Constitution* ---select from the dropdown--- Farmer Producer Company (FPC) Farmer Producer Organisation (FPO) Farmer Co-Operative Society Self Help Group (SHG) Other Farmer Collectives Agribusiness Others

Full Name of the Entity*

Number of Farmers*

Address*

State / UT* --Select-- Andhra Pradesh Andaman and Nicobar Islands Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadar and Nagar Haveli Daman and Diu Delhi Ladakh Lakshadweep Puducherry Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal

District*

Total Land Area (In Acre)

Establishment Year

Major Crops Cultivated

Previous Year Turnover (in Rs.)

Organisation's PAN Number

Organisation's Registration Number

Contact Person's Name*

Contact Person's Mobile Number*