´ÉÉ̹ÉEò +ÉªÉ Average annual income from the unit

12. ªÉÚÊxÉ]õ ¨Éå ÊxɪÉÖHò Eò ¨ÉÇS ÉÉÊ®úªÉÉå Eò Ò º ÉÆJ ªÉÉ No. of employees engaged in the unit

{ÉÖ û¹É Male ¨Éʽ þ± ÉÉ Female

13. Ê{ÉUô ± Éä i ÉÒxÉ ´É¹ÉÉç ¨Éå ¦ÉÉM É ± ÉÒ M É<Ç |Én ù¶ÉÇÊxɪÉÉå/¨Éä± ÉÉå Eäò Ê´É´É®úh É Details of exhibitions / melas participated during the last three years

14. Ê{ÉUô ± Éä 3 ´É¹ÉÉ ç Eäò n ùÉè®úÉ xÉ | ÉÉ{ i É {ÉÖ®úº Eò É®úÉå Eäò Ê ´É´É ®úhÉ Details of awards received during the last three years.

15. +xªÉ º ÉÚS ÉxÉÉ ªÉÊn ù Eò Éä<Ç ½ þÉä i ÉÉä Other Information if any

+É´ÉänùEò/xÉÉʨÉiÉ ´ªÉÊHò EòÒ PÉÉä¹ÉhÉÉ Declaration of Nominee / Applicant

¨Éé . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ({ÉÖj É/{ÉÖj ÉÒ/{Éi xÉÒ) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .

{Éi ÉÉ . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B i ÉnÂùuùÉ®úÉ P ÉÉäʹÉi É

Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ ÚÄþ ÊEò >ð{É®ú n ùÒ M É<Ç º ÉÚS ÉxÉÉ º ɽ þÒ B ´ÉÆ º ÉS É ½èþ +Éè®ú ¨Éé º É´ÉÉækÉ¨É Eò É®úÒM É®ú {ÉÖ ®úº Eò É®ú Eäò ʱ ÉB | ÉÊi ɪÉÉäÊM Éi ÉÉ ¨Éå ¦ÉÉM É ± ÉäxÉä ½ äþi ÉÖ xÉÉÊ®úª ɱ É Ê´ÉEò ɺ É

¤ÉÉäb Ç÷ uùÉ®úÉ ÊxÉvÉÉÇÊ ®úi É ÊxɤÉxvÉxÉ +É è®ú ¶Éi ÉÉç Eò É {Éɱ ÉxÉ Eò °üM ÉÉ/Eò °üM ÉÒ*

I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (S/o/W/o/D/o) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. hereby declare that the information furnished above is true and correct and I shall abide by the terms and conditions

prescribed by the Coconut Development Board for the best craftsman award.

º l ÉÉxÉ Place:

Êi ÉÊl É Date: +É´É än ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É ½ þºi ÉÉIÉ®ú Signature of applicant / nominee

|ÉɪÉÉäVÉEò EòÒ ºÉƺiÉÖÊiÉ Recommendation of the Sponsor

¨Éé º É´ÉÉækÉ¨É Eò É®úÒM É®ú {ÉÖ ®úº Eò É®ú Eäò ʱ ÉB ¸ÉÒ/¸ÉÒ¨Éi ÉÒ ........................................................................ Eò Ò º Éƺ i ÉÖÊi É Eò ®úi ÉÉ/Eò®úi ÉÒ ½ ÚÄþ I recommend Shri. / Smt. ……………………………………………………. for the best craftsman award. º l ÉÉxÉ Place ½ þº i ÉÉIÉ®ú Signature:

Êi ÉÊl É Date xÉɨ É ´É {Éi ÉÉ Name and Address:

xÉÉÊ®úªÉ±É =i{ÉÉnùÉååù Eäò ºÉ´ÉÉækÉ¨É ÊxɪÉÉÇiÉEò {ÉÖ®úºEòÉ®ú Eäò ʱÉB +É´ÉänùxÉ/xÉɨÉÉÆEòxÉ ´ÉMÉÇ - Eò ( 10 Eò ®úÉäc÷ ¯û{ÉB ºÉä +Ê vÉE |ÉÊi É ´É¹ ÉÇ)

´ÉMÉÇ - JÉ ( 10 Eò ®úÉäc÷ ¯û{ÉB i ÉEò |ÉÊi É ´É¹ ÉÇ) APPLICATION / NOMINATION FOR THE AWARD FOR THE BEST EXPORTER OF

COCONUT PRODUCTS (i) Category- A (above Rs.10 crore/year) (ii) Category-B (upto Rs.10 crore/year)

1. EÆò {ÉxÉÒ Eò É xÉÉ¨É Name of the firm (in block letters)

2. EÆò {ÉxÉÒ Eò É {Éi ÉÉ (º ÉÒʨÉi É EÆò {ÉÊxɪÉÉå Eäò ¨Éɨɱ Éä ¨Éå {ÉÆV ÉÒEÞò i É Eò ɪÉÉDZ ÉªÉ +Éè®ú n Úùº É®úÉå +xªÉÉå Eäò ʱ ÉB ¨ÉÖJ ªÉɱ ɪÉ) Address of the firm (Registered office in case of limited companies and head office for others)

ÊV ɱ ÉÉ Dist ®úÉV ªÉ State

n Úù®ú¦ÉÉ¹É Phone: ¡ èò C º É Fax:

¨ÉÉä¤ÉÉ<± É Mobile: < Ç-¨Éä± É Email:

´Éä¤Éº ÉÉ<]õ Website:

3. º ÉÆM É`öxÉ Eò É | ÉEò É®ú (º ÉÉZÉän ùÉ®úÒ/º ´ÉÉʨÉi ´É/º ÉƪÉÖHò º ]õÉìEò EÆò {ÉxÉÒ/º ɽ þEò É®úÒ º ÉÉäº ÉÉ<]õÒ/º ÉÉ´ÉÇV ÉÊxÉEò ÊxÉM ɨÉ/| ÉÉ<´Éä]õ ʱ É.) Nature of the Organization (Proprietorship/ Partnership/Joint Stock company/Co-operative Society/ Public Sector undertaking / Pvt Ltd)

4. º l ÉɪÉÒ J ÉÉi ÉÉ º ÉÆJ ªÉÉ. PAN

5. º l ÉÉ{ÉxÉÉ Eò Ò Êi ÉÊl É B ´ÉÆ {ÉÆV ÉÒEò ®úhÉ º ÉÆ. Date of establishment with Reg. No.

6. ÊxɪÉÉÇi É/+ɪÉÉi É Eò Éäb ÷÷ º ÉÆ. (ªÉÊn ù UÚô ]õ n ùÒ M É<Ç ½ þÉä i ÉÉä Ê´É´É®úhÉ n åù ) Import / Export Code No. (if exempted give details)

7. ¤ÉèËEò M É º Éƺ l ÉÉ Eäò xÉÉ¨É ´É {Éi ÉÉ Name and address of the banking institution

8. ÊxɪÉÉÇi ÉEò Eò Ò ´Éi ÉÇ ÉÉxÉ Îº l ÉÊi É (ÊxɪÉÉÇi É ½ þÉ=º É, ´ªÉÉ{ÉÉ®ú ½ þÉ=º É, º ÉÚ{É ®ú ]ÅäõËb ÷M É ½ þÉ=º É +ÉÊn ù ) Status of the Exporter (Export house, trading house, super trading house, etc)

9. ÊxɪÉÉÇi É ÊEò B M ÉB xÉÉÊ®úªÉ± É =i {ÉÉn ùÉå Eäò xÉÉ¨É Names of coconut products exported

1.

