Application Form for Recognition as a Share Farming Arrangement
Form SFA 1/15
PART I
Share Farm Details
Primary Participant’s* Herd Number: .....................................................................................................................................
Primary Participant Herd Number
Primary Participant’s Name: ....................................................................................................................................................
Primary Participant Name: ...........................................................................................................................
Primary Participant’s Address: ................................................................................................................................................
Primary Participant Address: ...........................................................................................................................
Primary Participant’s Email Address: .......................................................................................................................................
Primary Participant Email Address: ...........................................................................................................................
No. Of Members: ...................................................................................................................................................................
No. Of Members: ...........................................................................................................................
Nominated Agent: .................................................................................................................................................................
Nominated Agent: ...........................................................................................................................
Agent Reference No.: ............................................................................................................................................................
We hereby declare that we understand the form and requirements for registration, we confirm that we meet the
Each individual share farmer, who signs this form, confirm that they have read the Terms and Condition of the
Recognised Share Farming Arrangement and that the details provided in the form and accompanying documentation are
true and correct to the best of his or her knowledge.
* The Primary Participant is the person designated by the Share Farming Arrangement to carry out this function.
Any material errors or misleading information/declarations made on the application form may result in withdrawal by the
Department of Agriculture, Food and the Marine of the recognition as a Share Farming Arrangement, or any other such
action as the Department of Agriculture, Food and the Marine determines appropriate.
Name
Herd Number
Address
_________________
_____________
____________________________________________________
Signature _________________________________________________________________________________
Name
Herd Number
Address
_________________
_____________
____________________________________________________
Signature _________________________________________________________________________________
Direct Payments Unit, Government Offices, Old Abbeyleix Road, Tel. 05786 74400
Portlaoise, Co. Laois, Ireland.
An tAonad Íocaíochtaí, Oífigí Rialtais, Seanbhóthar Mhainistir Laoise,
Portlaoise, Co. Laoise, Éire.
Lo-call 0761 064426
www.agriculture.gov.ie Vat reg. IE4773186Q
Name
Herd Number
Address
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_____________
____________________________________________________
Signature _________________________________________________________________________________
Name
Herd Number
Address
_________________
_____________
____________________________________________________
Signature _________________________________________________________________________________
Name
Herd Number
Address
_________________
_____________
____________________________________________________
Signature _________________________________________________________________________________
Name
Herd Number
Address
_________________
_____________
____________________________________________________
Signature _________________________________________________________________________________
Name
Herd Number
Address
_________________
_____________
____________________________________________________
Signature _________________________________________________________________________________
Name
Herd Number
Address
_________________
_____________
____________________________________________________
Signature _________________________________________________________________________________