Mee Seva Agriculture Crop Insurance Application Form

Mee Seva Agriculture Crop Insurance Application Form

Download Mee Seva Agriculture Crop Insurance Application Form click Here

Crop Insurance Application Form Aadhar Number: _____________________________ _________________ __________________________________________ : ___________________ ____________________________________
Locality/Land Mark : ______________________________________ ________________ ______ Mandal * : ____ ________________ : __________________ _________
Pin Code: ____ ______________
ST BC OC Others Small Farmer Marginal Farmer Big Farmer : _______________________
Branch Name * : ________________________ _____________ ____
Delivery Type * : At Kiosk __________ _____________ : _________________________
Ration Card No : _________________________________
Land Holding Particulars (As per Land Pattadhar Passbook) :- : __________________
Mandal * : ______________ Village/Ward * : ________________ ________________
Extent * : ______________ Acres/Cents _____________________
Date of Sowing * : _ ___________ (DD/MM/YYYY) __________________
Season * : Rabi Kharif Proposal Form Signed By MAO/VRO * Indicates Mandatory) Applicant’s Signature Price : ` 1 __________________________________________ _____ ____________________________________ __ : ______________________________________ ________________ __________ ______________ ___________ : ________________________ : _________________________________ : ________________
Acres/Cents Acres/Guntas ___________ (DD/MM/YYYY)


Applicant’s Signature