3.

2.

4.

10. ªÉÊn ù EòS S Éä ¨Éɱ É Eò É +ɪÉÉi É ÊEòªÉÉ M ɪÉÉ ½èþ i ÉÉä Ê´É´É®úh É n åù Whether any raw material has been imported if so, give details

11. Ê{ÉUô ± Éä 3 ´É¹ÉÉç Eäò n ùÉè®úÉxÉ ÊxɪÉÉ Çi É Eäò Ê´É´É®úhÉ (º ÉxÉn ùÒù ± ÉäJ ÉÉEò É®ú uùÉ®úÉ | ɨÉÉÊhÉi É ÊEò ªÉÉ V ÉÉxÉÉ ½ èþ) Details of exports during the last 3 years (to be certified by a chartered accountant)

´É¹ÉÇ Year ÊxɪÉÉÇiÉ EòÒ ¨ÉÉjÉÉ (]õxÉ ¨Éå) Volume of exports (tonne)

ÊxɪÉÉÇiÉ EòÉ ¨ÉÚ±ªÉ (¯û) Value of exports (Rs.)

2009-10

2010-11

2011-12

12. ÊxɪÉÉÇi ÉEò Eò É | ÉEò É®ú (ÊxɨÉÉÇi ÉÉ ÊxɪÉÉÇi ÉEò /´ªÉÉ{ÉÉ®úÒ ÊxɪÉÉÇi ÉEò ) Type of exporter (Manufacture exporter / Merchant exporter)

a. ªÉÊn ù ÊxɪÉÉÇi ÉEò ÊxɨÉÉÇi ÉÉ ½èþ i ÉÉä =i {ÉÉn ùÉå Eò É ÊxɨÉÉÇhÉ ÊEò B V ÉÉxÉä Éɱ Éä ¡ èò C ]õ®úÒ Eò É {Éi ÉÉ If a manufacture exporter, address of the factory where the products are being manufactured.

b. ªÉÊn ù ÊxɪÉÉÇi ÉEò ´ªÉÉ{ÉÉ®úÒ ½ èþ i ÉÉä +É{ÉÚÌ i ÉEò i ÉÉÇ Eò É {Éi ÉÉ If merchant exporter, address of the supplier

13. <º É +´ÉÊvÉ Eäò n ùÉè®úÉxÉ n äù¶É´ÉÉ®ú Êx ɪÉÉÇ i É º ÉƤÉÆvÉÒ Ê´É ´É®úhÉ Statement showing country wise export during the period

Gò¨É ºÉÆ. S.No.

´É¹ÉÇ Year näù¶É VɽþÉÄ ÊxɪÉÉÇiÉ Eò®úiÉä ½èþ Countries to which

exported =i{ÉÉnù Product ¨ÉÉjÉÉ Quantity ¨ÉÚ±ªÉ (¯û.)

Value(Rs.)

14. C ªÉÉ <º É +´ÉÊvÉ ¨Éå =i {ÉÉn ù ÊEò º ÉÒ xÉB ¤ÉÉW ÉÉ®ú ¨Éå {Éä¶É ÊEò ªÉÉ M ɪÉÉ ½èþ* ªÉÊn ù ½ þÉÄ i ÉÉä Ê´É´É®úhÉ n åù State whether the product could be introduced in any new market during the period. If so give details.

15. C ªÉÉ ÊxɪÉÉÇi É ¤ÉÉW ÉÉ®ú ¨Éå Eò Éä<Ç xÉB xÉÉ Ê®úªÉ± É =i {ÉÉn ù {Éä¶É ÊEò ªÉÉ M ɪÉÉ ½èþ* ªÉÊn ù ½ þÉÄ i ÉÉä Ê´É´É®úhÉ n åù State whether any new coconut product could be introduced in the export market. If yes give details

16. º É®úEò É®ú/M Éè®ú º É®úEò É®úÒ +ʦÉEò ®úhÉÉå º Éä | ÉÉ{i É ÊxɪÉÉÇi É | ÉÉäi º Éɽ þxÉ º ÉƤÉÆvÉÒ Ê´É´É ®úhÉ Details of export incentives received from government/government agencies

17. ´ªÉÉ{ÉÉ®ú º ÉÆM É`öxÉÉå ¨Éå º Én ùº ªÉi ÉÉ º ÉƤÉÆvÉÒ Ê´É´É®úhÉ Details regarding membership in trade organisations

18. +{ÉxÉÉ< Ç M É<Ç º ÉÆ{ÉÚhÉÇ M ÉÖhÉ´ÉkÉÉ | ɤÉÆvÉx É º ÉƤÉÆvÉÒ Ê´É´É®úhÉ (+ɴɶªÉEò ½ þÉä i ÉÉä +± ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Details regarding total quality management system adopted (Use separate sheet if required)

PÉÉä¹ÉhÉÉ Declaration

¨Éé /½ þ¨É. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ({ÉÖj É/{ÉÖj ÉÒ/{Éi xÉÒ) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . {Éi ÉÉ . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B i ÉnÂùuùÉ®úÉ P ÉÉäʹÉi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ ÊEò >ð{É®ú n ùÒ M É<Ç º ÉÚS ÉxÉÉ º ÉS É B ´ÉÆ º ɽ þÒ ½èþ +Éè®ú ¨Éé xÉÉÊ®úªÉ± É +ÉvÉÉÊ®ú i É =i {ÉÉn ùÉå Eäò º É´ÉÉækÉ¨É ÊxɪÉÉÇi ÉEò {ÉÖ®úº Eò É®ú Eäò ʱ ÉB xÉÉÊ®úªÉ± É Ê´ÉEò ɺ É ¤ÉÉäb Ç÷ uùÉ®úÉ Êx ÉvÉÉÇÊ®úi É ÊxɤÉxvÉ xÉ +Éè®ú ¶Éi ÉÉç Eò É {ÉÉ ± ÉxÉ Eò °ÄüM ÉÉ/Eò °ÄüM ÉÒ/Eò °ÄüM ÉÒ* I / we . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (S/o/W/o/D/o) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . hereby declare that the information furnished above is true and correct and I shall abide by the terms and conditions prescribed by the Coconut Development Board for the award for the best exporter of coconut based products. º l ÉÉxÉ Place:

Êi ÉÊl É Date: +É´É än ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É ½ þºi ÉÉIÉ®ú Signature of applicant / nominee

|ÉɪÉÉäVÉEò EòÒ ºÉƺiÉÖÊiÉ Recommendation of the sponsor

¨Éé xÉÉÊ®úªÉ± É +ÉvÉÉÊ ®úi É =i {ÉÉn ùÉå Eäò ºÉ´ÉÉækÉ¨É ÊxɪÉÉÇi ÉEò {ÉÖ®úº Eò É®ú Eäò ʱ ÉB ...................................................Eò Ò º Éƺ i ÉÖÊi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ*

I recommend ……………………………………………..……. for the best exporter of coconut based products Award.

