ANDHRA PRAGATHI GRAMEENA BANK HEAD OFFICE :: KADAPA. Circular No BC CD Date:

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1 ANDHRA PRAGATHI GRAMEENA BANK HEAD OFFICE :: KADAPA Circular No BC CD Date: IMPLEMENTATION OF NATIONAL AGRICULTURAL INSURANCE SCHEME (NAIS) FOR KHARIFF 2012 SEASON GUIDELINES Attention of the Branches / Offices / Societies is drawn to the captioned subject. The Regional Office, Agriculture Insurance Company (AIC) of India Limited, Hyderabad, vide their lr.no. AIC/ 2012 dt has communicated the guidelines on implementation of National Agricultural Insurance Scheme (NAIS) for Kharif 2012 season i.e. for crop loans disbursed by the Banks during the period from to in Prakasam and Nellore Districts and from to in all other districts. The guidelines issued are furnished here below for implementation by our Branches / Offices / Societies during Kharif 2012 Major changes in implementation of this scheme in KHARIF-2012 Season: 1. In four districts viz, Anantapur, Kadapa, Kurnool and Chittoor, Groundnut crop is being covered under Weather Based Crop Insurance scheme (WBCIS). During Kharif 2012, Sweet Lime crop is also being covered under WBCIS in Kadapa District. As regards to other crops in the said districts the insurance coverage is available under NAIS. 2. RICE crop continue to be under the village insurance unit scheme in Nellore, Prakasam, Kurnool and Kadapa Districts for KHARIF-2012.For Anantapur District, village is made as insurance unit in respect of REDGRAM crop. As the revenue village is the unit of Insurance under the village Insurance scheme, to avoid confusion and facilitate correct reporting, the revenue village list with code numbers are made available in address aichydro@rediffmail.com and the password is Kharif. 3. As regards Banana crop, the State Level Co-ordination Committee on Crop Insurance (SLCCCI) decided to notify under WBCIS in the Rabi season. 4. The Government of Andhra Pradesh issued ordinance / notification of A.P. land licensed cultivators under which the loan eligibility cards are being provided and the card holders can avail finance from the banks for crop production. Such farmers are eligible to get cover as loanee farmer under the crop Insurance scheme. GENERAL GUIDELINES: 1. Insurance coverage is compulsory for all loanee farmers availing Crop loans/kcc limits for notified crops in notified areas upto the full (disbursed) loan amount.

2 2. computation should be done accurately, as per the applicable rates given in this circular. Branches should allow premium subsidy of 10% in respect of small and marginal farmers and Branches/Societies shall remit the net premium only in respect of coverage of both Loanee and Non-Loanee categories. Remittance of excess premium shall not entitle for increase in sum insured at a later date and refund of such excess remittances shall be solely at the discretion of Agriculture Insurance Company of India Limited (AIC). The Banks will be paid service 2.50% of the net premium by the AIC of India Ltd. Regional Offices shall submit claim to AIC of India Ltd., immediately after remitting the premium for each season and follow up till the claim is settled. I) SMALL FARMER: A cultivator with a land holding of 2 hectares or less, as defined in the land ceiling legislation of the concerned State / UT. 3. II) MARGINAL FARMER: A cultivator with a land holding of 1 hectare or less. 3. Based on statements received from Branches / Societies, the concerned Regional Office shall consolidate the particulars, prepare Declarations and submit to AIC of India Ltd. as per time schedule. 4. Only one consolidated statement (ARM-4) for one crop per Village / Mandal for each month should be submitted for each category i.e. Loanee and Non-loanee farmers. Monthly Cut-Off dates should be strictly adhered to. 5. should be remitted by the regional offices through single demand draft for one lot of declarations favouring AIC of India, Axis Bank A/c No payable at Hyderabad. However, separate DDs should be drawn for Loanee and Non- Loanee farmers for each season. 6. Care should be taken to furnish complete and accurate information and codes in the crop insurance statement (ARM-4) with respect to village, mandal, crop, month of loaning, no. of farmers, sum insured etc. in each month. In case of any omissions in respect of required information, the declaration will be returned along with Demand Drafts. 7. CROP SOWN AREA SHOULD BE REPORTED IN HECTARES ONLY IN ARM-4 STATEMENT. 8. Care should be taken to mention IRRIGATED or UNIRRIGATED since crops like GROUNDNUT (IRRIGATED), GROUNDNUT (UN-IRRIGAGED), COTTON (IRRIGATED), COTTON (UN-IRRIGATED), RED CHILLIES (IRRIGATED), RED CHILLIES (UN-IRRIGATED), SUGARCANE (PLANT) and SUGARCANE (RATOON), are notified separately.

