Hatchery Production

(Internal/ External)

Registration No :
District:
Date of Registration:
Type of Registration:

Type of Applicant:
Name of the applicant :
Address details
Permanent Address
State :
District:
Block:
Panchayat/Village:
Corporation:
Production Details
Source < Internal>:
Season:
Genus<>:
Species:
Production Quantity
Production Quantity in Units:
Price Value:
Date of Production:
External Source Details
External Reg No: if any
External QCA No:
Name of the applicant
First Name Middle Last Name
Name
First Name(LC) Middle Last
Name(LC) Name(LC)
Date of Birth
Gender(M/F)
E-mail:
Mobile No Land Phone no
Address Details
Permanent
Address
Address(Local)
Pincode
State
District
Block
Panchayat/Corporation
Uploaded document

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valid Registration Number and all others are inputting fields.

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 Insurance Claim Settlement

Policy No:
**E-token:
Type of Insurance:
Type of Insurance Agency:
Policy Year:
Date of Insurance:
From Date:
To Date:
Insured Amount:
Registration No :
Nominee Name:
Relation Ship to Insured:
E-mail:
Contact No:
District:
Date of Registration:
Type of Applicant:
Name of Insured applicant :
Address details
Permanent Address:
State
District
Block
Panchayat/Village
Corporation
Claim Details:
Claim Purpose<>:
Date and Time of Loss:
Claim Amount Party:
Where did the loss occurred:
Claim Submitted Date:
Loss Description:
Documents Uploaded:
Survey Report:
Actual Claimed Amount:
Claimed Date:
Remarks:
e-Payment:
e-Payment Status id:
e-payment transaction id:
Nominee Name:

Relation Ship to Insured:

E-mail:

Contact No:

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valid Policy Number and all others are inputting fields.

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 Online Help

State

District:<>

Name of the officer :

Name of Office:

Designation:

E-mail:

Contact No:

Feedback Date:

Documents Uploaded:

Feedback:

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inputting fields.

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 Input Form for Permit Applications

Registration
No/License no :
Type of Applicant:
Gender
Name of the applicant
Initial First Name Last name
Mobile no Land phone Email id
no
Uploaded Upload image
Document
Address details
English Local language
Permanent Present
State State
District District
Block Block
Panchayat/Village Panchayat/Village
Corporation Corporation
Permit Details
*Permit no(system generated)
Permit Type<>
Permit for what
Vessel Name
Period_from
Period_to
Permitted Location Details(if permit is TP)
Permitted State
Permitted District
Permitted Block
Permitted Panchayat/village
Permitted Owner Details
Name of the applicant
Initial First Name Last name
Mobile no Land phone no Email id
Uploaded Upload image Gender
Document
Address details
English Local language
Permanent Present
State State
District District
Block Block
Panchayat/Village Panchayat/Village
Corporation Corporation
Fee Details <offline>
System Calculated Remitted Fee
Fee
Mode of Payment Payment Details
Date of Remittance
Fee Details <Online Payment gateway>

Payment
Method<credit card,
debit card, online
bank transfer>
Select Debit
Card<list of bank>
Bill Desk Payment Gateway (Connecting to selected bank)
Card Number
Name of Card
Expiry Date
CW2/CV2 Number
Captcha

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valid Registration number and all others are inputting fields.
 View Feedback

District:<>

Name:

Name of Office:

Designation:

E-mail:

Contact No:

Feedback Date:

Documents Uploaded:

Feedback:

Reply:

Reply Added By:

Date of Reply:

Issue Solved<Y/N>:
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 Insurance Application

Registration No :
District:
Date of Registration:
Type of Registration:

Type of Applicant:
Name of the applicant :
Address details
Permanent Address
State
District
Block
Panchayat/Village
Corporation
Insurance Details
Type of Insurance:
Type of Insurance Agency:
Policy No:
Policy Year:
Date of Insurance:
From Date:
To Date:
Insured Amount:
Marine/Inland:
Document Uploaded:
Nominee Details
Name of the applicant
First Name Middle Last Name
Name
First Name(LC) Middle Last
Name(LC) Name(LC)
Date of Birth
Relation Type<>
Gender(M/F)
E-mail:
Mobile No Land Phone no
Image File
Address Details
Permanent Present
Address Address

Address(Local) Address(Local)

Pincode Pincode
State State
District District
Block Block
Panchayat/Corporation Panchayat/Corporation

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valid Registration Number and all others are inputting fields.

