AGRICULTURAL LAND ALLOCATION APPLICATION FORM(ALA)

APPLICATION INFORMATION AND CONDITIONS

1. ELIGIBILITY AND EXCLUSION CRITERIA

To be eligible, the potential lessee must meet the following criteria:
(a) Applicants must be from previously disadvantaged South Africans, namely: Africans, Indians, Coloureds, and South African
Chinese, who are South African citizens. The African in this context includes persons from the first nations of South Africa;
(b)Natural and juristic persons who fits the description above, of Blacks who were previously disadvantaged;
(c) Applicants must be 18 years or older and in possession of a valid South African bar-coded Identity Document;
(d)Priority within the target groups shall be given to women, youth and persons with disabilities (PwDs);
(e) Other categories such as unemployed military veterans (as defined in the Military Veterans Act, 2011), farm workers, dwellers,
labour tenants, unemployed agricultural graduates and NARYSEC participants, shall qualify to apply;
(f) All Public Servants currently serving (National, Provincial, Local spheres of government and State-Owned Enterprises (SoEs) are not
allowed to apply;
(g) All former public servants who have successfully completed their 24 months cooling period (after leaving the public service);
(h) Former public office bearers who have successfully completed their 12 months cooling period (after leaving public office);
(i)The successful applicant must be willing to stay fulltime on the farm for the duration of the lease contract; and
(j)Traditional leaders who are recognized under any legislation in the country shall qualify, provided they disclose their status and
remuneration by the State and have proven that they are involved in farming activities at various scales. The Minister shall make a final
determination in this regard.

2. REJECTION OF APPLICATION
The Application will be assessed in accordance with the conditions and requirements advertised and may be rejected if:
(a) You do not meet the Eligibility Criteria above;
(b) A full compliance check of your details will be conducted, should it be found that you have provided false or misleading
information,your application will be rejected. In case where approval was done the lease will also be terminated.

3. TERMINATION OF APPLICATION
A provisional allocation or selection shall cease under the following circumstances:
(a) Death of the potential beneficiary;
(b) Written withdrawal of application by the beneficiary;
(c) Withdrawal of the farm by the Department; and
(d) Any other circumstances that the committee may feel justify the termination or withdrawal of the allocation.

4. DOCUMENTATION REQUIRED AT A LATER STAGE

(a)In the case of a natural person: Certified copy of the applicant’s barcoded South African ID;
(b)In the case of a juristic person: Unabridged Legal entity registration certificate, certified copies of all members’ SA IDs, and a Resolution
appointing the representative;
(c) Recent tax certificate confirming that the applicant/ legal entity is registered with SARS as a tax payer (except where the applicant or
legal entity is excluded in terms of SARS requirements); and
(d) In case of livestock, branding, Tuberculosis (TB), Brucellosis and Contagious Abortion (CA) Certificates must be attached.

.
DECLARATION BY AN APPLICANT FOR AGRICULTURAL STATE LAND ALLOCATION IN TERMS OF THE STATE LAND LEASE
AND DISPOSAL POLICY.

I……………………………………………………………………………………………………………………………………………………………
……..(full name(s) and surname as reflected in the ID) holder of

Identity number……..……………………………………………. have applied for allocation of an agricultural state land and hereby
declare:

(a) That the information provided herein is to the best of my knowledge true and correct. I understand that a false statement may
disqualify me from any further consideration from DALRRD, without prejudice to any other rights or remedies available to DALRRD;
(b) I am not disqualified by virtue of being a current or previous beneficiary of the land redistribution programme where I was allocated
a property or farm, which was then abandoned, vandalised or where State assets were mismanaged, or funds provided by the State
misused”;
(c) I understand that an application does not guarantee that land will be allocated to me, as there are still other processes to be followed
before approval;
(d) That I am currently not a public servant (of any three spheres of government or State Owned Enterprises) or public office bearer,
and if I was any of the two, I had already completed my cooling period of 24 Months after leaving public service or 12 Months after
leaving public office, respectively at the time of my application; and
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(e) I hereby consent to the use of information provided by me herein for verification purposes by the department.
…………………………………..
Signature Date
 All questions contained in this questionnaire are strictly for Official purposes and would be treated confidential
Please tick or mark with an X the relevant box

1. PROPERTY INFORMATION
PROVINCE
11.1 What PROPERTY NAME

DISTRICT PROPERTY DESCRIPTION

LOCAL MUNICIPALITY PROPERTY REF NO

And undertake to terminate GPS COORDINATES

2. APPLICANT DEMOGRAPHIC PROFILE

Full Name M F ID Number:

Surname Date of Birth

Marital status: Single/never married Cohabitation(living together) Married Separated Divorced Widowed

Category of Applicant Household producer (Subsistence and vulnerable) Smallholder Farmer Medium Scale Commercial Farmer
Farm-Dweller Farm Worker Labour Tenant Military Veteran Youth Women
Types of Applicants Communal /Commonage Farmer NARYSEC Unemployed Agricultural Graduate Persons with Disabilities
Other Specify
Race Group of Applicant African Indian Coloured South African Chinese

Applicant cell no Spouse Full Name

Alternative
Spouse ID
cell/telephone no
Residential Address: Spouse Employer

Postal Address Spouse Tel/Cell No

Nearest Town Residential address

Municipality Postal Address

District Province
Spouse Email
Province
Address
Facebook/twitter Applicant preferred SMS/ WhatsApp / Email/
account method of contact Calls
Business Email
Applicant Email Address
Address
How long have you been living at this
 1-2 yrs.  2-4 yrs.  5-9  10+
address
Preferred District/Municipality to Lease
3. EMPLOYMENT AND EDUCATIONAL DETAILS
 Student  Pensioner  Farmer  Farm worker  Self Employed  Employed in the private Sector
Occupation:
 Unemployed  Internship  Other
Name of Employer

