Farmer's Feedback Form
Farmer's Feed Back Form
Name (பெயர்) *
Name of the Farmer (Initial at end)
Your answer
Father's Name (தந்தை / கணவர் பெயர்)
Father / Husband Name (Initial Expansion)
Your answer
Date of Birth
Enter the Date of Birth
MM
/
DD
/
YYYY
Age (வயது) *
Enter Age
Your answer
Village Name (கிராமத்தின் பெயர்) *
Enter Village name with Door Number
Your answer
Block Name (வட்டம்) *
Select Your Block
Taluk (தாலுக்கா) *
Select Taluk
Mobile Number (அலைபேசி எண்)
Enter 10 Digit Mobile Number for future communication
Your answer
Feed back (விவசாயின் கருத்து) *
Enter Your Feed Back
Your answer
Submit
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