Add Farmer — Helping Hand for Livelihood Foundation

Farmer Application Form

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1. Personal Information

Name of Farmer *

Relationship & Guardian Name *

Date of Birth *

Mobile Number *

Aadhar Number *

2. Location & Address

State *

District *

Block *

Panchayat *

Ward No. *

Pin Code *

3. Commercial Cultivation Selection & Land Details

Select one or multiple crops below. You can select units for each chosen crop individually.

Select Cultivation Crops & Units *

Agarwood

Rate: ₹7,000/unit

Subtotal: ₹7,000

Vanilla

Rate: ₹7,000/unit

Selected Cultivation Package

Vanilla (1 Unit)

Total Units

1 Unit

Grand Total Payable

₹2,500

Khata No. (Optional)

Khesra No. (Optional)

Area (Sq.ft) (Optional)

4. Farmer Bank Account Details

Bank Name

Account Number

IFSC Code

Branch Name

5. Sponsor / Referral Coordinator

Sponsor Mobile Number / Referral Code * Enter coordinator mobile who referred you to HHLF cultivation programme.

Sponsor Name

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Add Farmer Registration

Commercial Plant Cultivation Registration

Farmer Application Form

Please correct the following errors:

Registration Successful!

1. Personal Information

2. Location & Address

3. Commercial Cultivation Selection & Land Details

4. Farmer Bank Account Details

5. Sponsor / Referral Coordinator

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