Farmer Area Sown Certificate
(Self Declaration Form)
1. Farmer Details
Name of Enrolled Farmer
*
:
Address
*
:
Vill:
P.O.:
Address *:
Dist:
PIN Code:
Farmer Category
*
:
Land Owner
Tenant Farmer
Share Cropper
Name of the Land Owner Farmer (if applicable):
Son
/
Daughter
of:
DOB:
Age:
Y
Sex:
Male
Female
Contact Details (Mobile No.)
*
:
2. Banking / KCC Information
Whether the Applicant has KCC:
Yes
No
3. Details of Land Under Cultivation / Intended for Cultivation
District: Purba Medinipur
Year: 2026
Season: 2026–27
Crop
District
Block
GP
Mouza with JL. No.
Plot No.
Area (Ha)
Remarks
Action
X
+ Add Row
DECLARATION
I hereby certify that the information furnished above regarding the sown area / area intended for cultivation is true and correct to the best of my knowledge and belief.
Date:
Signature of Farmer
Name:
Print Form