Land Details for Farmer
(To be filled separately for each land holding)
Land Details :
(All * marks fields are mandatory)
1. Ownership Type* : Solo / Joint / Leasee / Tenant
2. Field Name* :
_
3. Total Area of the Field in :
Sq Mtrs*
a)Area owned by self* :
b)Area leased(if applicable)* :
_
4. Survey No * :
_
5. Sub Division no * :
_
6. District :
_
7. Taluka :
_
8. Village :
_
9. Type of Land :
_
10. Type of Soil :
_
11. Location(wado) * :
_
12. Total Cultivated Area * :
_
13. Irrigated Land : Yes / No
14. Irrigated Land in sq.mts :
_
15. a) Source of Irrigation :
b)Type of Irrigation :
_
16. Non Cultivated Area in :
sq.mts _
Crop Cultivation Details :
S.No Season Crop Category Crop Name Crop Area Estimated Production
Soil Nutrients Details :
Nitrogen :
Phosphate :
Potash :
Calcium :
Magnesium :
Sulphur :
Iron :
Boron :
Zinc :
Ownership Details of Farmers inside Goa :
S.No Relation with the
Co Owner
District ZAO Name Registration No Share in Property
Ownership Details of Non Farmers inside Goa :
S.No Name Address District Taluka Village Gender Share in
Property
Ownership Details of Person Outside :
S.No Name Address Gender Town Pin No State Estimated
Production
Ownership Details of the Lease Land :
S.No Name Address District Taluka Village Gender No.of
Years
Lease Period
From Year
To Year
Details of Area Leased:
Sr.no Name of
leassor
Location Survey no. Area in Sq.Mts Crop
cultivated
Period of lease
From - To
Enclosure Details :
S.No
1.
Enclosures
2.
3.
4.
5.
6.
Remarks If Any
Ownership Details of Person Outside :
Date : Signature of the Applicant