º l ÉÉxÉ Place: ½ þ º i ÉÉIÉ®ú Signature:

Êi ÉÊl É Date: xÉÉ¨É ´É {Én ùxÉÉ¨É Name and designation:

xÉÉÊ®úªÉ±É Ê´ÉEòÉºÉ Eäò IÉäjÉ ¨Éå ºÉ´ÉÉækÉ¨É Ê´ÉºiÉÉ®ú EòɪÉÇEòiÉÉÇ {ÉÖ®úºEòÉ®ú Eäò ʱÉB +É´ÉänùxÉ/xÉɨÉÉÆEòxÉ APPLICATION / NOMINATION FOR THE AWARD FOR THE BEST EXTENSION WORKER IN

THE FIELD OF COCONUT DEVELOPMENT

1. +É´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É xÉÉ¨É Name of the applicant / nominee

2. +É´Éän ùEò / xÉÉʨÉi É ´ªÉÊHò Eò É {Éi ÉÉ Address of the applicant / nominee

ÊV ɱ ÉÉ Dist ®úÉV ªÉ State

n Úù®ú¦ÉÉ¹É Phone: ¡ èò C º É Fax:

<Ç-¨Éä± É Email:

3. V Éx¨É Êi ÉÊl É B ´ÉÆ +ɪÉÖ Date of birth and age

4. ¶ÉèIÉÊhÉEò ªÉÉäM ªÉi ÉÉB Ä Qualifications

5. ´Éi ÉÇ ÉÉxÉ Îº l ÉÊi É Present Status

6. Ê{ÉUô ± Éä 3 ´É¹ÉÉå Eäò n ùÉè®úÉxÉ xÉÉÊ ®úªÉ± É Ê´ÉEò ɺ É Eäò ʱ ÉB +É´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò uùÉ®úÉ ÊEò B M ÉB ªÉÉäM Én ùÉxÉ (+ɴɶªÉEò ½ þÉä i ÉÉä +± ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Contributions made by the applicant / nominee for the coconut development during the last 3 years (Use separate sheet if required)

7. | ÉÉ{i É {ÉÖ®úº Eò É®úÉå Eäò Ê´É´É®úhÉ Details of awards received

8. ´ªÉɴɺ ÉÉʪÉEò º ÉÉäº ÉÉ<]õÒ, M Éè®ú º É®úEò É®úÒ º ÉÆM É`ö xÉ, º ɽ þEò É®úÒ º ÉÉäº ÉÉ<]õÒ +ÉÊn ù ¨Éå º Én ùºªÉi ÉÉ Eäò Ê´É´É®úhÉ Details of membership in any professional societies, NGO, co-operative society etc.

9. Ê{ÉUô ± Éä 3 ´É¹ÉÉç Eäò n ùÉè®úÉxÉ +É ´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eäò ªÉÉäM Én ùÉxÉ Êº Érù Eò ®úxÉä ½äþi ÉÖ +xªÉ º ÉÚS ÉxÉÉ Other information to substantiate the applicant’s / nominee’s contribution during the last 3 years

xÉÉʨÉiÉ ´ªÉÊHò/+É´ÉänùEò EòÒ PÉÉä¹ÉhÉÉ Declaration of the Nominee / Applicant

¨Éé . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ({É Öj É/{ÉÖj ÉÒ/{Éi xÉÒ) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . {Éi ÉÉ . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bi ÉnÂùuùÉ®úÉ P ÉÉäʹÉi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ ÊEò >ð{É®ú n ùÒ M É<Ç º ÉÚS ÉxÉÉ º ÉS É B ´ÉÆ º ɽ þÒ ½èþ +Éè®ú º É´ ÉÉækÉ¨É Ê´Éº i ÉÉ®ú Eò ɪÉÇEò i ÉÉÇ {ÉÖ ®úº Eò É®ú Eäò ʱ ÉB xÉÉÊ®úªÉ± É Ê´ÉEò ɺ É ¤ÉÉäb Ç÷ uùÉ ®úÉ ÊxÉvÉÉ ÇÊ®úi É ÊxɤÉxvÉxÉ +Éè ®ú ¶Éi ÉÉç Eò É {Éɱ ÉxÉ Eò °ÄüM ÉÉ/Eò °ÄüM ÉÒ*

I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (S/o/W/o/D/o) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . hereby declare that the information furnished above is true and correct and I shall abide by the terms and conditions prescribed by the Coconut Development Board for the best development worker award.

º l ÉÉxÉ Place:

Êi ÉÊl É Date: +É´É än ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É ½ þºi ÉÉIÉ®ú

Signature of applicant / nominee

|ÉɪÉÉäVÉEò EòÒ ºÉƺiÉÖÊiÉ Recommendation of the sponsor

¨Éé º É´ÉÉækÉ¨É Ê´Éº i ÉÉ®ú Eò ɪÉÇEò i ÉÉÇ {ÉÖ®úº Eò É®ú Eäò ʱ ÉB ...................................................Eò Ò º Éƺ i ÉÖÊi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ*

I sponsor ……………………. ……………………………. for the best development worker award. º l ÉÉxÉ Place: ½ þº i ÉÉIÉ®ú Signature:

Êi ÉÊl É Date: xÉÉ¨É ´É {Én ùxÉÉ¨É Name and designation:

xÉÉÊ®úªÉ±É Ê´ÉEòÉºÉ Eäò IÉäjÉ ¨Éå ºÉ´ÉÉækÉ¨É ºÉ½þEòÉ®úÒ ºÉÉäºÉÉ<]õÒ/ MÉè®ú ºÉ®úEòÉ®úÒ ºÉÆMÉ`öxÉ Eäò ʱÉB {ÉÖ®úºEòÉ®ú ½äþiÉÖ +É´ÉänùxÉ/xÉɨÉÉÆEòxÉ

APPLICATION / NOMINATION FOR THE AWARD FOR THE BEST CO-OPERATIVE SOCIETY / NGO IN THE FIELD OF COCONUT DEVELOPMENT

1. xÉÉʨÉi É ´ªÉÊHò /+É´Éän ùEò Eò É {Éi ÉÉ Address of the nominee / applicant

n Úù®ú¦ÉÉ¹É Phone: ¡ èò C º É Fax:

<Ç-¨Éä± É Email: ´Éä¤É Web:

2. {ÉÆV ÉÒEò ®úhÉ º ÉÆ. Reg. No.

