Kisan Mandi Registration

Kisan Mandi Registration Form

Registration Type

Kisan Mandi Retailer
Kisan Mandi(Self Farmer)
Registration For Retail Market
Please select the Registration Type, You are applying for

Applicant Details

Applicant First Name*

Applicant Last Name*

Applicant Father/Husband First Name*

Applicant Father/Husband Last Name*

Mobile Number*

Applicant Photo *

Invalid file You Can Upload jpeg, jpg, png Images File size must be less than 5 MB

Commodity Details

Commodity*

Status Of Commodity*

Type of processed Item*

Food Security Certificate* Invalid file You Can Upload jpeg, jpg, png Images,pdf File size must be less than 5 MB

Address Details

Area Of Land*

Owned Rented

Please select any one option

Area Of Land(In Acres)* Please enter Valid Area like 0.01

Upload Jamabandi Document* Invalid file You Can Upload jpeg, jpg, png Images,pdf File size must be less than 5 MB

Landlord Name*

Start date of Rent Agreement*

Expiry date of Rent Agreement*

Upload Rent Document* Invalid file You Can Upload jpeg, jpg, png Images File size must be less than 5 MB

State*

District*

City*

Village

Plot No/Street No/Landmark

Post Office*

Pin Code*

Kisan Card Details

Are you already having Kisan Mandi Card?*

Yes No

Please select any one option

Kisan Mandi Card Number*

Market Committee*

Validity Start Date*

Start Date can not be Greater than End Date

Validity End Date*

End Date can not be less than Start Date

Registering For Market Committee*

City*

Fees Details

Fee Amount*

Fee Date*

Fee Mode*

{{KisanMandiRegistrationModel.FeeMode.PaymentModeName}} Document* Invalid file You Can Upload jpeg, jpg, png Images File size must be less than 5 MB

Documents Details

Type of Identity Proof*

{{KisanMandiRegistrationModel.IdentityProof}} Number*

Proof of Identity* Invalid file You Can Upload jpeg, jpg, png Images File size must be less than 5 MB

Whether Identity proof is the same as Address proof *

Yes

Please select any one option

Type of Address Proof*

{{KisanMandiRegistrationModel.AddressProof}} Number*

Proof of Address* Invalid file You Can Upload jpeg, jpg, png Images File size must be less than 5 MB

Applicant Signature* Invalid file You Can Upload jpeg, jpg, png Images File size must be less than 5 MB

Download Self Declaration*

Upload Self Declaration* Invalid file You Can Upload jpeg, jpg, png Images File size must be less than 5 MB

Registration Type Kisan Mandi Retailer Kisan Mandi(Self Farmer) Registration For Retail Market Please select any one option
Applicant Details
Applicant First Name {{KisanPreviewModel.FirstName}}	Applicant Last Name {{KisanPreviewModel.LastName}}	Father/Husband First Name {{KisanPreviewModel.FatherFirstName}}	Father/Husband Last Name {{KisanPreviewModel.FatherLastName}}
Mobile Number {{KisanPreviewModel.MobileNo}}	Applicant Photo
Commodity Details
Commodity {{KisanPreviewModel.NewCommodityName}}	Status Of Commodity Raw Processed Both	Type of processed Item {{KisanPreviewModel.CommodityType}}	Food Security Certificate Download Food Security Certificate
Address Details
Area Of Land Owned Rented Please select any one option	Area Of Land(In Acres) {{KisanPreviewModel.Area}}	Upload Jamabandi Document View Jamabandi Document	Landlord Name {{KisanPreviewModel.LandOwnerName}}
Start date of Rent Agreement {{KisanPreviewModel.StartDate \| date:'dd/MM/yyyy'}}	Expiry date of Rent Agreement {{KisanPreviewModel.ExpiryDate \| date:'dd/MM/yyyy'}}	Upload Rent Document
State {{KisanPreviewModel.StateName}}	District {{KisanPreviewModel.DistrictName}}	City {{KisanPreviewModel.CityName}}	Village {{KisanPreviewModel.VillageName}}
Plot No/Street No/Landmark {{KisanPreviewModel.Address}}	Post Office {{KisanPreviewModel.PostOffice}}	Pin Code {{KisanPreviewModel.PinCode}}
Card Details
Are you already having Kisan Mandi Card? Yes No Yes No	Market Committee For New Kisan {{KisanPreviewModel.MarketCommitteeName}}	City Chandigarh Kharar
Validity Start Date {{KisanPreviewModel.ValidityFromDate \| date:'dd/MM/yyyy'}}	Validity End Date {{KisanPreviewModel.ValidityToDate \| date:'dd/MM/yyyy'}}
Kisan Mandi Card Number {{KisanPreviewModel.KisanMandiCardNumber}}	Market Committee {{KisanPreviewModel.KisanMarketCommitteeName}}	Validity Start Date {{KisanPreviewModel.ValidityFromDate \| date:'dd/MM/yyyy'}}	Validity End Date {{KisanPreviewModel.ValidityToDate \| date:'dd/MM/yyyy'}}
Market Committee For New Kisan {{KisanPreviewModel.MarketCommitteeName}}
Fees Details
Fee Amount {{KisanPreviewModel.FeeAmount}}	Fee Date {{KisanPreviewModel.FeeDate \| date:'dd/MM/yyyy'}}	Fee Mode {{KisanPreviewModel.FeeMode.PaymentModeName}} Draft Cheque RTGS Cash	{{KisanPreviewModel.FeeMode.PaymentModeName}} Draft Cheque RTGS Cash Document
Documents Details
Type of Identity Proof {{KisanPreviewModel.IdentityProof}}	{{KisanPreviewModel.IdentityProof}} Number {{KisanPreviewModel.IdentityNumber}}	Proof of Identity
Type of Address Proof {{KisanPreviewModel.AddressProof}}	{{KisanPreviewModel.AddressProof}} Number {{KisanPreviewModel.AddressNumber}}	Proof of Address
Applicant Signature	Self Declaration Download Self Declaration
Application Status Pending Verified by SupervisorSecretary Approved by SupervisorSecretary Objection by SupervisorSecretary Rejected by SupervisorSecretary	Application Remarks {{KisanPreviewModel.MSRemarks}}

Punjab State Agricultural Marketing Board

Applicant Details

Commodity Details

Address Details

Kisan Card Details

Fees Details

Documents Details

Applicant Details

Commodity Details

Address Details

Card Details

Fees Details

Documents Details