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OLD


                              P.J. MARGO PVT. LTD.,
                                     th
                                   # 344/8, IV Main Sadashivnagar,
                                    Bangalore – 560 080,
                              Ph No: 080 – 40061999 /23613051 /52
                                        FARMER CARD

Agreement No.:0001
Farmer code: ………………………………….. Branch: ………………………………………
Father Name: …………………………………..S/o…………………………………………….
Village: ………………………………………….Taluk: …………………………………………
Cluster: ………………………………………………………………Acre: …………………….

                             AGRI INPUT ISUUE DETAILS
         Issue
 Date                Particulars             Unit        Qty.        Rs./Unit       Signature
        Slip No




Cluster In-charge                                                               Branch In-charge
PROCURMENT & PAYMENT DETAILS
            DWS      No. of   Quantity             PAYMENTS
  Date                                                                         Sign
            Nos      Bags     (in Kgs)       Deduction   Amount Paid




Bags Details          1       2          3         4        5      6       7          8
Bags issued
Bags Collected


Cluster In-charge                                                      Branch In-charge
NEW




                                   P.J. MARGO PVT. LTD.,
                                          th
                                     # 344/8, IV Main Sadashivnagar,
                                       Bangalore – 560 080,
                                   Ph No: 080 – 40061999 /23613051 /52
                                          FARMER CARD


Farmer code: ………………………………….. Branch: ………………………………………
Farmer Name: ………………………………..S/o…………………………………………….
Village: ………………………………………….Taluk: …………………………………………
Cluster: ………………………………………………………………Acre: …………………….

                                   AGRI INPUT ISUUE DETAILS
        Issue
Date                 Particulars         Packing     Units      Qty.     Rs./Unit     Signature
       Slip No




Commercial Officer                                                           Production Executive
PROCURMENT & PAYMENT DETAILS
                                                         PAYMENTS
         DWS         No. of   Quantity   Amount /
 Date                                                               Amount          Sign
          Nos        Bags     (in Kgs)    Value     Deduction
                                                                     Paid




Bags Details              1       2        3         4          5           6   7          8
Bags issued
Bags Collected

Commercial Officer                                                     Production Executive
OLD



TIN No: 29960286507

                           1926/22                     12
                                           – 577 004


                      STOCK TRANSFER RECEIPT (STR)
                                                                STR SL No.:
        :

    :                                                       :

                :                                                     :




            :                                                     :

        :                                                         :




            :




                :

        :
____________________________________________________________________________
            :                               . .     :


        :
NEW


TIN No: 29960286507

                                       344/8, 4
                                                        – 560 080
                                                  080 – 40061999 /23613051 /52



                                 STOCK TRANSFER RECEIPT (STR)
Region: DVG / TMK                                                                STR SL No.:00001
Branch (              :

Cluster           :                                                              Date (        ):

Starting (KM) (                   ):                         Reached (KM) (                    ):




Marigold Fresh flowers are collected from farmers of the following villages is being
transferred to Hiriyuru / Tumakur for processing.

Vehicle No                  ):                               No. of Bags                  ):

Places                ):                               Total weight As per DWS                  ):

                                                      Total weight As per STR                  ):



DWS Nos (                  ):



Sender Sign (                    ):

Time (       ):
____________________________________________________________________________
Accepter Sign (          ):            No. of Bags Acptd ( . .   ):
OLD
Time (           ):



           P J MARGO PVT LTD
“ANUGRAHA” # 1926/22, Siddaveerappa Extension,
  th
12 Cross, Davanagere – 577 004 Mob: 96826 51013

                      ISSUE/RECEPT

No. ………………                                date…………………..
Branch/Cluster:                           FMR Code:
Issued the following input to Mr.……………………………….
S/o……………………………. Village…………………………………..

S        Particulars                        Packing   Qty
No.
1

2

3

4

5

    Issued by:                        Farmer’s Signature:
NEW




               P J MARGO PVT LTDth
                      # 344/8, IV Main Sadashivnagar,
                      Bangalore – 560 080,
                      Ph No: 080 – 40061999 /23613051 /52

             INPUT ISSUE SLIP /

No       ………………                              Date            …………..

Region                    : DVG / TMK          FMR Code:


Issued the following input to

MR MRS                   .……………………………….

S/o ……………………………. Village (                   ……………………………….