3. º Én ùº ªÉÉå Eò Ò EÖò ± É º ÉÆJ ªÉÉ Total number of members

4. M Éè®ú º É®úEò É®úÒ º ÉÆM É`öxÉ/º ɽ þEò É®úÒ º ÉÉäº ÉÉ<]õÒ Eäò {Én ùÉÊvÉEò É®úÒ Eäò xÉÉ¨É ´É {Éi ÉÉ Name and address of office bearers of the NGO/ Co-operative society

5. º l ÉÉ{ÉxÉÉ ´É¹ÉÇ Year of establishment

6. xÉÉÊ®úªÉ± É Eäò IÉäj É ¨Éå + É´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò uùÉ®úÉ ÊEò B M ÉB ªÉÉäM Én ùÉxÉ Contribution made by the applicant / nominee in the field of coconut

7. xÉÉʨÉi É/+É´Éän ùEò uùÉ®úÉ | ÉÉ{i É {ÉÖ®úº Eò É®úÉå Eäò Ê´É´É®úhÉ Details of awards received by nominee / applicant

8. +É´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eäò ªÉÉäM Én ùÉxÉ Êº Érù Eò ®úxÉä ½ äþi ÉÖ +xªÉ º ÉÚS ÉxÉÉ(ªÉÊn ù +ɴɶªÉEò ½ þÉä i ÉÉä +± ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Other information to substantiate applicant’s / nominee’s contribution (Use separate sheet if required)

xÉÉʨÉiÉ ´ªÉÊHò/+É´ÉänùEò EòÒ PÉÉä¹ÉhÉÉ Declaration of the Nominee / Applicant

¨Éé /½ É. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ({ÉÖj É/{ÉÖj ÉÒ/{Éi xÉÒ) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . {Éi ÉÉ . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B i ÉnÂùuùÉ®úÉ P ÉÉäʹÉi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ ÊEò >ð{É®ú n ùÒ M É<Ç º ÉÚS ÉxÉÉ º ÉS É B ´ÉÆ º ɽ þÒ ½ èþ +Éè®ú º É´ÉÉækÉ¨É M Éè®ú º É®úEò É®úÒ º ÉÆM É`öxÉ/º ɽ þEò É®úÒ º ÉÉäº ÉÉ<]õÒ {ÉÖ®úº Eò É®ú Eäò ʱ ÉB xÉÉÊ®úªÉ± É Ê´ÉEò ɺ É ¤ÉÉäb Ç÷ uùÉ®úÉ ÊxÉvÉÉÇÊ®úi É ÊxɤÉx vÉ xÉ +Éè®ú ¶Éi ÉÉç Eò É {Éɱ ÉxÉ Eò °ÄüM ÉÉ/Eò °ÄüM ÉÒ/Eò ®åúM Éä*

I / we. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . hereby declare that the information furnished above is true and correct and I shall abide by the terms and conditions prescribed by the Coconut Development Board for the award for the best NGO/ Co-operative Society.

º l ÉÉxÉ Place:

Êi ÉÊl É Date: +É´É än ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É ½ þºi ÉÉIÉ®ú

Signature of applicant / nominee

|ÉɪÉÉäVÉEò EòÒ ºÉƺiÉÖÊiÉ Recommendation of the sponsor

¨Éé º É´ÉÉækÉ¨É M Éè®ú º É®úEò É®úÒ º ÉÆM É`öxÉ/º ɽ þEò É®úÒ º ÉÉäº ÉÉ<]õÒ {ÉÖ®úº Eò É®ú Eäò ʱ ÉB ...................................................Eò Ò º Éƺ i ÉÖÊi É

Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ*

I sponsor ……………………. ……………………………. for the award for the best NGO/ Co-operative Society. º l ÉÉxÉ Place: ½ þº i ÉÉIÉ®ú Signature:

Êi ÉÊl É Date: xÉÉ¨É ´É {Én ùxÉÉ¨É Name and designation:

ºÉ´ÉÉækÉ¨É xÉÉÊ®úªÉ±É iÉÉc÷É®úÉä½þEò {ÉÖ®úºEòÉ®ú Eäò ʱÉB +É´ÉänùxÉ/ xÉɨÉÉÆEòxÉ

{É®Æú{É®úÉMÉiÉ iÉ®úÒEäò ºÉä SÉgøxÉä ÉɱÉÉ / ªÉÉÆÎjÉEò ={ÉEò®úhÉÉå ºÉä SÉgøxÉä ÉɱÉÉ / ¤ÉÉäbÇ÷ Eäò B¡ò+ÉäºÉÒ]õÒ ªÉÉäVÉxÉÉ Eäò +vÉÒxÉ +ÉxÉä ÉɱÉÉ iÉÉc÷É®úÉä½þEò

APPLICATION / NOMINATION FOR THE AWARD FOR THE BEST PALM CLIMBER TRADITIONAL METHODS/MECHANICAL DEVICES / CLIMBERS UNDER FOCT

SCHEME OF THE BOARD

1. +É´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É xÉÉ¨É Name of the applicant / nominee

2. =± ± ÉäJ É Eò ®åú ÊEò ªÉÊn ù (i) {É®Æú {É®úÉM Éi É i É®úÒEäò º Éä S ÉgøxÉä Éɱ ÉÉ i ÉÉc ÷É®úÉä½ þEò ½èþ (ii) ªÉÉÆÎj ÉEò ={ÉEò ®úhÉÉå º Éä S ÉgøxÉä Éɱ ÉÉ i ÉÉc ÷É®úÉä½ þEò ½èþ (iii) B ¡ ò +Éäº ÉÒ]õÒ ªÉÉäV ÉxÉÉ Eäò +vÉÒxÉ +ÉxÉä Éɱ ÉÉ i ÉÉc ÷É®úÉä½ þEò ½èþ State whether: (i) Palm climber traditional method (ii) Palm climber using mechanical devices (iii) Palm climber under FoCT scheme

3. +É´Éän ùEò / xÉÉʨÉi É ´ªÉÊHò Eò É {Éi ÉÉ Address of the applicant / nominee

ÊV ɱ ÉÉ Dist ®úÉV ªÉ State

n Úù®ú¦ÉÉ¹É Phone: ¡ èò C º É Fax:

<Ç-¨Éä± É Email:

4. B ¡ ò +Éäº ÉÒ]õÒ ªÉÉäV ÉxÉÉ Eäò i ÉÉc ÷É®úÉä½ Eò ½ èþ i ÉÉä | ÉʶÉIÉhÉ Eåò p ù i Él ÉÉ | ÉʶÉIÉhÉ Eò Ò Êi ÉÊl É In case of FoCT, the centre of training and date of training

5. V Éx¨É Êi ÉÊl É B ´ÉÆ +ɪÉÖ Date of birth and age

6. ¶ÉèIÉÊhÉEò ªÉÉäM ªÉi ÉÉB Ä Educational Qualifications

7. | ÉÊi ÉÊn ùxÉ S ÉgøxÉä Éɱ Éä {Éäc ÷Éå Eò Ò +Éèº Éi ÉxÉ º ÉÆJ ªÉÉ Number of trees climbed per day

8. +Éèº Éi ÉxÉ ¨ÉÉʺ ÉEò +ÉªÉ Average monthly income

9. {Éäc ÷Éå {É®ú S ÉgøxÉä Eäò +± ÉÉ´ÉÉ +xªÉ Eò ɪÉÉç Eäò ¤ªÉÉä®äú Details of activities undertaken other than climbing (i) ®úÉäM É Eò Ò]õ | ɤÉÆvÉxÉ Pest and disease management:

| ÉÊi É ¨É½ ÒxÉä +Éèº Éi ÉxÉ ÊEòi ÉxÉä {Éäc ÷Éå Eò Ò näùJ É®äúJ É Eò ®úi Éä ½ è ? Average number of palms attended during a month (iii) º ÉÆEò ®úhÉ Hybridisation:

| ÉÊi É ¨É½ ÒxÉä +Éèº Éi ÉxÉ ÊEò i ÉxÉä {Éäc ÷Éå Eò É º ÉÆEò ®úhÉ Eò ®úi Éä ½è ? Average number of palms attended during a month

