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Please Fill The Below Form
Herbicide Query Form Employee
Name of Employee
*
Designation
*
select designation
MDO
TM
BM
DML
DM
Mobile Number
*
Division
*
select division
DM_AP_CP
DM_Central_CP
DM_East Central_CP
DM_East_CP
DM_KA_CP
DM_MH1_CP
DM_MH2_CP
DM_North West_CP
DM_North_CP
DM_North-2_CP
DM_South_CP
DM_TG_CP
DM_UP_CP
BM Region
*
Name of farmer
*
Mobile number of farmer
*
Farmer Village
*
State of the farmer
*
select state
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli and Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District of the farmer
*
select district
Query Related to
*
select query type
Herbicide
Seedcare
If you are human, leave this field blank.
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