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Application Form
 
Registration - Mission Green
  We are* : Individual / Farmer / Institution / School
NGO / Company / Govt Office
We will be pleased to be a part of Mission Green project of Nopasna
We will be interested in offering our land(s) for plantation :
We will be interested in adopting  trees :
We will be interested in doing plantation on public lands :
We will be interested to work for identifying lands for plantation :
We will like to donate money Rs._____________ for this project. :
We undertake to collect funds from others. Target Rs.___________. :
Name of land owner :
Address :
City :
Pincode :
Contact person :
Telephone Number :
Mobile Number :
Email ID :
The details of the land which can be used for plantation are:   Land area : _________ acres / sq. ft. :
Type of land : Grassland / Tree cover / Hill slope
Flat land / Totally barren
Water Supply : available, tank at site  / available but no tanks 
no water source nearby
others :
Water tanks : ready at site / will be arranged by land owner 
to be arranged
Fencing : fully fenced / partly fenced 
fenced but needs repair  / No fencing
Pits: size 1’x1’x1’ : ready / will be made by land owner 
to be made by volunteers
Manure and soil : ready at site / will be arranged by land owner
The details of the person coordinating from Nopasna, Mission Green Team
Contact person :
Mobile Number :
Email ID :
Address :
City :
Any other suggestions / ideas for the project :
Date* :
Place* :