(iii) ¤ÉÉäb Ç ÷ Eäò | ÉEò ɶÉxÉÉå Eò Éä ʱ ÉB xÉB O Éɽ Eò ¤ÉxÉÉxÉÉ

Enlisting of subscribers for Board’s publications

| ÉÊi É ¨É½ ÒxÉä º ÉÆO Éʽ i É xÉ<Ç O Éɽ ÊEò ªÉÉå Eò Ò +Éèº Éi ÉxÉ º ÉÆJ ªÉÉ Average number of subscription collected in a month

10. Ê{ÉUô ± Éä 3 ´É¹ÉÉå Eäò n ùÉè®úÉxÉ xÉÉÊ ®úªÉ± É Ê´ÉEò ɺ É Eäò ʱ ÉB +É´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò uùÉ®úÉ ÊEò B M ÉB ªÉÉäM Én ùÉxÉ (+ɴɶªÉEò ½ þÉä i ÉÉä +± ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Contributions made by the applicant / nominee for the coconut development during the last 3 years (Use separate sheet if required)

11. | ÉÉ{i É {ÉÖ®úº Eò É®úÉå Eäò Ê´É´É®úhÉ Awards received if any, in the past

12. ªÉÊn ù ÊEòº ÉÒ º ÉʨÉÊi É, M Éè®ú º É®úEò É®úÒ º Éƺ l ÉÉ, º ɽ þEò É®úÒ º ÉʨÉÊi É +ÉÊn ù ¨Éå º Én ùº ªÉi ÉÉ ½èþ i ÉÉä ¤ªÉÉä®äú n åù :

Details of membership in any societies, NGO, co-operative society etc.

13. Ê{ÉUô ± Éä 3 ´É¹ÉÉç Eäò n ùÉè®úÉxÉ +É ´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eäò ªÉÉäM Én ùÉxÉ Êº Érù Eò ®úxÉä ½äþi ÉÖ +xªÉ º ÉÚS ÉxÉÉ Other information to substantiate the applicant’s / nominee’s contribution during the last 3 years

xÉÉʨÉiÉ ´ªÉÊHò/+É´ÉänùEò EòÒ PÉÉä¹ÉhÉÉ Declaration of the Nominee / Applicant

¨Éé . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ({É Öj É/{ÉÖj ÉÒ/{Éi xÉÒ) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . {Éi ÉÉ . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bi ÉnÂùuùÉ®úÉ P ÉÉäʹÉi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ ÊEò >ð{É®ú n ùÒ M É<Ç º ÉÚS ÉxÉÉ º ÉS É B ´ÉÆ º ɽ þÒ ½èþ +Éè®ú º É´ÉÉæ kÉ¨É i ÉÉc ÷É®úÉä½ Eò {ÉÖ®úº Eò É®ú Eäò ʱ ÉB xÉÉÊ®úªÉ± É Ê´ÉEò ɺ É ¤ÉÉäb Ç÷ uùÉ®úÉ ÊxÉvÉÉÇÊ ®ú i É ÊxɤÉxvÉxÉ +Éè®ú ¶Éi ÉÉç Eò É {Éɱ ÉxÉ Eò °ÄüM ÉÉ/Eò °ÄüM ÉÒ*

I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (S/o/W/o/D/o) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . hereby declare that the information furnished above is true and correct and I shall abide by the terms and conditions prescribed by the Coconut Development Board for the best palm climber award.

º l ÉÉxÉ Place:

Êi ÉÊl É Date: +É´É än ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É ½ þºi ÉÉIÉ®ú

Signature of applicant / nominee

|ÉɪÉÉäVÉEò EòÒ ºÉƺiÉÖÊiÉ Recommendation of the sponsor

¨Éé º É´ÉÉækÉ¨É i ÉÉc ÷É®úÉä½ Eò {ÉÖ® úº Eò É®ú Eäò ʱ ÉB ...................................................Eò Ò º Éƺ i ÉÖÊi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ*

I sponsor ……………………. ……………………………. for the best palm climber award. º l ÉÉxÉ Place: ½ þº i ÉÉIÉ®ú Signature: Êi ÉÊl É Date: xÉÉ¨É ´É {Én ùxÉÉ¨É Name and designation:

¨Éʽ ±ÉÉ+Éå uùÉ®úÉ SɱÉÉB VÉÉxÉä ´ÉɱÉÉ ºÉ´ÉÉækÉ¨É xÉÉÊ®úªÉ±É |ÉGò¨ÉhÉ ªÉÚÊxÉ]õ {ÉÖ®úºEòÉ®ú Eäò ʱÉB +É´ÉänùxÉ/xÉɨÉÉÆEòxÉ

APPLICATION / NOMINATION FOR THE AWARD FOR THE BEST COCONUT PROCESSING UNIT MANAGED BY WOMEN

1. +É´Éän ùEò Eò É xÉÉ¨É (º ÉÉ¡ ò +IÉ®úÉå ¨Éå) C ªÉÉ ¨ÉÉʱ ÉEò / | ɤÉÆvÉ ÊxÉn äùù¶ÉEò / |ɤÉÆvÉ º ÉÉZÉän ùÉ®ú ªÉÉ ¨ÉÖJ ªÉ ¶ÉäªÉ®ú ½ þÉä± b ÷®ú ½ èþ ({ÉÖ¹]õ | ɨÉÉhÉ | ɺ i ÉÖi Éú Eò ®åú)

Name of the applicant (in block letters) State whether Owner / Managing Director / Managing Partner or Major Share Holder (valid proof may be produced to this effect)

2. ªÉÚÊxÉ]õ Eò É xÉÉ¨É ´É {Éi ÉÉ Name and Address of the unit

ÊV ɱ ÉÉ Dist ®úÉV ªÉ State

n Úù®ú¦ÉÉ¹É Phone: ¡ èò C º É Fax:

¨ÉÉä¤ÉÉ<± É Mobile: <Ç -¨Éä± É Email:

´Éä¤Éº ÉÉ<]õ Website:

3. B º É Bº É +É<Ç {ÉÆV ÉÒEò ®úhÉ º ÉÆ. SSI registration No.

4. º l ÉÉ{ÉxÉÉ Eò Ò Êi ÉÊl É Date of establishment

5. º ÉÆM É`öxÉ Eò Ò | ÉEÞò Êi É (º ´ÉÉʨÉi ´É/º ÉÉZÉän ùÉ®úÒ/| ÉÉ<´Éä]õ ʱ É. {ÉΤ± ÉEò ʱ É./M Éè º É º ÉÆ/º ɽ þEò É®úÒ º ÉÉäº ÉÉ<]õÒ Nature of the organization (Proprietorship/Partnership/ Pvt Ltd Public Ltd. / NGO/Co-op. Society)

6. ÊxĘ́Éi É =i {ÉÉn Product(s) Manufactured 1.

