Create Dominica Agricultural Land Lease Application

Application Type

Personal Information

Title

First Name

Last Name

Date of Birth

Sex

Applicant’s Occupation

Nationality

Village

Constituency

Telephone Number

Email Address

Business/Group Information

Business/Group Name

Address

Number of Memebers

Experience

Are you currently engaged in agri-business?

Yes

No

Years of agri-business experience

Type of agri-business experience

Crops

Livestock

Beekeeping

Floriculture

Aquaculture

Agro-processing (primary production)

Mixed

Other

Please State

Have you been trained in the following agricultural education programmes?

Data management

Agri-business and Management

Climate change and DRM in Agriculture

Integrated Pest Management

Crop husbandry

Animal husbandry

Soil and Water management

Beekeeping

hydroponics

Vertical farming

Digitization and agriculture applications

None

Land

Do you currently hold agricultural land?

Who currently owned the land?

Land Location

Current Use of land

Preferred Agricultural Region

Preferred location

Please State

Describe your preferences for requesting land

Size of land requested

Intended land use

Interest

Please select your area/areas of interest for the intended investment in Agriculture

Vegetables

Treecrops

Fruit Tree Crops

Root Crops

Floriculture

Protected Agriculture

Poultry

Small Ruminants

Rabbits

Apiculture

Aquaculture

Other

Please State other Interest

Expected Start Date

Finance

Total intended invesment

How are you going to finance your agri-business?

Loan

Grant

Self financing

Family

Blended finance

Other

Do you have access to labour?

Yes

No

Current Market

Export

Domestic/Local

Supporting Documents

Signature

APPLICATION FOR LEASING OF AGRICULTURAL LAND