Application Form To Join PGS Of The Production Group

We, the farmer group at:

Village/Commune: _____________________________________________________________________

District:  _____________________________________________________________________________

Province/City: ________________________________________________________________________

Aspire to register as a production group under PGS :

With the name of the   group:____________________________________________________________

Contact information:

Name : _________________________________________________________________________

Address: ______________________________________________________________________

 ________________________________________Phone number :  ____________________

 Founding members (at least FOUR people):

If the group has more initial participants than the table above, please attach a list with farmers' signatures to this form.

Registration date: __________________________________________________

Sign up by the coordinator team:______________________________________

Day: ________________________