Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1696590084251.pdf (Zimbabwe)
2022/2023 PRODUCTION RETURN FORM FOR A1 AND A2 FARMS In terms of the Agricultural Marketing Authority Act (Chapter 18:24, all A1 and A2 farmers are required to submit production returns .

This form is obtainable from the Ministry’s Monitoring and Evaluation Unit, email address agricmonitoring2020@gmail.com and downloadable from the Ministry’s Website www.moa.gov.zw, Agricultural Marketing Authority Website www.ama.co.zw or Agricultural Marketing Authority and AGRITEX Offices across the country.

1.
1.

FARMER DETAILS (Tick where appropriate) SECTION A : FARM OWNER DETAILS 1.1.

First Name:………………………………….Other Names…………………………………………………….
1.2.Surname…………………………………Title (Mr., Mrs, Ms, Miss, Dr, Prof, Eng, Hon) ..Gender(Male, Female) 1.3.National ID………………………………………………................................................................................... 1.4.Marital Status (Married, Single, Divorced, Separated, Widow) 1.5.Date of Birth………………………………Nationality…………………………………………………………… 1.6.Contact number……………………………….Occupation……………………………………………… 1.7.Place of Work…………………………………………………………………………………….. 1.8.Contact Address………………………………………………….

1.9.
1.9.

Highest Educational Level (Tick where appropriate) Never went to school Grade 7 ‘O’ level A’ level Tertiary 1 2022/2023 PRODUCTION RETURN FORM FOR A1 AND A2 FARMS 1.10.

Beneficiary Category (Tick where Appropriate) War War Ex Youths Women Disabled Ordinary Civil Politician Security Minister Veteran Collaborator Detainees in own right Servant Services 2.

SPOUSE DETAILS Name Other Names Surname Gender Date of Birth Contact Number Nationality SECTION B: SPOUSE DETAILS SECTION C: FARM DETAILS 3.
FARM DETAILS 3.1.

Farm Name (as stated on tenure document) …………………………………………………………………… 3.2.

3.3.

3.4.

3.5.

Province………………………… District…………………………..Ward Number…… …………….. Model…………………… A1 A2 Tenure Document ....................................................e.g., Offer Letter ,99-year lease, title deed, certicate of occupation, Date of issue DD/MM/YY 2 2022/2023 PRODUCTION RETURN FORM FOR A1 AND A2 FARMS 3.6.

3.7.

3.8.

3.9.

3.10.

3.11.

3.12.


Plot Number……………Sub Division……Total Farm Size…………(Ha) Arable Area……… (Ha)..

Proportion of Arable Area (HA) currently in utilized………………….

Is there a reliable water source on the farm?

Type of water source?

Tick appropriate Dam Well How many hectares (HA) can potentially be irrigated using the current water source?

Current how many hectares (HA) are under irrigation?
Ecological Region………GPS Coordinates of farm…………………………………………………………... Other specify Borehole River Weir SECTION D : FARM MANAGEMENT AND PARTNESHIPS 4.

APPROVED JOINT VENTURE 4.1.

Do you have a joint venture arrangement?

Yes No JV Partner Name and Contact Details Total Farm Area Under Joint Venture (HA) Year JV started Year JV will expire/end 4.2.

If currently not in a Joint Venture, is farmer willing to enter a joint venture agreement?
Yes No 3 2022/2023 PRODUCTION RETURN FORM FOR A1 AND A2 FARMS 4.3 Do you employ a farm manager?

Yes No 4.4 Do you rent out part or all of your farm to other farmers?

Yes No 4.5 Do you rent land from other farmers to produce crops or rear livestock?

Yes No 4.6 How many hectares of land do you rent?

4.7 Does your farm have a 5-year development plan?

Yes No 4.8 How many permanent farm workers are employed?

4.9 How many seasonal farm workers are employed at peak labor demand?
4.10 What is the major enterprise on your farm?

Tick One Field Crop production Horticulture Crop production Perennial Crop production Large Stock production Small Stock production Fisheries and Acquaculture Apiculture 4 2022/2023 PRODUCTION RETURN FORM FOR A1 AND A2 FARMS SECTION E : CROP AND LIVESTCOK PRODUCTION 5.0 CROP PRODUCTION FOR 2022/2023 (Capture all cropping cycles i.e., Winter/Summer) 6.1 Crop / Pasture 6.2 Total Area under Crop?
(Ha) 6.3 Dryland Area (Ha) 6.4Area Irrigated (Ha) 6.5 Production (Tonnes) 6.6 Quantity Sold (Tonnes) 6.7 Proof of Production (Yes/No) 6.8 Source of Financing for crop?

1 = Self -financing 2 = Govt Programme (Specify) 3 = Bank Loan 4 =Contract Farming 5 = Joint Venture 6.0 LIVESTOCK PRODUCTION FOR 2022/2023 (Add more if necessary) 6.1 What is the total grazing area on the farm (HA) ?

6.3 Number Owned 6.4 Number sold 6.5 Births 6.6 Deaths Do you own Beef Cattle?
6.2 Class of beef cattle owned Bulls Cows Steers Heifers Oxen Claves 5 2022/2023 PRODUCTION RETURN FORM FOR A1 AND A2 FARMS 6.7 Do you own the following livestock?

6.8 Number Owned 6.9 Numbers sold 6.10 Number brought in 6.11 Births 6.12 Deaths Other Types of Livestock Goats Sheep Pigs Rabits Layers* Road runners Broilers** *egg sales **Average batch size 6 2022/2023 PRODUCTION RETURN FORM FOR A1 AND A2 FARMS SECTION F: EQUIPMENT AND FARM INFRASTRUCTURE 7.

EQUIPMENT OWNERSHIP (Add more if necessary) 7.1.


Asset owned 7.2.

Number owned 7.3 Adequate/Inadeq uate Centre Pivot Sprinklers Tractor Plough Disc Harrow Planter Ridger Fertilizer spreader Boom Sprayer Combine harvester Dryers Ox-drawn plough Cultivator Scotch cart 7.4 Found on Farm (Yes/No) 8.5 .

Condition?

1.

Functional 2.

Non-Functional 7 2022/2023 PRODUCTION RETURN FORM FOR A1 AND A2 FARMS 9.
FARM INFRASTRUCTURE (Add more if necessary) 9.1 Description 9.2 Number 9.3 Found on Farm (Yes/No) 9.4 Condition of Structure?

1.

Excellent 2.

Good, 3.

Poor Farm House Granary Tin Silos Dam Borehole Pump House Compound Other specify Other Specify 8 2022/2023 PRODUCTION RETURN FORM FOR A1 AND A2 FARMS 10.

Major challenges and constraints to your farm productivity?

Identify the 2 most important challenges and tick those only.
Power outages/Zesa Inadequate water for irrigating Vandalism of fences Vandalism of transformers Stock Theft Lack of farm equipment Poor or no access to loans Poor road network Farm disputes or boundary issues Wild Animals Destruction of crops by domestic animals Late payment for delivered farm produce Low prices on the market Distance to input and output markets Poor or no access to extension officers Pests and Disease outbreak 9 2022/2023 PRODUCTION RETURN FORM FOR A1 AND A2 FARMS Extreme weather events _droughts floods Policy uncertainty 11.
Recommendation for improving farm productivity (List 2 most important) 12.

DECLARATION I, Dr/Mr/Mrs/Ms/Prof .............................................................. declare that the information is complete and accurate.

Signature………………………………………………………….

Date…………………………………………………….. 10