Application Form
Name of FPO
Address
Shareholder #
Average Land Holding (Acres)
Registration No.
Registration Year
CBBO/RI/SO
Business T/O ₹ Lakh
Value Added
Banks 1
Banks 2
1-Directors - Names
Phone Numbers
2-Directors - Names
Phone Numbers
3-Directors - Names
Phone Numbers
4-Directors - Names
Phone Numbers
5-Directors - Names
Phone Numbers
Lead Manager
Phone Numbers

Business Licenses

Seeds
Pesticide
Fertilizer
GST
Mandi
FASSAI
Export
SME
Director/s' avowal

We hereby declare that all the information given herein by me is correct in best of our knowledge. We also understood the advantages of Bharat FPO Confederation membership for our FPO including scope of value co-creation for shareholders/members and organisation's business

Tick the box as an acceptance of above statement