1. Applicant: (Fill in basic personal information).

2. Land requisition: Our project has been requisitioned (fill in the land requisition area) mu of land (fill in the land requisition time) and (fill in the land requisition location). So now I apply for recognition as a land-expropriated farmer.

3. Appraisal materials: (list the appraisal materials provided by farmers, and indicate the quantity and date of the materials provided).

4. Other relevant materials: (List other relevant materials provided, and indicate the quantity and date of materials provided).

The applicant declares that I guarantee that all the materials provided are true and valid, and I am willing to bear all legal responsibilities arising therefrom.

6. Signature of the applicant: (fill in the applicant's signature) Date: (fill in the application date).