SL No.                 Input            Packing         UM         Qty


1

2

3

4

5

Issued by:                              Farmer’s Signature:
              :                                                :


Date (            :                            Date (              :
OLD



TIN No: 29960286507

                       1926/22                         12                        – 577 004

                                                   DAILY WEIGHMENT                                    Sl No.00001
           :           SLIP
       :                                       :                                                :
               :                    :                                                       :

                                                                                   Total/           Remarks /




                                                                Total Wt.
                                                               No. of Bags

                                                                         Bags
                                                       Weight Ded
                                                                    Net Weight


(Farmer’s Signature)          (Weighted Staff Sign.)
NEW




TIN No: 29960286507

                            344/8, 4                                   – 560 080
                                                080 – 40061999 /23613051 /52

                                 P. J. Margo Private Limited
                       # 344/8, IVth Main Sadashivnagar, Bangalore – 560 080

                                                 DAILY WEIGHMENT                              Sl No.00001
                           SLIP
                / Farmer Code No :

              / Region: DVG / TMK                                                   :
                                                                                        :

 1       2      3       4        5      6        7        8      9       10    Total/       Remarks /




                                                                 Total Wt.
                                                                 No. of Bags

                                                                        Bags
                                                       Weight Deduction
                                                                 Net Weight




(Farmer’s Signature)             (Commercial Officer Sign.)              (Commercial Assistant Sign)
Print on back side of First copy


                    Remarks /




Paid By/
V. No /
Amt Paid Rs./
Deduction/
    1. Seed Rs. /
    2. Input Rs. /
    3. Others Rs. /
Total Ded. Rs./
Entered By/
OLD




                      Payout Complaints and Compliance Report

Cluster
Payout Date
Purchase Period             From:       To:
Disbursed By
Field Officer                           Field Assistant
Payment             Taken   Disbursed   Balance
Current
Covers
Cash
Unpaid
Covers
Cash


COMPLAINTS noted                                    Complaints Attended             Signature




Officer in-charge                                              Field Officer / Field Assistant
NEW




                       Payout Complaints and Compliance Report

Cluster
Payout Date
Purchase Period             From:       To:
Disbursed By
Production                              Production
Executive                               Assistant
Payment            Taken    Disbursed   Balance
Current
Covers
Cash
Unpaid
Covers
Cash


COMPLAINTS noted                                    Complaints Attended          Signature




Commercial Assistant                                             Commercial officer
OLD


                                          P J MARGO PVT LTD
                                 # 344/8, IVth MAIN, SADASHIVNAGAR
                                         BANGALORE-560 080


              MARIGOLD CULTIVATION SEED RECEIPT AND AGREEMENT COPY


      DATE                   :                      AGREEMENT NO:
      FARMER’S NAME          :                      CLUSTER          :
      FATHER’S NAME          :                      VILLAGE          :
      TALUK                  :                      DISTRICT         :
      SURVEY NO              :                       ACRE           :
I agree to pay an amount of Rs. …………………(Rupees. ………………..only) towards seed cost of
   Marigold seed supplied by P J Margo Pvt Ltd. Bangalore on (date) ………. And I will grow the crop in
   accordance to the terms and conditions below. I abide to the decisions taken by the Company in case
   the above terms and conditions are violated.
Terms and Conditions:
1. I hereby agree to grow Marigold in my own Land under guidance of the company.
2. Procurement price during this season is Rs………………per MT of FF (Fresh Flower) I agree to this pre
   fixed price.
3. I hereby authorize the Company to deduct all Agri input cost supplied by them in payment proceedings.
4. I agree to supply flowers at the designated CC (Collection Centre) fixed by the Company. The
   Company has right to reject flowers immersed in water or adulterated with Stones, twigs, mud, other
   foreign materials, etc.
5. The Company will make arrangements to transport FF from CC and bags for filling flowers.
6. Flowers produced from the seed provided by the Company should not be sold to any other person or
   Company. If found so, I abide to the decision taken by the Company.
7. The Company is authorized to deduct half Kg per bag of flower after Weighment if flowers are
   adulterated, the Company can take appropriate action.
8. The Company is authorized to engage labors to harvest FF in case farmer fails to do so in time and
   cost of harvesting shall be deducted in FF payments.
9. I agree to collect payment in cash through Bank accounts at concerned regional office.
10.     All disputes are subject to Bangalore jurisdiction.
11.     The Company is not responsible for any situation arising out of natural calamities and improper
   agricultural practice.
____________________                     ____________________                  ____________________
Farmer’s Signature                       Signature of Supervisor              Signature of Area Manager
344/8, 4       – 560 080




           :              :

           :              :

           :              :

           :              :

           :              :




1.
2.
3.


