I,                                                                                                          , am hereby applying for fertilizer subsidy under the Fertiliser Subsidy Scheme (FSS) operated under the Fertiliser Support Programme) for the above field/s, acreage, crop/s and types of fertiliser/s and packaging. I declare and warrant that the above information provided by me in every respect is true and correct and I have not withheld any information likely to affect the acceptance of this application. I have also been informed that quantum of subsidy that will be provided to me will be calculated on the types of crop, acreage cultivated and type/s of fertiliser/s required taking into consideration relevant recommendations for the utilisation of fertiliser as made by the FAREI in the Guide Agricole (2019) up to a maximum of ten (10) arpents for open field or 1500m² for protected culture, provided I submit all relevant land tenure documents. I have also been informed that necessary technical advice should be sought from the Food and Agricultural Research and Extension Institute (FAREI) - (vegetables, fruits and ornamentals) for the utilization and application of the fertiliser on my field/s 

 I have been made aware that the subsidy is being provided on a first come first serve basis depending on the availability of the product from the supplier and therefore the completion of this application form does not necessarily warrant that the product will be made available to me.

 I also have no objection that my given contact details be submitted by the SFWF to the supplier for the planning and delivery of allocated fertilizer to me.