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TD_Form

The document is a proforma application for the grant of timber distribution, requiring personal and family details, purpose of timber use, and verification from local authorities. It includes declarations by the applicant regarding their eligibility and compliance with regulations. The application must be supported by reports from the Panchayat, Patwari, Forest Guard, Block Officer, and Range Officer before final sanction by the Divisional Forest Officer.

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amanthakur000
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31 views4 pages

TD_Form

The document is a proforma application for the grant of timber distribution, requiring personal and family details, purpose of timber use, and verification from local authorities. It includes declarations by the applicant regarding their eligibility and compliance with regulations. The application must be supported by reports from the Panchayat, Patwari, Forest Guard, Block Officer, and Range Officer before final sanction by the Divisional Forest Officer.

Uploaded by

amanthakur000
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TD Form

Annexure-I
PROFORMA FOR APPLICATION FOR GRANT OF TIMBER DISTRIBUTION

1. Name of Applicant. _________________________________

2. Occupation _________________________________
3. Father’s Name _________________________________
4. No. of family members _________________________________
5. Is the applicant head of family _________________________________
6. Village. _________________________________
7. Post Office _________________________________
8. Tehsil _________________________________
9. District _________________________________
10. Panchayat _________________________________
11. Whether the applicant belongs to
‘below poverty line’ family. If yes,
enclose attested copy of certificate
issued by the competent Authority. _______________________________
12. Year in which Timber Distribution
was earlier granted and quantity/
No. of trees granted. ________________________________
13. Purpose for which Timber
Distribution required ________________________________
(whether for new construction of residential
house/cowshed or for maintenance)

14. Details of Timber Distribution required :

Specie Volume in Cubic Name of forest where right


metre exists

15. I, hereby declare that,-

(i) Timber Distribution requirement is not for


construction/maintenance of house located in urban area;
(ii) trees to meet the requirement for construction/maintenance of
house/cowshed are not available on my land;
(iii) I have not sold any trees from my land under the 10 year felling
programme during the last 10 years;
(iv) I have land holding at only one place/more than one place i.e. at
____________________________________________________
. An affidavit regarding my option for getting Timber Distribution
at ______________ has been submitted to the Divisional Forest
Officer, _________________/enclosed herewith;
(v) I am the original right holder and also the head of the family;
(vi) I have not purchased land after obtaining the permission of the
Government under Section 118 of the Tenancy and Land
Reforms Act, 1972;
(vii) I shall not use timber granted to me for the purpose of
construction/maintenance of house to be used for
commercial/hiring purposes;
(viii) I understand that rights and concessions including Timber
Distribution rights are subject to cooperation and participation of
right holders in forest conservancy and I shall perform my duties
for apprehending forest offenders, extinguishing fire etc. and
xi) I shall not misuse the Timber Distribution grant and abide by the
rules/instructions of the Forest Department in this regard.

(Signature of applicant)
Dated ____________ Name in block letters_____________

Verification/report of Panchayat

It is certified that Sh. ______________________ S/o


Sh._______________________ is a permanent resident of village
___________ Mauza ________ and is head of the family. The requirement
of timber of the applicant is genuine and he requires _______ Cum of
timber for construction/maintenance of his house/cowshed. A copy of
resolution passed by the Panchayat in this regard is enclosed.

Seal & Signature of


Dated Pradhan Gram Panchayat
Report of Patwari

Certified that Sh.____________________S/o


Sh.__________________ is a permanent resident of _______
Mauza__________. Applicant is owner of the cultivable land comprising
Khasra number__________ measuring_______ and pays _______ amount
of Rs.________ per annum as land Revenue and has a right to obtain trees
in T.D. He is the head of the family.

Dated Signature Halqua Patwari

Report of Forest Guard:

(i) The applicant has not obtained timber under Timber Distribution for
construction of new residential house/cowshed during his life time/for
the last 30 years/the applicant has not obtained timber under Timber
Distribution for maintenance of residential house/cow shed for the
last 15 years.
(ii) Applicant has not sold any trees from his land during the last ten
years under 10 years felling programme.
(iii) Applicant does not have trees standing on his own private land.
(iv) The applicant has not caused any loss/damage to forest
wealth/encroached forest land and no damage report/FIR/court case
relating to any forest offence is pending against him.
(v) The requirement of timber is on account of __________________.
(vi) The applicant extends full cooperation in protection of the forest.
(vii) The applicant may be sanctioned _____ cum converted timber of
_____ species from _________depot.
(vii) Timber recommended for grant in Timber Distribution are
silviculturally available in the forest where right of the right holder
exists.

Signature
Forest Guard
________________Beat

Report of Block Officer (Deputy Ranger):

(i) Certified that the contents of the application and the certificates given
by the beat Guard are correct.
(ii) I have visited and inspected the site of construction of new residential
house/cow shed/maintenance of residential house/cow shed, where
Timber Distribution grant is proposed to be utilized and also the
forest on spot and the applicant may be granted ____ Cum of timber
of ________ species in converted form which is silviculturally
available from _______forest.

Signature
Block Officer, ________ Block

Report of Range Officer:

The requirement of the applicant is genuine and he may be granted


_____ Cum timber of ________ species from the __________ Depot for
which trees are silviculturally available.

Signature__________
Forest Range Officer _______

Sanction by DFO

______ Cum of timber of ______ species from _______ Depot is hereby


granted to the applicant.

Signature
Divisional Forest Officer,
__________ Forest Division.

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