Name*

Father Name*

Mobile Number*

Email*

Village*

Block*

Pin Code*

District*

State*

Country*

Total Area (in acres/hectares)*

Organic land out of total Area (in acres/hectares)*

Cultivated Crops Name 1*

Cultivated Crop Area 1 (in acres/hectares)*

Cultivated Crops Name 2

Cultivated Crop Area 2 (in acres/hectares)

Cultivated Crops Name 3

Cultivated Crop Area 3 (in acres/hectares)

Cultivated Crops Name 4

Cultivated Crop Area 4 (in acres/hectares)