4.




5.


6.


7.




8.




9.
      15
10.
11.
NEW


                                          P J MARGO PVT LTD
                                # 344/8, IVth MAIN, SADASHIVNAGAR
                                         BANGALORE-560 080

              MARIGOLD CULTIVATION SEED RECEIPT AND AGREEMENT COPY


DATE                :                     AGREEMENT SL NO:
FARMER’S NAME :                          CLUSTER                  :
FARMER CODE         :
FATHER’S NAME      :                      VILLAGE             :
TALUK                :                   DISTRICT             :
SURVEY NO            :                     ACRE               :
I agree to pay an amount of Rs. …………. (Rupees…only) towards seed cost of Marigold seed supplied by
P J Margo Pvt Ltd. Bangalore on (date) ………. And I will grow the crop in accordance to the terms and
conditions below. I abide to the decisions taken by the Company in case the above terms and conditions
are violated.
Terms and Conditions:
1. I hereby agree to grow Marigold in my own Land under guidance of the company.
2. Procurement price during this season is Rs………………per MT of FF (Fresh Flower) I agree to this pre
   fixed price.
3. I hereby authorize the Company to deduct all agri input cost supplied by them in payment proceedings.
4. I agree to supply flowers at the designated CC (Collection Centre) fixed by the Company. The
   Company has right to reject flowers immersed in water or adulterated with Stones, twigs, mud, other
   foreign materials, etc.
5. The Company will make arrangements to transport FF from CC and bags for filling flowers.
6. Flowers produced from the seed provided by the Company should not be sold to any other person or
   Company. If found so, I abide to the decision taken by the Company.
7. The Company is authorized to deduct half Kg of bag weight per bag of flower after Weighment if
   flowers are adulterated, the Company can take appropriate action.
8. The Company is authorized to engage labors to harvest FF in case farmer fails to do so in time and
   cost of harvesting shall be deducted in FF payments.
9. I agree to collect payment in cash through Bank accounts at concerned regional office. The Payment
   will be disbursed once in 15 days.
10.     All disputes are subject to Bangalore jurisdiction.
11.     The Company is not responsible for any situation arising out of natural calamities and improper
   agricultural practice by farmer.
____________________                    ____________________                   ____________________
Farmer’s Signature                       Production Executive              Signature of Area Manager
344/8, 4       – 560 080
           :


               :              :

           :                  :

           :                  :

           :                  :

           :                  :




1.
2.
3.


4.




5.


6.


7.




8.




9.
      15
10.
11.
Payment Covers

         Front Side        Back Side
DATE:
FARMER CODE:
DWS No:             Kgs




      FARMER PAYOUT
AMOUNT             (Rs.)
PAYABLE          A
DEDUCTION        :
Seed Cost        :
Input Cost       :
Others           :
           Total B
NET PAYABLE C
(C=A-B)
Approved by      :


Denomination
1000 X
 500 X
 100 X
  50 x
Total Amount: Rs.