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 Insurance Claim

Policy No:
E-token(auto generated):
Type of Insurance:
Type of Insurance Agency:
Policy Year:
Date of Insurance:
From Date:
To Date:
Insured Amount:
Registration No :
Nominee Name:
Relation Ship to Insured:
E-mail:
Contact No:
District:
Date of Registration:
File Number:
Type of Applicant:
Name of Insured applicant :
Address details
Permanent Address:
State
District
Block
Panchayat/Village
Corporation
Claim Details:
Claim Purpose<>:
Date and Time of Loss:
Claim Amount Party:
Where did the loss occurred:
Claim Submitted Date:
Loss Description:
Documents Uploaded:
Note: Text box marked in blue color are auto populating fields while entering the
valid Policy Number and all others are inputting fields.

Auto Displaying Fields

Data Entered Fields

 Input form for issuing License Certificate

License No :
Period from : ../ .. To : / /
Type of License :
Type of Applicant:
Name of the applicant
Initial First Last Name
Name
Membership Card Type Card number
details

Date of birth Main source Main No. of days involved in fishing

of income occupation annually

Name of Previous Name of Nature of Name

fishing License No & inland waters relationship
village Date (Reg. No)
State :
District:
Block
Panchayat
Fishing Village
Mobile no Land Email id
phone no
Address details
English Local
Permanent Present
State State
District District
Block Block
Panchayat / Village Panchayat/Village
Corporation Corporation
Fee Details <Offline>
System calculated Remitted fees
fee
Mode of payment Payment details
Date of remittance
Fee Details <Online Payment Gateway>
Payment Method<credit card, debit
card, online bank transfer>
Select Debit Card<list of bank>

Bill Desk Payment Gateway (Connecting to selected bank)

Card Number

Name of Card

Expiry Date

CW2/CVC2 Number

Captcha

IF FIXEDGEAR, FILTRATION FIELD, AQUACULTURE, HATCHERY

Reg.No & Date Survey no Re survey no Name of the Area in cents

revenue
village
State :
District :
Block :
Revenue

:village

IF HATCHERY

Genus name Species Name No. of species

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displaying fields of data when entering the valid Registration number.
List of values

1. Type of applicant

 Fish farmer,

 Dealer,

 Contractor,

 Feed growers,

 Seed growers

2. Purpose for issuing Registration & license certificate

 Filtration field,

 Using fixed gear

 Aquaculture

 hatcheries

 fishing vessel and free nets

 inland fishing etc)

3. Type of license

 Fishing and angling

 Selling feeds

 FIXED FISHING GEAR

 FILTRATION FIELD

 AQUACULTURE

 HATCHERY

4. Type of Card

 Aadhar

 Biometric card

 Cooperative society
5. Nature of relationship

 Father

 Mother

 Husband

6. Mode of payment

 Cash

 DD
License certificate
 Application form for QCA

Registration No:

Applicant Name Image

Date of Registration Valid Up to

Address details

English Local
Permanent Present
State State
District District
Block Block
Panchayat / Village Panchayat/Village
Corporation Corporation

IF FIXEDGEAR, FILTRATION FIELD, AQUACULTURE, HATCHERY

Reg.No & Date Survey no Re survey no Name of the Area in cents
revenue village

State :
District :
Block :
Revenue :village

IF HATCHERY
Genus name Species Name No. of species

Name of the applicant

Initial First Name Last name

Submitted Applicant Address Details

Address 1 Address 2 Address 3

 Mobile no Land phone no

Purpose Details<>

E-token

Fee Details <offline>

System Calculated Fee Remitted Fee
Mode of Payment Payment Details
Date of Remittance
Fee Details <Online Payment gateway>
Payment Method<credit card,
debit card, online bank transfer>
Select Debit Card<list of bank>
Bill Desk Payment Gateway (Connecting to selected bank)
Card Number
Name of Card
Expiry Date
CW2/CV2 Number
Captcha

