Ati QF Pad 48 Rev.04 Lsa Profile Form
Ati QF Pad 48 Rev.04 Lsa Profile Form
Ati QF Pad 48 Rev.04 Lsa Profile Form
Civil Status: __/___ Single _____ Married _____ Separated _____ Widow
Name of Organization:
Registered Address:
necessary)
No. of times
Topic Audience
delivered
Location/Address of Farm:
Purok Paghiusa, Brgy. Poblacion, Tampakan, South Cotabato
C. FARM ENTERPRISE
Component
Area Devoted Ave. Annual Production Average Income
(commodities/projects)
D. FARM OPERATION
Other Facilities
____ Training/Activity Hall ____ Administrative Office
____ Toilet ____ Dormitory/Guest House
____ Wash Area (For farm tools and equipment) ____ Material Recovery Facility
____ Storage Room ____ Parking Area
Demonstration Area
____ Plant nursery
____ Fertilizer and Feeds production area
____ Vegetables, Herbs and Spices production area
____ Livestock production area
____ Poultry production area
____ Fishery production area
____ Cut Flowers, Ornamentals, and Succulents production area
____ Post-harvest area
Prepared by:
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