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Template

  • 1. OLD P.J. MARGO PVT. LTD., th # 344/8, IV Main Sadashivnagar, Bangalore – 560 080, Ph No: 080 – 40061999 /23613051 /52 FARMER CARD Agreement No.:0001 Farmer code: ………………………………….. Branch: ……………………………………… Father Name: …………………………………..S/o……………………………………………. Village: ………………………………………….Taluk: ………………………………………… Cluster: ………………………………………………………………Acre: ……………………. AGRI INPUT ISUUE DETAILS Issue Date Particulars Unit Qty. Rs./Unit Signature Slip No Cluster In-charge Branch In-charge
  • 2. PROCURMENT & PAYMENT DETAILS DWS No. of Quantity PAYMENTS Date Sign Nos Bags (in Kgs) Deduction Amount Paid Bags Details 1 2 3 4 5 6 7 8 Bags issued Bags Collected Cluster In-charge Branch In-charge
  • 3. NEW P.J. MARGO PVT. LTD., th # 344/8, IV Main Sadashivnagar, Bangalore – 560 080, Ph No: 080 – 40061999 /23613051 /52 FARMER CARD Farmer code: ………………………………….. Branch: ……………………………………… Farmer Name: ………………………………..S/o……………………………………………. Village: ………………………………………….Taluk: ………………………………………… Cluster: ………………………………………………………………Acre: ……………………. AGRI INPUT ISUUE DETAILS Issue Date Particulars Packing Units Qty. Rs./Unit Signature Slip No Commercial Officer Production Executive
  • 4. PROCURMENT & PAYMENT DETAILS PAYMENTS DWS No. of Quantity Amount / Date Amount Sign Nos Bags (in Kgs) Value Deduction Paid Bags Details 1 2 3 4 5 6 7 8 Bags issued Bags Collected Commercial Officer Production Executive
  • 5. OLD TIN No: 29960286507 1926/22 12 – 577 004 STOCK TRANSFER RECEIPT (STR) STR SL No.: : : : : : : : : : : : : ____________________________________________________________________________ : . . : :
  • 6. NEW TIN No: 29960286507 344/8, 4 – 560 080 080 – 40061999 /23613051 /52 STOCK TRANSFER RECEIPT (STR) Region: DVG / TMK STR SL No.:00001 Branch ( : Cluster : Date ( ): Starting (KM) ( ): Reached (KM) ( ): Marigold Fresh flowers are collected from farmers of the following villages is being transferred to Hiriyuru / Tumakur for processing. Vehicle No ): No. of Bags ): Places ): Total weight As per DWS ): Total weight As per STR ): DWS Nos ( ): Sender Sign ( ): Time ( ): ____________________________________________________________________________ Accepter Sign ( ): No. of Bags Acptd ( . . ):
  • 7. OLD Time ( ): P J MARGO PVT LTD “ANUGRAHA” # 1926/22, Siddaveerappa Extension, th 12 Cross, Davanagere – 577 004 Mob: 96826 51013 ISSUE/RECEPT No. ……………… date………………….. Branch/Cluster: FMR Code: Issued the following input to Mr.………………………………. S/o……………………………. Village………………………………….. S Particulars Packing Qty No. 1 2 3 4 5 Issued by: Farmer’s Signature:
  • 8. NEW P J MARGO PVT LTDth # 344/8, IV Main Sadashivnagar, Bangalore – 560 080, Ph No: 080 – 40061999 /23613051 /52 INPUT ISSUE SLIP / No ……………… Date ………….. Region : DVG / TMK FMR Code: Issued the following input to MR MRS .………………………………. S/o ……………………………. Village ( ………………………………. SL No. Input Packing UM Qty 1 2 3 4 5 Issued by: Farmer’s Signature: : : Date ( : Date ( :
  • 9. OLD TIN No: 29960286507 1926/22 12 – 577 004 DAILY WEIGHMENT Sl No.00001 : SLIP : : : : : : Total/ Remarks / Total Wt. No. of Bags Bags Weight Ded Net Weight (Farmer’s Signature) (Weighted Staff Sign.)
  • 10. NEW TIN No: 29960286507 344/8, 4 – 560 080 080 – 40061999 /23613051 /52 P. J. Margo Private Limited # 344/8, IVth Main Sadashivnagar, Bangalore – 560 080 DAILY WEIGHMENT Sl No.00001 SLIP / Farmer Code No : / Region: DVG / TMK : : 1 2 3 4 5 6 7 8 9 10 Total/ Remarks / Total Wt. No. of Bags Bags Weight Deduction Net Weight (Farmer’s Signature) (Commercial Officer Sign.) (Commercial Assistant Sign)
  • 11. Print on back side of First copy Remarks / Paid By/ V. No / Amt Paid Rs./ Deduction/ 1. Seed Rs. / 2. Input Rs. / 3. Others Rs. / Total Ded. Rs./ Entered By/
  • 12. OLD Payout Complaints and Compliance Report Cluster Payout Date Purchase Period From: To: Disbursed By Field Officer Field Assistant Payment Taken Disbursed Balance Current Covers Cash Unpaid Covers Cash COMPLAINTS noted Complaints Attended Signature Officer in-charge Field Officer / Field Assistant
  • 13. NEW Payout Complaints and Compliance Report Cluster Payout Date Purchase Period From: To: Disbursed By Production Production Executive Assistant Payment Taken Disbursed Balance Current Covers Cash Unpaid Covers Cash COMPLAINTS noted Complaints Attended Signature Commercial Assistant Commercial officer
