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Agriculture · Form

Sample Form: ثبت سم‌پاشی

الزام قانونی و ایمنی: سم، دوز، تاریخ، هوا و تجهیزات حفاظتی.

7 questions · Free up to 50 responses a month

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About this template

“ثبت سم‌پاشی” has 7 questions; 6 are required and 1 optional. Question types: Short text (2), Date (1), Decimal (1), Dropdown (1), Multiple choice (1), Signature (1). 8 ready-made options across 2 choice questions, all editable in the online version.

In the online version of this template

  • Dates are picked and stored on the Jalali (Persian) calendar.
  • Signatures are drawn on the phone or computer screen.
Related:Online form builder

Questions in this template

  1. 1.

    قطعه *

    (Short text)
  2. 2.

    تاریخ *

    (Date)
  3. 3.

    نام سم / کود *

    (Short text)
  4. 4.

    دوز (لیتر یا کیلو در هکتار) *

    (Decimal)
  5. 5.

    وضعیت هوا

    (Dropdown)
    • آرام
    • باد ملایم
    • باد شدید
    • بارانی
  6. 6.

    تجهیزات حفاظتی *

    (Multiple choice)
    • ماسک
    • دستکش
    • عینک
    • لباس کار
  7. 7.

    امضای مسئول *

    (Signature)

Printable or online?

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you
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Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too
Build the online version for free

How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “ثبت سم‌پاشی”.
  3. Change the questions as you like, publish the form and send the link.

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