3.

2.

4.

7. | Éi ªÉäEò =i {ÉÉn ù Eäò Ê´ÉÊxÉn æù¶É/O Éäb ÷ Specifications / grades of each product

8. +{ÉxÉÉ< Ç M É<Ç {ÉèEäò ËV ÉM É Eäò Ê´É´É®úhÉ (¤ÉÉ®ú Eò ÉäËb ÷M É +{ÉxÉÉxÉÉ º Éʽ þi É) Description of packaging adopted (including adoption of bar-coding)

9. {ÉÊ®úªÉÉäV ÉxÉÉ Eò É EÖò ± É ÊxÉ´Éä¶É Total investment of the project

a) ¦ÉÚ欃 B ´ÉÆ ¦É´Éx É {É®ú ÊxÉ ´Éä¶É Investment on land & building

b) º ÉƪÉÆj É ´É ¨É¶ÉÒxÉ®úÒ {É ®ú ÊxÉ´É ä¶É Investment on plant & machinery

10. | ÉÉètÉäÊM ÉEò Ò Eò É » ÉÉäi É Source of Technology

11. <Eò É<Ç Eò Ò ºl ÉÉÊ{Éi É IɨÉi ÉÉ (ªÉÊn ù BEò =i {ÉÉn ù º Éä +ÊvÉEò ½ þÉä i ÉÉä | Éi ªÉäEò =i {ÉÉnåù º {ɹ]õ Eò ®åú) Installed capacity of the unit (If more than one product, specify for each product(s)

12. Ê´ÉkÉ Eò É » ÉÉäi É Source of finance

a) | ÉÉ{i É º ɽ þɪÉi ÉÉ-+xÉÖn ùÉxÉ Eäò Ê´É´É®úhÉ

Details of grant-in-aid received from

(i) ®úÉV ªÉ º É®úEò É®ú º Éä State Government

(ii) Eäò xp ùÒªÉ º É®úEò É®ú º Éä Central Government

b) | ÉÉ{i É º ÉÉä}]õ @ñ hÉ Eò É Ê´É´É®úhÉ Details of soft loan received

c) +xªÉ » ÉÉäi ÉÉå º Éä | ÉÉ{i É Ê´ÉkÉ ªÉÊn ù Eò Éä<Ç ½ þÉä i ÉÉä Finance from other source if any

13. ¤ÉèËEò M É º Éƺ l ÉÉ Eäò xÉÉ¨É ´É {Éi ÉÉ Name and address of the banking institution

14. Ê´É{ÉhÉxÉ xÉ ä]õ -´ÉEÇò +Éè®úú Ê ´É{ÉhÉx É ®úh ÉxÉÒÊi É º ÉƤÉÆvÉÒ Ê´É´É® úhÉ (ªÉÊn ù +ɴɶªÉEò ½èþ i ÉÉä +± ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Details of market net-work and marketing strategy (Use separate sheet if required)

15. Ê{ÉUô ± Éä 3 ´É¹ÉÉç ¨Éå IɨÉi ÉÉ Eò Ò ={ɪÉÉäÊM Éi ÉÉ (B Eò =i {ÉÉn ù º Éä +ÊvÉEò ½ þÉä i ÉÉä, | ÉiªÉäEò =i {ÉÉn ù º {ɹ]õ Eò ®åú) Capacity utilization for the last 3 years (If more than one product, specify for each product)

16. ={ÉÉäi {ÉÉn ù ={ɪÉÉäÊM Éi ÉÉ º ÉƤÉÆvÉÒ Ê´É´É® úh É Details regarding by-products utilization

17. +{ÉxÉÉ< Ç M É<Ç EÖò ± É M ÉÖhÉ´ÉkÉÉ | ɤÉÆvÉxÉ | ÉhÉɱ ÉÒ º ÉƤÉÆvÉÒ Ê´É ´É®úhÉ (+É< B º É +Éä 9000, B S ÉBº ÉÒº ÉÒ{ÉÒ, V ÉÒB ¨É{ÉÒ +ÉÊn ù º Éʽ þi É) Details regarding total quality management system adopted, including ISO9000, HACCP, GMP, etc

18. <Eò É<Ç ¨Éå ÊxɪÉÖHò Eò ¨ÉÇS ÉÉÊ®úªÉÉå Eò Ò º ÉÆJ ªÉÉ No. of employees engaged in the unit

{ÉÚhÉÇ º É¨ÉªÉ Full Time +¶ÉÆEò Éʱ ÉEò Part Time

{ÉÖ û¹É Male- ¨Éʽ þ± ÉÉ Female {ÉÖ û¹É Male- ¨Éʽ þ± ÉÉ Female

19. Ê{ÉUô ± Éä 3 ´É¹ÉÉç Eäò n ùÉè®úÉxÉ <Eò É<Ç Eò Ò EÖò ± É Ê¤ÉGò Ò (º ÉxÉn ùÒù ± ÉäJ ÉÉEò É®ú uùÉ®úÉ | ɨÉÉÊhÉi É ± ÉäJ ÉÉ {É®úÒÊIÉi É ± ÉäJ ÉÉ+Éå Eò Ò | ÉÊi É º ÉƱ ÉM xÉ Eò ®åú) Annual sales turnover from the unit during the last 3 years (Attach audited statement of accounts certified by a Chartered Accountant)

20. ¤ÉÉW ÉÉ®ú Ê´ÉEò ɺ É, M ÉÖhÉ´ÉkÉÉ ¨Éå º ÉÖvÉÉ®ú +ÉÊn ù {É®ú Ê{ÉUô ± Éä 3 ´É¹ÉÉç Eäò n ùÉè®úÉxÉ ¨ÉÖJ ªÉ ={ɱ ÉΤvɪÉÉÄ (ªÉÊn ù +ɴɶªÉEò ½ þÉä i ÉÉä +± ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Major achievements during the last three years with reference to market development, quality improvement, etc. (use additional sheet if required)

21. Ê{ÉUô ± Éä 3 ´É¹ÉÇ Eäò n ùÉè®úÉxÉ | ÉÉ{i É {ÉÖ® úº Eò É®úÉå Eäò Ê´É´É®úhÉ Details of awards received if any during the last 3 years

22. C ªÉÉ ´ªÉÉ{ÉÉ®ú º ÉÆM É`öxÉ/´ªÉɴɺ ÉÉʪÉEò º ÉÉäº ÉÉ<]õÒ/S Éä ¤É®ú +Éì¡ ò Eò Éì Éäº ÉÇ/º ÉÒ +É<Ç +É<Ç Eäò º Én ùº ªÉ ½èþ i ÉÉä Ê´É´É®úhÉ n åù * If a member of a trade organization/Professional Societies/Chamber of Commerce / CII, give details

23. +xªÉ º ÉÚS ÉxÉÉ ªÉÊn ù Eò Éä<Ç ½ þÉä i ÉÉä (<Eò É<Ç Eò Ò º É¡ò ± Éi ÉÉ | ɨÉÉÊhÉi É Eò ®úxÉä ½ äþi ÉÖ) Other information if any (To substantiate the success of the unit)

