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Application form farm tourism
1. FORMAT OF THE APPLICATION FORM
(For selection under 'Green Farms Kerala' scheme of the Department of Tourism, Government of Kerala)
1. Name of the entrepreneur/promoter : ............................................................................
2. Address : ...................................................................................................................
...................................................................................................................
...................................................................................................................
Tel: .................................................... Fax: ...........................................
Email: .....................................................................................................
3. Age : ...................................................................................................................
4. Educational qualification : ..................................................................................................
5. Tourism experience, if any
A brief note on your Farm/Plantation : ................................................................
Main attractions in the farm : ...............................................................................
Existing tourism facilities : ......................................................................................
Possible activities: ...................................................................................................................
6. Amount invested for this project : .......................................................................................
7. Details of the Farm/Plantation : .....................................................................................
I. Area of plot (in acres) : ..........................................................................................
□ (minimum 10 acres of farm/50 acres of plantation)
II. Survey number : ...............................................................................................
III. Village : ...................................................................................................................
IV. Taluk : ...................................................................................................................
V. District : ................................................................................................................... 8.
Panchayat/Municipality/Corporation : .......................................................................
9. Accessibility details/route (Please attach route map) :
...................................................................
10. Nearest airport and distance : ......................................................................................
11. Nearest railway station and distance : .......................................................................
12. Nearest city (town) centre and distance : .......................................................................
13. Nearest tourist attraction or centre : ......................................................................................
14. Distance from nearest tourist attractions : ...........................................................................
15. Details of Application fee (Demand Draft : ...........................................................................
of Rs. 1000 drawn in favour of the Director,□Department of Tourism payable at
Thiruvananthapuram)
2. Certified that I am ready to follow the guidelines prescribed for the 'Green Farms Kerala' project by
the Department of Tourism, if I am selected.
Signature of the Applicant
Documents to be enclosed with the Application
1. Copy of proof of ownership of the land
2. Proof of qualification and age
3. Proof of experience
4. Copy (attested) of partnership deed and certificate of registration (ifapplicable)
5. Layout of the farm showing various facilities
6. Photograph of farms