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National Fisheries Development Board - Animal & Fish Resources

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Declaration by the ApplicantI/We………………………..........................…………………………..son/daughter/wifeof…………………………….......................................…………………………Workingat……………………………………………………………………… hereby declare that the informationfurnished above is true to the best of my/ our knowledge and belief. I am/ we are fully aware that if it isfound that the information furnished by me/ we/ us is false or there is any kind of deviation/ violation of theconditions under which assistance is provided to me by the NFDB, any action as deemed fit for violation ofthis condition may be taken against me/ us.Date:Place:Signature of the applicant (s)Countersigned by the implementing AgencyDate:Place:Signature and seal of the authorizedrepresentative of the Implementing Agency

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