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Office of the City Agriculturist

Bago City

RSBSA Digital Registration Form

Registry System for Basic Sectors in Agriculture

For Rice Fields Farmers

1 Personal Info

2 Address

3 Contact & Birth

4 Other Info

5 Farm Parcels

6 Documents

7 Account

I. Personal Information

Surname *

First Name *

Middle Name

Ext. (Jr./Sr./III)

Sex

Male Female

RSBSA ID *

II. Address

House/Lot/Bldg No., Purok, Street/Sitio/Subdivision

Region *

Province *

City/Municipality *

Barangay *

III. Contact & Birth Information

Mobile Number *

Date of Birth

Place of Birth (Municipality)

IV. Farm Parcel Information

Farm Parcel

Farm Region *

Farm Province *

Farm Location (City/Municipality) *

Farm Location (Barangay) *

Total Farm Area (Hectares)

Area Cultivated (Hectares)

V. Document Upload

Please upload clear scanned copies or photos.

1. Land Title / CLOA / Tax Declaration / Lease Agreement Make sure the text is readable.

2. Valid Government-Issued ID Ensure your full name, photo, and ID number are clearly visible.

3. Recent 2x2 Picture

4. Barangay Certificate

VI. Account Information (for AgriShield Portal)

Username *

Password *

Confirm Password *

Phone Number (for verification)

Gmail Address *

Only Gmail addresses (@gmail.com) are accepted. We validate the Gmail format and username rules.

By submitting this form, you agree to the terms and conditions of the RSBSA program.

Farm Parcel

🗑️ Remove Farm Parcel

Complete Required Information

Missing Required Fields