Out-Grower Enrollment Form (NIRSAL Compliant)

    Project Title

    Reference Number


    Section A: Farmer Identity



    Section B: Farm Data




    Section C: Cooperative Information


    Section D: Attestation & Signature

    Agreement

    I hereby acknowledge and agree to the following terms:

    • I will sell 100% of my harvest to Heartland Multi-business Limited as repayment for the input loan provided through NIRSAL

    • I understand that side-selling (selling produce to other buyers) constitutes a breach of contract

    • I understand that breach of contract will result in blacklisting from future programs

    • All information provided above is accurate and complete