12/22/24, 1:47 PM Farmer registry Enrollement Data
Farmer Enrolment number: Farmer Photograph
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Farmer Details
Farmer Name as per Aadhaar in English Farmer’s Name in Local Language
Gender Caste Category Date of Birth Age
Identifier Name In English Identifier Name in Local Language
Contact Details
Mobile Number Email Address
Farmer Bank & Additional Details
Farmer Caste Certificate Number/ID Farmer Pan Number
Minority Religion Kisan Credit Card Number (KCC)
Kisan Credit Card Amount Kisan Credit Card Bank Name
Bank Name Bank Branch Code
IFSC Code Bank Account Number
Farmer Disabilities
Farmer Residential Details
Address In English Address In Local Language
Farmer Type Occupations
Annexure
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12/22/24, 1:47 PM Farmer registry Enrollement Data
I agree to share my Identity Information along with Aadhaar number with state and central Governments forthe purpose of e-KYC or Yes or No Authentication
with Unique Identification Authority of India for the purpose of the ‘Digital crop survey’ project. I also give consent to the state and central government to seed
my data into the relevant registries to be used for implementation of this project, for delivering various services and also welfare benefits of State and Central
government for making payment through Direct Benefit Transfer.
I also give my consent to State and Central Governments to use my aadhaar, my identity information and my data available into Pradhan Mantri Kisan Samman
Nidhi, Pradhan Mantri Fasal Bima Yojana, State Direct Benefit Transfer project, Nanaji Deshmukh Krishi Sanjivani Prakalp (NDKSP - PoCRA) and various
Schemes under MahaDBT for creation of required registries to be used for the crop survey project.
Date: Farmer Name
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