Application for water for Irrigation

[See rule 9 (3)] Application for water for Irrigation. No. of application:—. To, The Canal-Officer, …. I, ... resident of village ... Taluka ... District ... make this application of Irrigation of land hereinafter described subject to the provisions of Goa, Daman and Diu Irrigation Act, 1973 and any other law for the time being in force relating to irrigation and the provisions of Goa, Daman and Diu Irrigation Rules, 1975 and subject to the conditions specified on this application to which I agree [Table columns: 1 Name of village, 2 Name of Distibutary, 3 Name of sub-distributary, 4 Outlet No., 5 Survey No. and sub-survey No., 6 Area of survey No., 7 Area of holding, 8 Area to be irrigated, 9 Crop, 10 Period for which water is required]. 2. I am the ... of the lands for which water has been applied for. 3. I have paid all arrears of water rates upto and including the…. season of 19 ... I am in arrears of water-rates for the... only. 4. The name and address of the applicant to whom the orders on this application should be communicated are ... Signature or Left Hand Thumb Impression of the Applicant. Date:—. Signature of Witness. (All the details of the application have to be filled up) by the applicant. Forwarded for sanction as follows: (1) Area to be sanctioned (2) Period of sanction From ... to ... (3) Water-rate to be charged ... per hectare ... Signature. Dated:—. Sanctioned. Date:—. [Instructions 1-7 and Conditions 1-8 provided in original document].