PÉÉä¹ÉhÉÉ Declaration

¨Éé /½ þ¨É. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ({ÉÖj ÉÒ/{Éi xÉÒ) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . {Éi ÉÉ . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B i ÉnÂùuùÉ®úÉ

P ÉÉäʹÉi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ ÊEò >ð{É®ú n ùÒ M É<Ç º ÉÚS ÉxÉÉ º ÉS É B ´ÉÆ º ɽ þÒ ½èþ +Éè®ú ¨Éé ¨Éʽ ± ÉÉ+Éå uùÉ®úÉ S ɱ ÉÉxÉä Éɱ ÉÉ º É´ÉÉækÉ¨É xÉÉÊ®úªÉ± É | ÉGò ¨ÉhÉ ªÉÚÊxÉ]õ {ÉÖ®úº Eò É®ú Eäò ʱ ÉB xÉÉÊ®úªÉ± É Ê´ÉEò ɺ É ¤ÉÉäb Ç÷ uùÉ®úÉ Êx ÉvÉÉÇÊ®úi É ÊxɤÉxvÉ xÉ +Éè®ú ¶Éi ÉÉç Eò É {ÉÉ ± ÉxÉ Eò °ÄüM ÉÉ/Eò °ÄüM ÉÒ*

I / we. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (W/o/D/o) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . hereby declare that the information furnished above is true and correct and I shall abide by the terms and

conditions prescribed by the Coconut Development Board for the Best Coconut Processing unit manged by women

º l ÉÉxÉ Place:

Êi ÉÊl É Date: +É ´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É ½ þºi ÉÉIÉ®ú Signature of applicant / nominee

|ÉɪÉÉäVÉEò EòÒ ºÉƺiÉÖÊiÉ Recommendation of the sponsor

¨Éé ¨Éʽ ±ÉÉ + Éå u ùÉ® úÉ SɱÉÉxÉä ÉɱÉÉ º É´ ÉÉæk É¨É xÉÉÊ® úª É±É |ÉGò ¨ÉhÉ ª ÉÚÊ xÉ]õ { ÉÖ® úº Eò É®ú Eäò ʱ ÉB ...................................................

Eò Ò º Éƺ i ÉÖÊi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ*

I recommend ……………………………………………..……. for the Best Coconut Processing unit managed by

women Award.

º l ÉÉxÉ Place: ½ þº i ÉÉIÉ®ú Signature: Êi ÉÊl É Date: xÉÉ¨É ´É {Én ùxÉÉ¨É Name and designation:

ºÉ´ÉÉækÉ¨É xÉÉÊ®úªÉ±É =i{ÉÉnùEò ºÉÉäºÉÉ<]õÒ (ºÉÒ{ÉÒBºÉ) {ÉÖ®úºEòÉ®ú Eäò ʱÉB +É´ÉänùxÉ/xÉɨÉÉÆEòxÉ APPLICATION / NOMINATION FOR THE AWARD FOR

THE BEST COCONUT PRODUCERS’ SOCIETY

1

º ÉÒ{ÉÒB º É Eò É xÉÉ¨É +Éè®ú {Éi ÉÉ Name and Address of the CPS

n Úù®ú¦ÉÉ¹É Phone: ¡ èò C º É Fax:

<Ç-¨Éä± É Email: ´Éä¤É Web:

2 {ÉÆV ÉÒEò ®úhÉ º ÉÆ. i Él ÉÉ {ÉÆV ÉÒEò ®úhÉ Eò Ò Êi ÉÊl É Reg. No. and date of Registration

xÉÉʴɤÉÉä Eäò º ÉÉl É With CDB

ÊV ɱ ÉÉ ®úÊV ɺ ]ÅõÉ®ú Eäò º ÉÉl É With Office of District Registrar

3 º Én ùº ªÉÉå Eò Ò º ÉÆJ ªÉÉ Number of members

4 º ÉÒ{ÉÒB º É Eäò +vªÉIÉ Eò É xÉÉ¨É ´É {Éi ÉÉ Name and address of the President of the CPS

5. º ÉÒ{ÉÒB º É Eäò º ÉÆEò ɪÉÇ IÉäj É ¨Éå xÉÉÊ®úªÉ ± É Eäò +vÉÒxÉ IÉäj É

Area under coconut cultivation under the operation of CPS

6 º ÉÆEò ɪÉÇ IÉäj É ¨Éå xÉÉÊ®úªÉ± É {Éäc ÷Éå Eò Ò ºÉÆJ ªÉÉ

No. of coconut palms under the area of operation

={ÉV ÉÉ>ð Yielding:

M Éè®ú ={ÉV ÉÉ>ð Non yielding

EÖò ± É Total

7 +Éèº Éi ÉxÉ ´ÉÉ̹ÉEò ={ÉV É (¡ ò± ÉÉå ¨Éå) Average annual yield (in nuts)

8 ´É¹ÉÇ 201 2-13 Eäò n ùÉè ®úÉxÉ ´ÉÉ̹ÉEò +É¨É º ɦÉÉ Eò Ò ¤Éè öEò i Él ÉÉ Eò ɪÉÇEò É®úÒ º ÉʨÉÊi É ¤Éè öEò Éå Eò Ò º ÉÆJ ªÉÉ

No.of Annual General Body Meetings and Executive Committee meetings held during 2012-13

9 a. º ÉÒ{ÉÒB º É Eäò Eò ɪÉÇEò ± ÉÉ{É

Activities undertaken by the CPS

b. ± ÉÒb ÷®úʶÉ{É | ÉʶÉIÉh É ¨Éå ¦ÉÉM É Ê± É B º Én ùºªÉÉå Eò É Ê´É´É®úhÉ Details of the members attended the leadership training

B ¡ ò +Éäº ÉÒ]õÒ Eäò ʱ ÉB ¦ÉäV Éä M ÉB |ÉʶÉIÉhÉÉÌl ɪÉÉå i Él ÉÉ º ÉÒ{ÉÒB º É uùÉ®úÉ B ¡ ò +Éäº ÉÒ]õÒ º Éä ± ÉÒ M É<Ç º Éä ÉÉ+Éå Eò É Ê´É´É®úh É Details of trainees sent for FoCT and services of FoCTs availed by CPS

c.

EÞò Ê¹É º ÉÉvÉxÉÉå Eò É º ÉɨÉÚʽ Eò | ÉÉ{ÉhÉ Collective procurement of inputs.

d.

º ÉÒ{ÉÒB º É uùÉ®úÉ º l ÉÉÊ{Éi É V Éè É J ÉÉn ù <Eò É<ǪÉÉå Eò Ò º ÉÆJ ªÉÉ No. of organic manure units set up by CPS

e.

