GOVERNMENT OF MEGHALAYA

DEPARTMENT OF AGRICULTURE AND FARMER'S WELFARE

APPLICATION FORM FOR REGISTRATION OF FARMERS AND ISSUANCE OF FARMER ID CARD

Under eDistrict MMP

Enclosures:
1. EPIC Card
2. Passbook Copy (Optional)
3. Agricultural Land Use Declaration - Farmer's are requested to download the predefined sample certificate and upload the filled in certificate depending on the land ownership category

Basic Farmer's Details

Farmer's Full Name *

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Gender *

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Date of Birth *

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Age(in years)

Father/Mother/Husband Name

Category *

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Select ID Type *

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ID NUMBER *

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Level of Education

Preference language to receive SMS Advisories *

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Passport Photo(20 kb - 200kb) *

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Farmer's / Sibling/Farmer Friend's Mobile Number *

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Farmer's EPIC Number *

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CSC/PFC Mobile Number *

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Do you have a Bank Account/Jan Dhan Account.If Yes, kindly provide details? *

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Yes

No

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Are you Head of Household? *

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EPIC Number of Head of Household *

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Farmer's Saving Bank Account/ Jan Dhan(जन-धन)Account Details

Bank Name *

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Bank Branch *

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Bank IFSC Code *

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Account Number *

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Confirm Account Number *

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Farmer's Address

District *

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Block *

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Village *

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Address/Locality *

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Farmer's Other Details

Farmer Type *

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Farmer Type(Others) *

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NREGA Job Card No(if any)

Annual Income(in rupees)

Land Ownership *

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Ownership land holding

Single

Joint

Farmer Land Area(In Ha)

Farmer Type Data

Do you want to provide Land Ownership Details? *

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Yes

No

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Ownership Land Details

Land details *

Sl.no *

Survey/Khata No. *

Dag/Khasra No. *

Area(in Ha) *

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Basic details on crops

Crop Details *

Crop Category *

Crop Name *

Area Covered (in hectare) *

Production per year(in quintals) *

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DECLARATION

I Agree *

This is to certify that the information furnished as above are true to the best of applicant's knowledge and belief and that the applicant would be liable for prosecution if found otherwise

Do you consent to share your email Id and mobile number with Rapid Assessment System developed by Government of India for taking your feedback on the service? Yes/No *

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No

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1. Application will be submitted to the concerned District Agriculture Officer, according to the Farmer's Address choosen.

2. Farmers are required to submit/upload required enclosures in clear format.

3. Farmer's Name filled in the Application Form should match with the name as printed in the Savings Bank Account Passbook.

4. Mobile number is required to provide status of their application.