Remarks

Valid From Valid To

Note: Text box marked in blue color are auto populating fields while entering the
valid Registration number and all others are inputting fields.
 Input form for Registration of inland fisheries

Type of Registration :
Type of Applicant:
Name of the applicant
Initial First Name Last name
Membership Card Type Card number
details

Date of birth Main source of income Main occupation No. of days involved in fishing
annually

Name of Previous License No & Name of inland Nature of Name

fishing village Date waters (Reg. No) relationship
State :
District:
Block
Panchayat:
Fishing Village:
Mobile no Land phone Email id
no
Address details
English Local
language
Permanent Present
State State
District District
Block Block
Panchayat/Village Panchayat/Village
Corporation Corporation

Fee Details <offline>

System Calculated Remitted Fee
Fee
Mode of Payment Payment Details
Date of Remittance
Fee Details <Online Payment gateway>

Payment
Method<credit card,
debit card, online
bank transfer>
Select Debit
Card<list of bank>
Bill Desk Payment Gateway (Connecting to selected bank)
Card Number
Name of Card
Expiry Date
CW2/CV2 Number
Captcha
Hatchery Infrastructure
Name of size of No.of No.of size of No of Size of No of Size of incubation
the brrod brrod nursery nursery breeding breeding incubation pool in mu
resource stock stock ponds ponds pool pool in pool
& Type ponds ponds mu

Year wise maintaining broodfish

Sl.no year Sex species No.of Average Source
species weight

Species Details
Genus Name Species Name No of Species

Training Details
Training Type Date Conducted By Remarks

Location Details
Total land area
Total water area
State
District
Block
Panchayat/village
Survey no
Resurvey no
Nearest railway
station
Nearest police
station
< Header>
< Hologram>

<Barcode>

Registration Number :_____ Date of Registration:_____

State Code:____ Validity Period

:DD/MM/YYYY

Type of Registration:___

Year:______

1. Name Of the Applicant

2. Address Details <IMAGE> Of the
State : Applicant

District:

Block:

Panchayat:

Pin code:

Address Details:

3. Type of fixed fear used

4.Unit details : (if RC is for water bodies)

Location

State: District :

Block : Panchayat:

Village: Taluka:

Survey No /Sub Survey No:

Total land area (ha) Total water area (ha) :

Capacity:

Owned/ leased/hired:

Fish species:

PLACE :_____
Signature:____ Seal of Department

Footer
 Other Service form of inland fisheries

Category^1 :
Type of Service^2
Registration Number
License Number
Reason for changing (list attached)^3
Name of the applicant
Membership Card Type Card number
details

Date of birth Main source of income Main occupation No. of days involved in fishing
annually

Name of Previous License No & Name of inland Nature of Name

fishing village Date waters (Reg. No) relationship
State :
District:
Block
Panchayat:
Fishing Village:
Mobile no Land phone Email id
no
Address details
English Local
language

Fee Details <offline>

System Calculated Remitted Fee
Fee
Mode of Payment Payment Details
Date of Remittance
Fee Details <Online Payment gateway>

Payment
Method<credit card,
debit card, online
bank transfer>
Select Debit
Card<list of bank>
Bill Desk Payment Gateway (Connecting to selected bank)
Card Number
Name of Card
Expiry Date
CW2/CV2 Number
Captcha
IF RC related and not for duplicate certificarte
Hatchery Infrastructure
Name of size of No.of No.of size of No of Size of No of Size of incubation
the brrod brrod nursery nursery breeding breeding incubation pool in mu
resource stock stock ponds ponds pool pool in pool
& Type ponds ponds mu
Species Details
Genus Name Species Name No of Species

Training Details
Training Type Date Conducted By Remarks

Location Details
Total land area
Total water area
State
District
Block
Panchayat/village
Survey no
Resurvey no
Nearest railway
station
Nearest police
station

Note: Based on the type of services those particular edited fields which get activated and the
user can edit the changes and that will update in the system.

