Farmer Registration Form

Personal information

Name*:

Father's name*:

Date of Birth*:

Gender*: Male Female

Mobile*:

Whathsapp number:

Email:

Address

State*:

District*:

Block*:

Panchayat*:

Village*:

PIN*:

Dcument details

Aadhaar number*:

PAN Number:

Bank name*:

Branch name*:

Account number*:

IFS Code*:

Type of Farmer*: Small agriculture farmer Agriculture farmer Agriculture and animal husbandry farmer

Upload documents

Profile photo*:

Aadhaar*:

PAN:

Bank Passbook*:

Land Reciept:

Captcha Code*:

sync

* Required field.
** Profile photo file type is image only and size should be less than 100 Kb.
*** Doucument is pdf or image and size should be less than 500 Kb.