  • 14. OLD P J MARGO PVT LTD # 344/8, IVth MAIN, SADASHIVNAGAR BANGALORE-560 080 MARIGOLD CULTIVATION SEED RECEIPT AND AGREEMENT COPY DATE : AGREEMENT NO: FARMER’S NAME : CLUSTER : FATHER’S NAME : VILLAGE : TALUK : DISTRICT : SURVEY NO : ACRE : I agree to pay an amount of Rs. …………………(Rupees. ………………..only) towards seed cost of Marigold seed supplied by P J Margo Pvt Ltd. Bangalore on (date) ………. And I will grow the crop in accordance to the terms and conditions below. I abide to the decisions taken by the Company in case the above terms and conditions are violated. Terms and Conditions: 1. I hereby agree to grow Marigold in my own Land under guidance of the company. 2. Procurement price during this season is Rs………………per MT of FF (Fresh Flower) I agree to this pre fixed price. 3. I hereby authorize the Company to deduct all Agri input cost supplied by them in payment proceedings. 4. I agree to supply flowers at the designated CC (Collection Centre) fixed by the Company. The Company has right to reject flowers immersed in water or adulterated with Stones, twigs, mud, other foreign materials, etc. 5. The Company will make arrangements to transport FF from CC and bags for filling flowers. 6. Flowers produced from the seed provided by the Company should not be sold to any other person or Company. If found so, I abide to the decision taken by the Company. 7. The Company is authorized to deduct half Kg per bag of flower after Weighment if flowers are adulterated, the Company can take appropriate action. 8. The Company is authorized to engage labors to harvest FF in case farmer fails to do so in time and cost of harvesting shall be deducted in FF payments. 9. I agree to collect payment in cash through Bank accounts at concerned regional office. 10. All disputes are subject to Bangalore jurisdiction. 11. The Company is not responsible for any situation arising out of natural calamities and improper agricultural practice. ____________________ ____________________ ____________________ Farmer’s Signature Signature of Supervisor Signature of Area Manager
  • 15. 344/8, 4 – 560 080 : : : : : : : : : : 1. 2. 3. 4. 5. 6. 7. 8. 9. 15 10. 11.
  • 16. NEW P J MARGO PVT LTD # 344/8, IVth MAIN, SADASHIVNAGAR BANGALORE-560 080 MARIGOLD CULTIVATION SEED RECEIPT AND AGREEMENT COPY DATE : AGREEMENT SL NO: FARMER’S NAME : CLUSTER : FARMER CODE : FATHER’S NAME : VILLAGE : TALUK : DISTRICT : SURVEY NO : ACRE : I agree to pay an amount of Rs. …………. (Rupees…only) towards seed cost of Marigold seed supplied by P J Margo Pvt Ltd. Bangalore on (date) ………. And I will grow the crop in accordance to the terms and conditions below. I abide to the decisions taken by the Company in case the above terms and conditions are violated. Terms and Conditions: 1. I hereby agree to grow Marigold in my own Land under guidance of the company. 2. Procurement price during this season is Rs………………per MT of FF (Fresh Flower) I agree to this pre fixed price. 3. I hereby authorize the Company to deduct all agri input cost supplied by them in payment proceedings. 4. I agree to supply flowers at the designated CC (Collection Centre) fixed by the Company. The Company has right to reject flowers immersed in water or adulterated with Stones, twigs, mud, other foreign materials, etc. 5. The Company will make arrangements to transport FF from CC and bags for filling flowers. 6. Flowers produced from the seed provided by the Company should not be sold to any other person or Company. If found so, I abide to the decision taken by the Company. 7. The Company is authorized to deduct half Kg of bag weight per bag of flower after Weighment if flowers are adulterated, the Company can take appropriate action. 8. The Company is authorized to engage labors to harvest FF in case farmer fails to do so in time and cost of harvesting shall be deducted in FF payments. 9. I agree to collect payment in cash through Bank accounts at concerned regional office. The Payment will be disbursed once in 15 days. 10. All disputes are subject to Bangalore jurisdiction. 11. The Company is not responsible for any situation arising out of natural calamities and improper agricultural practice by farmer. ____________________ ____________________ ____________________ Farmer’s Signature Production Executive Signature of Area Manager
  • 17. 344/8, 4 – 560 080 : : : : : : : : : : : 1. 2. 3. 4. 5. 6. 7. 8. 9. 15 10. 11.
  • 18. Payment Covers Front Side Back Side DATE: FARMER CODE: DWS No: Kgs FARMER PAYOUT AMOUNT (Rs.) PAYABLE A DEDUCTION : Seed Cost : Input Cost : Others : Total B NET PAYABLE C (C=A-B) Approved by : Denomination 1000 X 500 X 100 X 50 x Total Amount: Rs.