FARMER’S PROFILE

Barangay San Miguel, Arakan, Cotabato

Date: ________________

NAME: __________________________________________________ Birthday: ________________________

(Last) (First) (Middle) (mm/dd/yyyy)

FAMILY COMPOSITION:
NAME RELATIONSHIP DATE OF BIRTH OCCUPATION MONTHLY INCOME
TO THE (MM/DD/YYY)
FARMER

Ethnicity: ____________ Any disability?: ____ Yes ____ No What disability?: _________________________

Total No. of Male in the Family: _____ Total No. of Female in the Family: _______

Are all members of the family with Registered Certificate of Live Birth?: ___________

If no, how many are not registered in the LCR?: ___________

FARM LOCATION: ___________________________________ AREA (in hectare): _____________________

STATUS OF OWNERSHIP: _____ Actual Occupant _____ Tenant ______ Caretaker ______ Borrowed

If not the owner/occupant, write name of owner/occupant: __________________________________________

Is there an agreement for the use of land?: _____ Yes _____ No

What year the farmer started in the barangay? ___________

What crops are raised by the farmer?

NO. OF HILLS/ NO. OF HILLS/ NO. OF HILLS/
CROPS FRUIT TREES FOREST TREES
AREA PLANTED AREA PLANTED AREA PLANTED
BANANA RAMBUTAN RUBBER
PAPAYA LANZONES MAHOGANY
PINEAPPLE COFFEE LAUAAN
VEGETABLE CACAO GEMELINA
CORN COCONUT FALCATA
RICE DURIAN NARRA
YACON MANGOSTEEN MOLAVE
TURMERIC MANGO PINE TREE
ONION JACKFRUIT
CAMOTE
CASSAVA
TARO
(KARLANG)
GABI (TUOD)
SUGARCANE

1
Individual Farmer’s Profile (Customized Form)
Barangay San Miguel, Arakan, Cotabato
What livestock and poultry are raised by the farmer?
Domestic
LIVESTOCK No. POULTRY No. No.
Animals
HORSE CHICKEN DOG
CARABAO TURKEY CAT
COW GOOSE RABBIT
SHEEP DUCK GUINEA
PIG BIRDS
GOAT

What livelihood did the farmer and his/her household receive?

Type of Livelihood Office/Agency No. Year Status

Livestock Dispersal
Poultry Dispersal
Tree Distribution
Fertilizer Subsidy
Vegetable Production Project (KC)
DILP- Individual Negosyo Starter Kit
Pantawid Pamilyang Pilipino Program (4Ps)
Modified Conditional Cash Transfer (MCCT)- IP
Unconditional Cash Transfer (UCT)
National Greening Program
Scholarship

What TRAINING/S did the farmer attend?

Type of Training /Title of Training Year Lead Organizer Training
Attended Applied?
(yes/no)
Diversified Farming System
High Value Crops Production
Organic Farming System
SALT
Organic Pesticide Production
Basics of Composting
Insect and Pests Management System
Skills Training, specify:

What TRAINING/S the farmer would like to attend?

Type of Training /Title of Training
Diversified Farming System
High Value Crops Production
Organic Farming System
SALT (Sloping Area Landscaping Technology)
Organic Pesticide Production
Basics of Composting
Insect and Pests Management System
Skills training, specify:

2
Individual Farmer’s Profile (Customized Form)
Barangay San Miguel, Arakan, Cotabato
 Basic Entrepreneurship Training Course

What livestock and poultry the farmer would like to raise?

Domestic
LIVESTOCK No. POULTRY No. No.
Animals
HORSE CHICKEN DOG
CARABAO TURKEY CAT
COW GOOSE RABBIT
SHEEP DUCK GUINEA
PIG BIRDS
GOAT

What crops the farmer would like to obtain?

NO. OF HILLS/ NO. OF HILLS/ NO. OF HILLS/
CROPS AREA for FRUIT TREES AREA for FOREST TREES AREA for
PLANTING PLANTING PLANTING
BANANA RAMBUTAN RUBBER
PAPAYA LANZONES MAHOGANY
PINEAPPLE COFFEE LAUAAN
VEGETABLE CACAO GEMELINA
CORN COCONUT FALCATA
RICE DURIAN NARRA
YACON MANGOSTEEN MOLAVE
TURMERIC MANGO PINE TREE
ONION JACKFRUIT
CAMOTE
CASSAVA
TARO
(KARLANG)
GABI (TUOD)
SUGARCANE

What livelihood the farmer and his household would like to receive?

What organization the farmer is a member of?

Name of Organization Designation Status
(active/inactive)

What organization the farmer or any member of his/her household would like to be a member of?

3
Individual Farmer’s Profile (Customized Form)
Barangay San Miguel, Arakan, Cotabato
 Name of Organization Designation Status
(active/inactive)

What skills the farmer or any member of his/her household has?

Status (employed,
Check if
Type of Skills With NC-II? (yes/no) unemployed, licensed,
applicable
not licensed)
Driving
Welding
Carpentry
Masonry
Computer (typing, Encoding)
Cooking/Cookery
Handicraft making

What skills the farmer or any member of his/her household would like to obtain? (Check two among the list)
Driving
Welding
Carpentry
Masonry
Computer (typing, Encoding)
Cooking (Cookery)
Handicraft making

Is the farmer engaged in entrepreneurship? ______Yes ______ No

Is the farmer willing to engage in entrepreneurship? _______ Yes ______ No

Any suggestion the farmer would like to give for the Barangay Government to best deliver services to the
general constituency?

_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
________________________________________________________________________________________

PAMATUOD (ATTESTATION) UG PAGHATAG OG KATUNGOD (AUTHORIZATION)

Ako nagapamatuod nga ang tanang mga impormasyon nga natala dinhi sa ibabaw matuod ug
husto sumala sa akong kaugalingong kasayuran. Ako nasayud nga ang mga impormasyon nga
makolekta pagagamiton sa Barangay Local Government sa San Miguel, Arakan, Cotabato alang sa
pagtubag sa mga panginahanglanon sa ginsakupang lomolopyo niini. Ako nagahatag og katungod sa
natudlong opisina/ahensya sa paggamit sa akong impormasyon nga gihatag aron sa pagmugna og
mga plano nga may katuyoan sa kalambuan dili lamang kanako ug sa akong panimalay, apan sa
kinatibuk-ang komunidad.

_____________________________________
Pangalan sa mag-uuma ug perma sa ibabaw

__________________
Petsa sa paglagda

4
Individual Farmer’s Profile (Customized Form)
Barangay San Miguel, Arakan, Cotabato