Farmer Membership Application
Please support our efforts of providing genuine, certified & lab. tested grains & groceries directly from farmers to your homes.

Declaration while applying for membership of SWABHIYAN SYSTEM  

  1. I am a Bonafide farmer, I am interested to join the above explained SWABHIYAN PROJECT.

  2. My true & genuine details are given bellow.

  3. I will do my best for bringing as many farmers as possible under SWABHIYAN.

  4. I am aware that numbers of cluster members play a big role in availing multiple facilities at reduced cost.

  5. I  am aware & accept that all the above features of SWABHIYAN will be available, on reaching 500+ farmer membership from the local area of about 30 kms periphery from my location.

  6. Being a farmer member of SWABHIYAN SYSTEM I will support your efforts to bring empowerment in my life, as well as in lives of other farmer brothers from my area.

  7. If enough market & proper reasonable rates are made available to me, then I am ready to adopt organic natural way of farming under your guidance.

  8. I am also aware that currently this membership is free of cost.

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Email *
Farmer’s full Name / किसान का संपूर्ण​ नाम:
First Name/ नाम :
 *
Last Name/ उपनाम : *
Your mobile number/मोबाईल नंबर​:
 *
Facebook id / फेसबुक आय डी:
Name of Village / ग्राम का नाम :
 *
Tehsil / तहसील:
 *
Dist. / जिला :
 *
Pin no. / पिन नं:
 *
Main Crop / मुख्य फसल:
In acres: / एकड़ में:
 *
Others Crop / अन्य फसलें:
 *
In Acres: / एकड़ में:
 *
Total Acres hold by You / आपके पास कुल एकड:
 *
By Family / परिवार द्वारा:
 *
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