3 9. In case of loanee farmers, the entire crop loan disbursed shall be covered on compulsory basis. In case of farmer desires to extend the sum insured upto 150% of the value of the average yield, can exercise the option by submitting a proposal form (like Non-loanee farmers) at the Branch / Society and by paying actuarial premium on additional sum insured on or before All the declarations, where farmers opted for extended coverage need to be submitted to the AIC of India on or before Even if crop loan amount exceeds maximum sum insured, flat rates only to be charged. 10. Guidelines for coverage of Pragathi Kisan Credit Cards (PKCC) under NAIS: While issuing Pragathi Kisan Credit Cards, branches shall specify crop-wise and season-wise sub limits sanctioned on the card. Credit limit for other purposes, if any, need also to be specified on the card. Since crop insurance premium rates and claims settlement are crop and season specific, while withdrawing of credit by the farmer, branches shall ensure the purpose i.e. crop, acreage and season for which the credit is withdrawn by the farmer. Loans under Pragathi Kisan Credit Cards shall be covered on the basis of actual withdrawals (and not on the basis of sanctioned limits under the card) and normal coverage during a particular season under the card shall not exceed the crop wise sub limit specified. Farmers desiring coverage of higher sum insured beyond the loan amount, as permissible under the scheme, shall do as per the seasonality discipline applicable for non-loanee farmers. The State Level Coordination Committee on Crop Insurance can specify an alternative seasonality discipline (truncating the period of withdrawals eligible for coverage) during periods of calamities to discourage exploitation of the scheme provisions. Separate crop insurance declarations may be submitted for Pragathi Kisan Credit loans and regular crop loans, if any. Coverage of insurance can also be extended to crop loans disbursed through Rythu Mitra Groups / Joint Liability Groups. 11. Guidelines for covering Notified Crops of Non-loanee Farmers (each paper shall be submitted in duplicate): OPTIONAL COVERAGE: The Non-Loanee farmers at their option can avail coverage for notified crops under NAIS by submitting the proposal form alongwith date of sowing certificate duly filled in by the farmer and certified by Agricultural Officer / Village Revenue Officer. Branches / Societies, while accepting the Non-Loanee proposal form should invariably obtain the Date of sowing certificate from the farmer.

4 The age of the crop on the date of submitting the proposal should be less than ONE MONTH from the date of sowing. Non-loanee farmer desiring coverage under NAIS should have a Savings Bank Account in the branch where the proposal is submitted. The crop insurance declarations for non-loanee farmers should be submitted only in the form prescribed for non-loanee farmers and should be accompanied by separate Cr.IBA towards premium, separate statement giving month-wise / Mandal-wise / cropwise / non-loanee farmer-wise details of coverage and copies of proposal forms, copies of farmer-wise date of sowing certificate. The formats of declaration form for Loanee farmers, declaration form for Non-loanee farmers, Proposal form for Loanee farmer opting higher sum insured, Proposal form for Non-loanee farmer, date of sowing certificate, statement showing month-wise / mandal-wise / crop-wise / non-loanee farmer-wise details are enclosed for the use of branches. The cut-off date for submission of proposals by non-loanee farmers to branches / Societies for all crops is 31 st July 2012 and for submission of ARM-4 by the branches to Regional Office is 5 th August 2012 AIC reserves the right to verify all the non-loanee records, if deemed necessary. The Govt. of Andhra Pradesh have notified the implementation of National Agricultural Insurance Scheme (NAIS) taking Village as Insurance Unit during Khariff 2012 in the following Districts for the crops mentioned against each district. S.No. Name of the District Crop 1 Nellore Rice 2 Prakasam Rice 3 Kadapa Rice 4 Kurnool Rice 5 Anantapur Red gram In respect of the above Crops / Districts, the Declarations shall be submitted Village wise only. Branches and societies are advised to prepare revenue village wise crop insurance statements (ARM-4) for the above mentioned crops and Mandal wise crop insurance statements (ARM-4) for other crops. The details of notified crops and Mandals/Districts are given below:

