KUSHAL BUSINITY AGRI CLINCS & AGRIBUSINESS CENTER

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Agriculture Field Visit and Consultancy Format
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1. Name of the farmer/Contact person:
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2. Full address with contact details:
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3. Total land holding and area considered for consultancy

(Acres/Hectares):

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4. Farm Map/d P:

GPS READING:

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Consultants Remark/Pv PPg gu:

5. Crop details on the farm/ dg U g
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No.

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Total land and

number of
plots

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Crop details/ U

Mono
crop/Intercrop/Mixed crop

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Tree age/Bearing details

Crop considered after

field visit

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6. Water source on the farm / No. of Borewells. What is the soil type on
the farm? Is soil test done already? Details of the report
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Consultants Remarks/Pv PPg gu:

7. Pest and Disease management/ d Ql v gU

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Plot No. &

Existing
Crops/ vP

Inputs used on the farm

Pesticides used on the

farm

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Chemical

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Chemical
Organic

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Organic

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Consultants Remarks/Pv PPg gu:

8. Cattle strength and online facilities like compost pit/Bio gas etc.,

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9. Estimated yield/CAzd Ej
Sl. No.
yield

Crop Name
No. of Trees/Area covered
Estimated yield

Previous year

(Qntl/Tons)
(Qntl/Tons)

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Consultants Report / Pv PPg g:

I hereby declare that I have been satisfied by the information provided the
consultant and I agree to implement the advices of the consultant on my
own risk. I will be responsible for the result and willing to bear the
adverse effects due to unseen factors.

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Place:
Signature of the Consultant

Date:
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Signature of Farmer

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