I …………………………………………. ,
(name of the certifying agriculture officer) Agriculture Officer  of
…………………. Krishibhavan, hereby certify that Sri./ Smt …………………………………….
(name of the farmer), residing at …………………..(address of the farmer). He /she is
a farmer and primary agriculture producer. He/ she has ………………………. Cents/ acers
of land. This certificate is issued for providing before Registrar of Companies,
in order to register a Producer Company

Date:

Place                                                                                                                                                                                                                                                   Sign
with Designation Seal

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