Type of Employment  Permanent  Temporary  Contract  Seasonal  Internship  NARYSEC  Volunteering  Other
Business activities (self-
employed)

APPLICATION FOR AGRICULTURAL STATE LAND ALLOCATION

Signature of applicant:
Date:
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  Salaries, wages, commissions  Income from Business  Pensions funds  Grants (includes old age pension)
Sources of Income  Sales of Farming products and services  Remittances (money received from people living elsewhere)  No income
 Other income sources (rental income, interest)
Highest level of Education No Bachelor’s Degree
completed: Secondary National Diploma
Education Honours & Postgraduate
N1-N4 (Technikon/University)
Primary Master’s Degree
N5-N6
Matric Doctorate Degree

Have you received any training related to farming (formal or informal) Yes No

Training of Applicant Related to Farming/Agriculture

Year Name of Training Institution (formal/ informal)

Training of Applicant related to Management (Financial, Marketing and etc)

Year Name of Training Institution (formal/ informal)

4. LEGAL ENTITY INFORMATION

Are you applying as an entity Yes No

M F

Number of members of the entity

Number of Persons with disabilities (PwD’s)

18-35 yrs. (Youth)

36-65 yrs.

65 yrs. and above

Total

Type of Legal Entity:  Communal Property Association  Company  Trust  Close Cooperation  Cooperative  Other
Years of Group entity
 0-1 year  2-4  5-9  10+
existence
Legal Entity Registration
Number
Name Surname of Contact
Person
Postal Address of Entity

Telephone: Cell: Email:

5. AGRICULTURAL ACTIVITY

Are you currently involved in Farming? Yes No

Do you pay rent where you farm Yes No

Type of Land ownership where  Rented  Private/Family Farm  Commonage Land  State Land  Communal Land
you currently Farm  Labour Tenant  Farm Dweller  Other (specify)

APPLICATION FOR AGRICULTURAL STATE LAND ALLOCATION

Signature of applicant:
Date:

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How many years have you been
 1-2 yrs.  2-4 yrs.  5-9  10+
Farming
Type of Farming Experience
 Farmers Association  Producers Association  Cooperatives  Community Garden Group
Which association/organization
Special Interest Group  Other (specify)
do you belong to?

Do you require assistance with  Development of Business plan  Market Access  Business Registration  Mentorship  Agricultural
the following Training  Management Training  Other (specify)
No of people to be employed by Project?

No of employees Type of employment

 Permanent  Temporal  Contract  Seasonal  Internship Volunteering  Other

 Permanent  Temporal  Contract  Seasonal  Internship Volunteering  Other

 Permanent  Temporal  Contract  Seasonal  Internship  Volunteering  Other

Type of farming  Livestock  Crops  Mixed Farming
enterprise
Hectares under
Specify Type of Livestock or Crops Number of Livestock Purpose for Production
production
Household Consumption  Sale

Household Consumption  Sale

Household Consumption  Sale

Household Consumption  Sale

Household Consumption  Sale

Household Consumption  Sale

Previous Grants
received from  SLAG  LRAD  CASP  Restitution Grant  Housing Subsidy  Agricultural Grant  Other (Specify)
Government:
Name of Grant Government Department Amount Received

CATEGORISATION OF
PRODUCERS AS PER ANNUAL CATEGORIES OF PRODUCERS ANNUAL TURNOVER
TURNOVER
Annual turnover received Household Producer (Vulnerable)
0
through farming enterprise classified as Indigent
Household Producer (Subsistence) less than R50 000

Small Holder Producer R50 001- R1 000 000

Medium Scale Commercial Producer R1 000 001 and R10 000 000
What are you intending to use the land for?

Agricultural Enterprise Type

APPLICATION FOR AGRICULTURAL STATE LAND ALLOCATION

Signature of applicant:
Date:
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 Grains Vegetable Sugar cane Tobacco Cotton Tea
Crop Production
Sunflower Nuts Other Specify
Viticulture/Vineyards
Fruits Herbs Flowers Medicinal plants Mushrooms Sprouts
Horticulture
Non-food crops (Grass) Other(specify)
Beekeeping
Beef Dairy (cows) Dairy (Goats) Goat Sheep Pig
Animal Production
Ostrich Poultry (layers) Poultry (Broilers) Aquaculture Other(specify)
Main Areas of Interest Primary Production Processing Marketing

Interested in Producing for Own Consumption Informal Market Formal Market

List of farm implements (Irrigation Land)

Machinery Implements Production Inputs Infrastructure Finance

What support is needed to help improve your farming
Access to Markets Agricultural Training Other(specify)

For office use (Attach Deed Search information)

Land parcel Details Province

Farm Name District Municipality
Farm Number Local Municipality
Property Description Current Commodity
Portion Proposed Commodity
Registration Division GPS Coordinates
LPI Code
Hectares/ Extent
Farm Ref No

Serial Number

Date Received
Name Of Office
Name of Receiving Official

-------------------------------------
Office Stamp
Signature of Receiving Official

APPLICATION FOR AGRICULTURAL STATE LAND ALLOCATION

Signature of applicant:
Date:

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