SEARCH
Philippine Government Forms All in One Location
Tweet
Share
22 Ocular Inspection Report
DAR occular inspection report for CARPER LAD
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Downloadable Forms at: www.dar.gov.ph free of charge
CARPER LAD Form No. 22
(Revised CARP-LAD Form No. 10)
Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region No. ________
Province of ________________
Municipality of __________________
OCULAR INSPECTION REPORT
A. LANDOWNER/s
NAME
(Family Name, First Name, Middle Initial)
B. DESCRIPTION OF LAND
OCT/TCTNumber
Tax Dec. Number
Lot Number
Approved Survey Number
Total Area (Has.)
Location (Municipality, Barangay)
:
:
:
:
:
:
:
Address
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
C. STATUS OF LAND
1.
Land Condition Suitability to Agriculture
( ) Subject property is presently being cultivated and suitable to agriculture
( ) Subject property is presently idle or vacant and suitable to agriculture
2.
Accessibility or availability of
a.
Road Frontage
( ) Yes
b.
Approximate distance from
( ) Brgy. Proper ______Kms
c.
( ) No
( ) Poblacion _______Kms.
Mode of Transportation available in the area
( ) Bus
( ) Tricycle
( ) Jeep
( ) Motorcycle
( ) Boat/Banca ( ) Others (Specify)
________________________________
CARPER LAD Form No. 22/ Page 1 of 4 Pages
Downloadable Forms at: www.dar.gov.ph free of charge
1.
Mode of Production
( ) Single or Monocrop
( ) Diversified or Multi-Crop
2.
Land Use
(
(
(
(
(
(
) Irrigated Riceland
) Unirrigated Riceland
) Corn land
) Sugarland
) Coconut Land
) Banana Plantation
(
(
(
(
(
(
) Pineapple Plantation
) Rubber Farm
) Oil Palm Plantation
) Citrus Farm
) Coffee/Cacao Farm
) Others (Specify)
_________________
_________________
D.
FARMER/S/WORKERS IN THE LAND
( ) WITH FARMER/S
1.
Number of Tenant/s or Lessee/s: __________
2.
Number of Regular Farmworker/s: _________
3.
Number of Seasonal Farmworker/s: ________
4.
Number of Other Farmworker/s: ___________
5.
Cooperatives/Associations of Potential Beneficiaries
_____________________________________________________
(Name/s)
6.
Number of Others Directly Working on the Land: ________________
( ) WITHOUT FARMER/S
E.
NOMINATED CHILD/REN AS PREFERRED BENEFICIARY/IES
Name of Preferred
Beneficiary/ies
Last Name, First Name, Middle
Initial)
CARPER LAD Form No. 22/ Page 2 of 4 Pages
Complete Address
Birthdate
(MM/DD/
YYYY)
Area (has.)
Actual
Tillage
Directly
Managed
Downloadable Forms at: www.dar.gov.ph free of charge
F.
NAMES OF TENANTS, LESSEES, AND/OR REGULAR FARM WORKERS
Name of Tenants, Lessees,
and/or Regular farm workers
(Last Name, First Name,
Middle Initial)
Complete Address
Birthdate
(MM/DD/
YYYY
Area (has.)
Actual
Tillage
Directly
Managed
(Use additional sheets, if necessary)
G.
ATTACHMENTS
(
) Sketch map of the entire property with a delineation or shading or general
indication of the retained area as manifested by landowner or as chosen by the municipal
agrarian reform officer (MARO)
(
) Notice to landowner on the portion selected as retained area and proof of service, when
applicable
(
) Others (please specify):
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Inspection conducted by:
Attested by:
_________________________
ARPT/SARPT
(Signature over Printed Name)
_____________________________
Municipal Agrarian Reform Officer
(Signature over Printed Name)
_________________________
Date
__________________________
Date
Copy Distribution:
Original
Duplicate Original Triplicate
-
CARPER LAD Form No. 22/ Page 3 of 4 Pages
CF
DARPO
DARMO
Downloadable Forms at: www.dar.gov.ph free of charge
CARPER LAD Form No. 22
(Revised CARP-LAD Form No. 10)
ADDITIONAL SHEETS FOR NAMES OF TENANTS, LESSEES AND REGULAR FARMWORKERS
Name of Tenants, Lessees,
and/or Regular farm workers
Complete
Address
Birthdate
(MM/DD/ YYYY)
If additional sheets are necessary, make a photocopy/photocopies
Each additional sheet should be initialled by the MARO.
CARPER LAD Form No. 22/ Page 4 of 4 Pages
Area (has.)
Actual
Directly
Tillage
Managed
