Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

ANNEX A-1

Department of Agriculture
Region: 02
LIST OF FARMER-BENEFICIARIES (FERTILIZERS FROM NRP & RRP 1 SPILL OVER)
PROGRAM/PROJECT:______________________________
PROVINCE: _____________________ BARANGAY: _________________________ Organization:
MUNICIPALITY: _________________ TYPE OF AGRICULTURAL INPUT: FERTILIZER Cropping Season:

Name
Senior Indigenous Quantity
Date of Birth LOCATION OF FARM Gender PWD Farm
No. Citizen People KIND OF FERTILIZER Received
Last Name+Suffix First Name MiddIe Name (MM/DD/YY) (Barangay) (M/F) (Y/N) Area (ha)
(Y/N) (Y/N) (Bgs)

10

11

12

13

14

15

16

17

18

19

20

Total
Prepared by: Submitted by: Attested by:

__________________________________ ________________________________ ________________________________ _____________________________


IA/COOP President/Chairman Agricultural Technician City/ Municipal Agriculturist CAFC/MAFC
ANNEX A-1

Organization:_________________________________
Season: DRY SEASON 2020-2021

Date Received Signature

Noted:

__________________________________
Provincial Agriculturist

You might also like