List of values

1. Category
 Registration
 License

2. Type of Service
If RC
 Change of ownership
 Change of address
 Change of parameters not affecting RC
 RC Duplicate

If LC
 LC duplicate

3. Reason for changing

 Missing
 Lost
 Destroyed
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valid Registration number/License number and all others are inputting fields.

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Data Entered Fields

 Renewal Form of Inland Registration Application

Registration No :
Date of Application:
Documents Uploaded:
Registration Period From:
Registration Period To:
Type of Registration:
Previous Registration No:
Previous Registration Period From:
Previous Registration period To:
District:
Date of Registration:
File Number
Type of Applicant:
Name of the applicant
Address details
Permanent Address
State
District
Block
Panchayat/Village
Corporation
Hatchery Infrastructure Details
Name of the resource & Type
No.of brood stock ponds
Size of brood stock ponds
No.of nursery ponds
Size of nursery ponds
No of breeding Pool
Size of Breeding Pool
No of incubation pool
Size of Incubation pool
Species Details
Genus Name
Species Name
No of Species
Fee Details <offline> [Renewal Registration Fee]
System Calculated Fee Remitted Fee
Mode of Payment Payment Details
Date of Remittance
Fee Details <Online Payment gateway>

Payment Method<credit card, debit

card, online bank transfer>
Select Debit Card<list of bank>
Bill Desk Payment Gateway (Connecting to selected bank)
Card Number
Name of Card
Expiry Date
CW2/CV2 Number
Captcha

Note: Text box marked in blue color are auto populating fields while entering the
valid Registration number and all others are inputting fields.

Auto Displaying Fields

Data Entered Fields

 Renewal Form of Inland Registration Application

Registration No :
Date of Application:
Documents Uploaded:
Registration Period From:
Registration Period To:
Type of Registration:
Previous Registration No:
Previous Registration Period From:
Previous Registration period To:
District:
Date of Registration:
File Number
Type of Applicant:
Name of the applicant
Address details
Permanent Address
State
District
Block
Panchayat/Village
Corporation
Hatchery Infrastructure Details
Name of the resource & Type
No.of brood stock ponds
Size of brood stock ponds
No.of nursery ponds
Size of nursery ponds
No of breeding Pool
Size of Breeding Pool
No of incubation pool
Size of Incubation pool
Species Details
Genus Name
Species Name
No of Species
Fee Details <offline> [Renewal Registration Fee]
System Calculated Fee Remitted Fee
Mode of Payment Payment Details
Date of Remittance
Fee Details <Online Payment gateway>

Payment Method<credit card, debit

card, online bank transfer>
Select Debit Card<list of bank>
Bill Desk Payment Gateway (Connecting to selected bank)
Card Number
Name of Card
Expiry Date
CW2/CV2 Number
Captcha

Note: Text box marked in blue color are auto populating fields while entering the
valid Registration number and all others are inputting fields.

Auto Displaying Fields

Data Entered Fields

 Renewal Form of Inland License Application

License No :
Date of Application:
Documents Uploaded:
License Period From:
License Period To:
Type of License
Previous License Period
From:
Previous License period
To:
District:
Date of Registration:
File Number:
Type of Applicant:
Name of the applicant :
Address details
Permanent Address
State
District
Block
Panchayat/Village
Corporation
Hatchery Infrastructure Details
Name of the resource & Type
No.of brood stock ponds
Size of brood stock ponds
No.of nursery ponds
Size of nursery ponds
No of breeding Pool
Size of Breeding Pool
No of incubation pool
Size of Incubation pool
Species Details
Genus Name
Species Name
No of Species
Fee Details <offline> [Renewal License Fee]
System Calculated Fee Remitted Fee
Mode of Payment Payment Details
Date of Remittance
Fee Details <Online Payment gateway>

Payment Method<credit
card, debit card, online
bank transfer>
Select Debit Card<list of
bank>
Bill Desk Payment Gateway (Connecting to selected bank)
Card Number
Name of Card
Expiry Date
CW2/CV2 Number
Captcha

Note: Text box marked in blue color are auto populating fields while entering the
valid License number and all others are inputting fields.

Auto Displaying Fields

Data Entered Fields