5 Name of the District ANANTHAPUR KADAPA KURNOOL NELLORE PRAKASAM Notified Mandals All Mandals All Mandals All Mandals All Mandals All Mandals (* village made as Insurance unit) Notified Crops 1) Rice, 2) Jowar 3) Bajra, 4) Redgram * 5) Cotton (un-irrigaged), 6) Sunflower 7) Chillies (irrigated) 8) Maize 1) Rice * 2) Sunflower 3) Jowar 4) Redgram 5) Cotton (irrigated) 6) Cotton (un-irrigated) 7) Bajra 8) Turmeric 9) Sugar Cane (P) 10) Sugar Cane (R) 1) Rice* 2) Sunflower 3) Jowar 4) Redgram 5) Cotton (irrigated) 6) Cotton (un-irrigated) 7) Bajra 8) Chillies (irrigated) 9) Chillies (un-irrigated) 10) Castor 11) Sugarcane (P) 12) Sugar Cane (R) 13)Korra 1) Rice* 2) Bajra 3) Groundnut (irrigated) 4) Sugarcane (P) 5) Sugarcane (R) 1) Rice* 2) Maize 3) Redgram 4) Cotton (irrigated) 5) Cotton (un-irrigated) 6) Bajra 7) Chillies (irrigated) 8) Chillies (un-irrigated) 9) Castor. III. TYPES OF COVERAGE, PREMIUM & SEASONALITY DISCIPLINE: The following table contains the coverage, seasonality discipline, cut-off date for submission of statements to Regional Office etc.

6 A) Crop wise seasonality discipline For Loanee Farmers Crop Rice, Jowar, Maize, Red Gram, Black Gram, Bajra, Castor, Sunflower, Groundnut (irrigated), Cotton (irrigated), Cotton (un irrigated), Red Chillies (irrigated), Red Chillies (un irrigated), Soya Been, Korra & Green Gram Loanee farmers loaning period for Kharif 2012 Loans disbursed between to in Kadapa, Anantapur and Kurnool districts and to in Prakasam and Nellore districts Turmeric to Sugarcane (Plant) Sugarcane (Ratoon) Loans disbursed between to for all districts. Final cut-off date for submission of statements to concerned ROs for Kadapa, Anantapur and Kurnool districts and for Prakasam & Nellore districts. Branches should ensure to submit statements for every month to concerned ROs by 5 th of succeeding month without inviting any reminders and ROs shall submit the consolidated crop insurance statement / declaration to AIC before 8 th for all districts by branches to Regional Offices. Branches should ensure to submit statements for every month to concerned ROs 5 th of succeeding month without inviting any reminders and Regional Offices shall submit the consolidated crop insurance statements / declaration to the AIC before 8 th for all districts. Branches should ensure to submit statements for every month to concerned ROs 5 th of succeeding month without inviting any reminders and ROs shall submit the consolidated crop insurance statement to AIC before 8 th. Note: i) For all other crops, Season final cut-off date is subject to monthly cut-off date and for Turmeric, the final cut-off date for receipt of Declarations by the AIC of India Ltd. shall be ii) The above seasonality is applicable for loanee farmers, where the coverage is compulsory. iii) If any claim is refused by the AIC due to delay caused in submission of the crop insurance statement/s by any branch / society, the concerned Manager and Assistant Manager (Adv.) / MD will be held personally responsible for all the consequences that may arise. B) For Non-Loanee farmers Crop category Cutoff date for submitting the proposal Cut-off date for submission of non-loanee declarations by bank to AIC of India Ltd.

7 All Crops 31 st July st August 2012 Notified Crop Crop wise levels of indemnity, limits of sum insured and applicable premium rates for Kharif 2012 Level of Indemnity Normal Coverage Per Hectare (Upto Value of Threshold Yield) Sum Insured (Rs.) Additional Coverage Per Hectare (Beyond Value of threshold yield and upto 150% of value of average yield) Normal Rate (%) Sum Insured (Rs.) Maximum coverage (per Hect.) Actuarial Rate (%) Sum Insured (Rs.) A B C D E F G (C + E ) Food Crops and Oilseeds Rice 80% Jowar 60% Bajra 60% Korra 80% Maize 60% Black Gram 60% Green Gram 60% Red Gram 60% Groundnut (Irrigated) 80% Groundnut (UI) 80% Castor 60% Soyabean 80% Sunflower 60% Annual Commercial / Annual Horticultural Crops Sugarcane (Plant) 90% Sugarcane (Ratoon) 90% Cotton (Irrigated) 60% Cotton (UI) 60% Red Chillies (Irrigated) 60% Red Chillies (UI) 60% Turmeric 80% Note: 1) For loanee farmers entire crop loan amount disbursed for notified crop to be compulsorily covered. 2) In case of Non-Loanee farmers T.Y.Limit in column No.C above is the normal coverage at flat rates. 3) Loanee and Non-loanee farmers can also opt for higher coverage (i.e., upto 150% of AY limit) by

8 = payment of actuarial rates for difference in the sum Insured. 4) For small and marginal farmers 10% premium subsidy is applicable. Therefore net premium (premium 10% of premium as subsidy) alone is to be collected. 1. Normal Coverage: Sum Insured (i.e. part-a of loanee and non loanee declaration formats): a) Compulsory coverage of full loan amount for loanee farmers. b) Optionally upto the limit as per Col. C in case of non-loanee farmers. c) Normal premium rates as per Col. D shall be applicable.. 2. Extended Coverage: Sum Insured (i.e. Part-B of loanee declaration format): a) Coverage is optional upon submission of a proposal before b) If the loan amount is less than the value of Threshold Yield i.e. Col. C, extended coverage will be beyond loan amount upto the limit as per Col. C. c) Normal premium rates as per Col. D shall be applicable. 3. Additional Coverage: Sum Insured (i.e. Part-C of loanee and Part-B of non loanee declaration format): a) Coverage is optional upon submission of a proposal. b) Beyond Normal and / or Extended coverage and upto 150% of value of average yield i.e. upto the maximum limit as per Col. G. c) Actuarial Rates as per Col. F shall be applicable. d) All the declarations where the farmers opted for extended coverage need to be submitted to the AIC on or before IMPORTANT CONDITIONS APPLICABLE FOR COVERAGE OF RISK: 1) Loans given for unsown areas will not be covered by the Scheme, because, indemnity claims will arise under the Scheme, only after the crop has been sown and in the event of crop failure. Mere disbursement of loans by the branches / submission of proposal by a Non-loanee farmer will not entitle him for compensation under the scheme. 2) In the areas where crop is sown but, withered away / damaged on account of adverse seasonal conditions and where there is no possibility of reviving the crop, no further loaning should be made by the branches / Societies. Any further loaning in such cases shall not be covered by the scheme. 3) The branches while disbursing the crop loans should ensure proper end use of the loan disbursed, i.e. loans insured for a crop should have actually been utilized for raising the same crop which can be ascertained from field as well as revenue records. IV OTHER GUIDELINES: 1) While submitting the crop insurance statement (ARM-4) to the concerned RO, Branches / Societies shall mention the name of the Village / Mandal where lands are located as notified Village / Mandal and not the name of the Village / Mandal where the farmer resides.

9 2) Branches / Societies are advised to submit the NIL statement under crop insurance for April 2012 and May 2012 if they have no transactions(before receiving these guidelines) 3) The premium has to be debited as and when the loan is disbursed. 4) Wrong declaration of name of the Crop, Mandal, etc. should be avoided. 5) a) ARM-4 (crop insurance) statements should be submitted crop wise, Mandal / Village wise and month wise, separately for Loanee and Non Loanee farmers. b) The ARM-4 (crop insurance) statements for Rice crop in case of Nellore, Prakasam, Kurnool and Kadapa Districts shall be prepared revenue village wise with Mandal name and submitted to concerned ROs. 6) should be remitted through single Cr.IBA for each month for loanees and non-loanees separately. 7) Agricultural Jewel Loans are not eligible for coverage under NAIS. 8) Whenever clarifications are sought by AIC or the banks indicate revisions, the same must be furnished within 15 days from the date of submission of declarations, to entertain the revisions. 9) The Regional Offices should submit, consolidated data on number of SC/ST farmers covered, Village / Mandal wise, as the Government of Andhra Pradesh requires the same. 10) The Regional Offices shall review the reporting register each month and obtain a certificate signed by the Assistant Manager (Advances) and Branch Manager, confirming coverage of all eligible crops under the crop insurance and correctness of calculation of premium, code numbers etc., in the statement. 11) The Regional Office in turn shall send a certificate to Head Office, Credit Department, confirming that the branches have covered all crops and crop loans / PKCC limits under crop insurance as per the scheme duly signed by Regional Manager, Senior Manager (Credit) & Nodal Crop Insurance Officer at Regional Office. All the Branches / Societies / Regional Offices are advised to peruse the above guidelines carefully, implement the same scrupulously without any deviations and submit the statement (ARM-4) to the Regional Office every month on or before 5 th of succeeding month. Branches / Societies / Regional Offices are also advised to go through the instructions given vide following Circulars on maintenance of crop insurance register manually, coverage of eligible crops, remittance of premium on or before the stipulated date etc. and follow the same scrupulously. 1. Cir. No BC-CD dt Cir. No BC-CD dt

10 3. Cir. No BC-CD dt It is reiterated that for any mistakes committed in coverage of eligible crops, collection of premium, preparation of crop insurance statement or delay in submission of statements that may result in loss to the farmers, the Manager / Assistant Manager (Adv.) / Managing Director concerned will be held personally responsible and made accountable. Clarifications, if any, on this circular, may be sought from HO-Credit Department, Kadapa. (K. PREETAM LAL) CHAIRMAN ENSURE THAT MANDAL / VILLAGE CODES ARE CORRECTLY REPORTED NAME OF THE CROP IS CORRECTLY REPORTED STATEMENT ALONGWITH CORRECT PREMIUM IS SUBMITTED AS PER SCHEDULE

11 Enclosure to Circular No. Circular No BC CD Date: FROM (Nodal Bank): Address & Phone No.: NATIONAL AGRICULTURAL INSURANCE SCHEME (NAIS) DECLARATION FORM - LOANEE FARMERS TO: AIC OF INDIA Address: 1. Under the provisions of the National Agricultural Insurance Scheme (NAIS), we hereby declare the aggregate amount of all eligible crop loans, to be insured compulsorily, disbursed in the month of.(by branches / Societies under the jurisdiction of our Office) as per the schedule below. We also declare that additional sums insured, if any, as per the options exercised by the farmers are also covered. 2. It is certified i) that no crop loans eligible for coverage are left out by the bank branches / Societies under our jurisdiction, ii) that all Kisan Credit Card loans disbursed / withdrawn and eligible for coverage are also included and iii) that all guidelines with regard to crop loans, issued by RBI / NABARD from time to time have been followed. Dated at.this.day of Name of the Signatory: Authorised signatory of Nodal Bank Designation: SCHEDULE Declaration No.(To be allotted by Bank) Nodal Bank Code: State: A.P. Season: Kharif Year: 2012 Crop: District: Code: Notified Area MANDAL: Mandal Code: Village Village Code: Part A: Compulsory coverage upto the amount of loan disbursed Rate: Category of Farmers 1 Small/Margin al Farmers 2 Other Farmers SUB-TOTAL (A) No. of Farmers No. of Hectares Sum Insured i.e. 100% of Loan Disbursed Full premium N I L Subsidy Remitted Part B: Additional coverage over Part A and upto the amount of value of threshold yield. Rate Category of Farmers No. of Farmers Sum Insured above loan disbursed and upto the value of threshold yield Full premium 1 Small/Marginal Farmers 2 Other Farmers N I L SUB-TOTAL (B) Subsidy Remitted Part C: Additional coverage over Part B upto the value of 150% of average yield. Rate Category of Farmers No. of Farmers Sum Insured above value of threshold yield and upto value of 150% of average yield Full premium Subsidy Remitted 1 Small/Marginal Farmers 2 Other Farmers N I L SUB-TOTAL (C) GRAND TOTAL (PART A + B + C) ) DD No.: DD Date: DD Amount:Rs.

12 TO BE COMPLETED BY AGRICULTURE INSURANCE COMPANY OF INDIA LTD CERTIFICATE NUMBER Receipt No. Date Receiv ed Enclosure to Circular No. Circular No BC CD Date: NATIONAL AGRICULTURAL INSURANCE SCHEME (NAIS) DECLARATION FORM - NON LOANEE FARMERS FROM (Nodal Bank): Address & Phone No.: Address: TO: AIC OF INDIA 1. Under the provisions of the National Agricultural Insurance Scheme (NAIS), we hereby declare the aggregate amount of SUM INSURED, for the proposals received in the month of..(by branches / Societies under the jurisdiction of our Office) as per the schedule below. We declare that additional sums insured above the normal coverage limits, if any, are as per the options exercised by the farmers. 2. It is certified i) that all proposals submitted to the bank branches / Societies under our jurisdiction are covered, ii) that all guidelines with regard to NAIS issued by the SLCCCI from time to time have been followed. Dated at.this.day of Name of the Signatory: Authorised signatory of Nodal Bank Designation: SCHEDULE Declaration No.(To be allotted by Bank) Nodal Bank Code: State: A.P. Season: Kharif Year: 2012 Crop: District: Code Notified Area MANDAL: Mandal Code : Village: Part A: Normal coverage upto the amount of value of threshold yield Village Code: Rate: Category of Farmers 1 Small/Margin al Farmers 2 Other Farmers SUB-TOTAL (A) No. of Farmers Hectares Sum Insured upto the value of threshold yield Full premium N I L Subsidy Remitted Part B: Additional coverage over Part A upto the value of 150% of average yield. Category of Farmers No. of Farmers Sum Insured above value of threshold yield and upto value of 150% of average yield Rate Full premium Subsidy Remitted 1 Small/Marginal Farmers 2 Other Farmers N I L

13 SUB-TOTAL (B) GRAND TOTAL (PART A + B) DD No.: DD Date: DD Amount: TO BE COMPLETED BY AGRICULTURE INSURANCE COMPANY OF INDIA LTD CERTIFICATE NUMBER RECEIPT No. DATE RECEIVED

14 Enclosure to Circular No. Circular No BC CD Date: AGRICULTURE INSURANCE COMPANY OF INDIA LTD., NATIONAL AGRICULTURAL INSURANCE SCHEME PROPOSAL FORM FOR LOANEE FARMER AVAILING HIGHER SUM INSURED (Use separate form for each Notified Area) Name of Bank Branch / FSCS: (Seal) Proposal Form No: State: Andhra Pradesh District: Mandal: Name of the Unit Area as per Notification: (Where land proposed under insurance is located) Season: Kharif Year: 2012 Village: Name of the farmer: S/o / D/o / W/o: Farmer s SB Account No. Residential Address: LAND HOLDING OF THE FARMER (as per Land pass book): Crop Date of availing loan Date of sowing Survey No. Area sown (in Hect.) SUM INSURE D (Rs.) Amount of loan availed PREMIU M RATE (%) S.I. (Beyo nd amou nt of loan availe d & up value of T.Y.) TOTAL PREMIU M (Rs.) S.I. (Between value of T.Y. and upto 150% of the value of Average Yield) Premi um subsid y (Rs.) (As per Notific ation) Total S.I. Norm al Rate (appli cable on col. No.6 & 7) Acutar ial Rate (As per Notific ation) (applic able on col. No.8) payable by farmer (Rs.) Normal Additional Total

15 TOTAL I hereby declare that the provisions of the scheme have been read and understood by / explained to me in detail before completing the Proposal Form. I hereby further declare that the particulars furnished above are true and correct and the age of crops proposed for insurance under this proposal is not more than one month at the time of submission of proposal. Further, the condition of crops proposed for insurance under this proposal is normal as on date. I have not submitted any other crop insurance proposal covering the above mentioned crops during the season under the Scheme either through this bank branch or Primary Agrl. Cooperative Society (PACS) or any other bank branch or under any other scheme or with any other Company. Date: Place SIGNATURE / THUMB IMPRESSION OF THE FARMER Certificate from Competent Authority It is certified that the crop wise Survey No., Area sown and Date of Sowing mentioned in the Proposal Form above are correct. Enclosure to Circular No. Circular No BC CD Date: AGRICULTURE INSURANCE COMPANY OF INDIA LTD NATIONAL AGRICULTURAL INSURANCE SCHEME PROPOSAL FORM FOR NON-LOANEE FARMER (Use separate form for each Notified Area) Name of Bank Branch / FACS: (Seal) Signature & Seal of the Competent Authority (VRO / Ag.Officer / RI / Dy.Tahsildar / Tahsildar) Proposal Form No: State: Andhra Pradesh District: Mandal: Name of the Unit Area as per Notification (Where land proposed under insurance is located) Season: Kharif Year: 2012 Village: Name of the farmer: S/o / D/o / W/o: Farmer s SB Account No. Residential Address: LAND HOLDING OF THE FARMER (as per Land pass book):

16 Crop Date of sowing Survey No. Area sown (in Hect.) Normal S.I. ( value of T.Y.) SUM INSURED (Rs.) PREMIU M RATE (%) Additional S.I. (Between value of T.Y. and upto 150% of the value of Average Yield) TOTAL PREMIU M (Rs.) Tota l S.I. subsidy (Rs.) (As per Notificati on) Normal Rate Acutarial Rate (As per Notification ) Normal Premiu m payable by farmer (Rs.) Additional Total Premiu m TOTAL I hereby declare that the provisions of the scheme have been read and understood by / explained to me in detail before completing the Proposal Form. I hereby further declare that the particulars furnished above are true and correct and the age of crops proposed for insurance under this proposal is not more than one month at the time of submission of proposal. Further, the condition of crops proposed for insurance under this proposal is normal as on date. I have not submitted any other crop insurance proposal covering the above mentioned crops during the season under the Scheme either through this bank branch or Primary Agrl. Cooperative Society (PACS) or any other bank branch or under any other scheme or with any other Company. Date: Place SIGNATURE / THUMB IMPRESSION OF THE FARMER Certificate from Competent Authority It is certified that the crop wise Survey No., Area sown and Date of Sowing mentioned in the Proposal Form above are correct For Bank Use Signature & Seal of the Competent Authority (VRO / Ag.Officer / RI / Dy Tahsildar / Tahsildar)

17 Copy of Land Pass Book received Enclosure to Circular No. Circular No BC CD Date: NATIONAL AGRICULTURAL INSURANCE SCHEME NON-LOANEE FARMERS DETAILS SEASON: DISTRICT: CROP: MANDAL: VILLAGE: BANK (in which the farmers are having account):: S. No. Name of the Farmer Area (Hects) (Actual crop sown area) Total (Rs.) Mention whether the farmer is SF/MF or Others If the Farmer is SF/MF, the amount allowed as a subsidy (Rs.) Net premiu m paid (Rs.) Sum Insured (Rs.) The Bank Account No. and Bank s Name Remarks (if any)

18

19 GRAND TOTALS The non-loanee details statement should be prepared crop wise / mandal wise / village wise and also Bank wise (i.e. in which bank the farmer is having account).

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