C ªÉÉ +É{É B Eò ÒEÞò i É xÉÉÊ®úªÉ± É Ê´ÉEò ɺ É Eò ɪÉÇGò ¨É Eäò ± ÉɦɦÉÉäM ÉÒ ½ èþ? ªÉÊn ù ½èþ i ÉÉä | ÉÉ{i É ± ÉɦÉÉå Eò É Ê´É´É ®úhÉ Are you a beneficiary of integrated coconut development programme. If so. details of benefits availed thereof.

f.

xªÉÚxÉi É¨É º ɨÉl ÉÇxÉ ¦ÉÉ´É Eäò +vÉÒxÉ J ÉÉä{Éc ÷É | ÉÉ{ÉhÉ Eäò ʱ ÉB ÊEò B M ÉB Eò ɪÉÇ Activities undertaken for copra procurement under MSP

g.

b ÷É¤É Eò Ò i ÉÖc ÷É<Ç +É è®ú Ê´É{Éh ÉxÉ Eäò ʱ ÉB =`öÉB M ÉB Eò n ù¨É Steps taken for tender coconut harvesting and marketing

h.

+Æi É®úɺ ɺ ªÉxÉ Eò Éä ¤ÉgøÉ´ÉÉ n äùxÉä Eä ò ʱ ÉB ÊEò B M ÉB {ɽ ± É Initiatives taken for promoting intercropping

i.

xÉÉÊ®úªÉ± É xɺ ÉÇ®úÒ º l ÉÉÊ{Éi É Eò ®úxÉä Eäò ʱ ÉB =`öÉB M ÉB Eò n ù¨É Steps taken for setting up coconut nursery

j.

+xªÉ º É®úEò É®úÒ +ʦÉEò ®úhÉÉå Eäò º ɽ ªÉÉäM É º Éä ÊEò B M ÉB Eò ɪÉÉç Eò É Ê´É´É®úhÉ Details of activities undertaken in association with other government agencies

k.

xÉÉÊ®úªÉ± É b ä÷]õɤÉäº É + xÉÖ®úI ÉhÉ Eò É Ê´ É´É®úhÉ Details of up keeping the database on coconut

l.

Eäò ®úÉ º ÉÖ®úIÉÉ ¤ÉÒ¨ÉÉ Eäò +vÉÒxÉ xÉÉÊ ®úªÉ± É {Éäc ÷Éå Eò Éä º ÉÖ®úÊIÉi É Eò ®úxÉä Eäò ʱ ÉB {ɽ ± É Initiatives taken for insuring coconut palms under Kera Suraksha Insurance

m.

º Én ùº ªÉÉå Eò Éä ÊEò º ÉÉxÉ Gäò Êb ÷]õ Eò Éb Ç÷ Ên ù± ÉÉxÉä Eäò ʱ ÉB ÊEò B M ÉB {ɽ ± É Initiatives taken for availing Kissan Credit card for members

10 xÉÉÊ®úªÉ± É =i {ÉÉn ùEò ¡äò b ÷®äú¶ÉxÉ M ÉÊ`öi É Eò ®úxÉä Eäò ʱ ÉB | ɪÉɺ É* ªÉÊn ù º ÉÒ{ÉÒB º É Ê¨É± ÉEò ®ú ¡äò b ÷®äú¶ÉxÉ ¤É xÉɪÉÉ M ɪÉÉ ½èþ i ÉÉä ¡ äò b ÷®äú¶ÉxÉ Eò É xÉÉ¨É B ´ÉÆ {ÉÆV ÉÒEò ®úhÉ º ÉÆJ ªÉÉ Efforts made for forming Coconut Producers Federation. If the CPS is already federated, the name and Reg. no of the Federation

11 xÉÉÊ®úªÉ± É =i {ÉÉn ùEò ¡äò b ÷®äú¶ÉxÉ M ÉÊ`öi É Eò ®úxÉä Eäò ʱ ÉB | ɪÉɺ É* C ªÉÉ +É{É | ÉÉäb ÷¬Úº É®ú EÆò {ÉxÉÒ Eäò º Én ù º ªÉ ½è ? ªÉÊn ù ½ ÉÄ i ÉÉä =Hò EÆò {ÉxÉÒ Eò É xÉÉ¨É +Éè®ú {ÉÆV ÉÒEò ®úhÉ º ÉÆJ ªÉÉþ

Efforts made for forming Producer Company Are you a member of a Producer Company. If yes the name and Reg No. of the PC

12 +É´Éän ùEò /xÉÉʨÉi É ´ªÉÊHò Eäò ªÉÉäM Én ùÉxÉ Êº Érù Eò ®úxÉä ½ äþi ÉÖ +xªÉ º ÉÚS ÉxÉÉ (ªÉÊn ù +ɴɶªÉEò ½ þÉä i ÉÉä +±ÉM É ¶ÉÒ]õ Eò É ={ɪÉÉäM É Eò ®åú) Other information to substantiate applicant’s / nominee’s contribution (Use separate sheet if required)

xÉÉʨÉiÉ ´ªÉÊHò/+É´ÉänùEò EòÒ PÉÉä¹ÉhÉÉ Declaration of the Nominee / Applicant

¨Éé / ½ É. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ({ÉÖj É/{ÉÖj ÉÒ/{Éi xÉÒ) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . {Éi ÉÉ . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B iÉn ÂùuùÉ®úÉ P ÉÉäʹÉi É

Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ ÚÄþ ÊEò >ð{É®ú n ùÒ M É<Ç º ÉÚS ÉxÉÉ º ÉS É B ´ÉÆ º ɽ þÒ ½ èþ +Éè®ú º É´ ÉÉækÉ¨É xÉÉÊ®úªÉ± É =i {ÉÉn ùEò º ÉÉäº ÉÉ<]õÒ (º ÉÒ{ÉÒB º É) {ÉÖ®úº Eò É®ú Eäò ʱ ÉB xÉÉ Ê®úªÉ± É Ê´ÉEò ɺ É ¤ÉÉäb Ç÷ uùÉ®úÉ ÊxÉvÉÉÇÊ ®úi É ÊxɤÉxvÉxÉ +É è®ú ¶Éi ÉÉç Eò É {Éɱ ÉxÉ Eò °ÄüM ÉÉ/Eò °ÄüM ÉÒ/Eò ®åúM Éä*

I / we. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . address . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . hereby declare that the information furnished above is true and correct to the best of my knowledge and belief. I shall abide by the terms and conditions prescribed by the Coconut Development Board for the award for the best Coconut Producers Society.

º l ÉÉxÉ Place:

Êi ÉÊl É Date: +É´É än ùEò /xÉÉʨÉi É ´ªÉÊHò Eò É ½ þºi ÉÉIÉ®ú

Signature of applicant / nominee

|ÉɪÉÉäVÉEò EòÒ ºÉƺiÉÖÊiÉ Recommendation of the sponsor

¨Éé º É´ÉÉækÉ¨É xÉÉÊ ®úªÉ± É =i {ÉÉn ùEò º ÉÉäº ÉÉ<]õÒ (º ÉÒ{ÉÒB º É) {ÉÖ®úº Eò É®ú Eäò ʱ ÉB ..................... ..............................Eò Ò º Éƺ i ÉÖÊi É Eò ®úi ÉÉ/Eò ®úi ÉÒ ½ÚÄþ*

I sponsor ……………………. ……………………………. for the award for the best Coconut Producers Society

º l ÉÉxÉ Place: ½ þº i ÉÉIÉ®ú Signature: Êi ÉÊl É Date: xÉÉ¨É ´É {Én ùxÉÉ¨É Name and designation: