Applicant Details

Name of Applicant *

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Type of applicant *

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Employee Committee

Individual(s)

DM Agent

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Whether applying permit for the first time in the Half year concerned *

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Yes

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Permanent Address

Address Line 1 *

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Address Line 2

Address Line 3

State *

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District

PIN Code *

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Country *

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Previous application details

No. of Trees for which tree Tax already paid for the Half Year concerned *

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Application Number under which Tree Tax is Paid *

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Are you applying for the same trees for which Tax is already paid *

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Yes

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No. of additional Trees for which Tree Tax to be paid *

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Tree Tax

Toddy Shop Licence Details

Division *

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Taluk *

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Circle *

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Range *

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Group No.

Total number of Toddy Shops *

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Name of licensee(s)

Name of licensee(s) *

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Toddy Tapping Details

Division from where Toddy is to be tapped *

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Taluk from where Toddy is to be tapped *

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Circle from where Toddy is to be tapped *

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Range from where Toddy is to be tapped *

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Toddy Shop Group No. from limits of which Toddy is to be tapped *

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Toddy Shop No. from limits of which Toddy is to be tapped *

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Name of the Land Owner *

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Survey No. of the land where trees are located *

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Type of Tree *

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Coconut

Palmyrah

Sago

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No. of Trees to be Tapped *

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Quantity of Toddy to be Transported (In Litres) *

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Vehicle Number for transporting Toddy *

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Alternate Vehicle No. *

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Applying for tapping toddy for the half year *

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First half year (from 1st April to 30th September)

Second half year (from 1st October to 31st March)

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Year intended for half yearly license *

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Date of Permit From *

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Date of Permit To *

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Transportation Time (From) *

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Transportation Time (To) *

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Route *

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Quantity of Toddy (in Litres) to be transported to each Shop in the Group

Toddy Shop No. *

Quantity of Toddy to be transported to the Shop *

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