nguni application form 2013-2014
DESCRIPTION
Nguni CowsAppTRANSCRIPT
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Yes No
APPLICATION FORM FOR MPUMALANGA IDC/UL NGUNI CATTLE DEVELOPMENT
PROJECT 2013/2014
CO-OPERATIVE DETAILS
Co-operative name_________________________________________________________________
Co-operative registration number______________________________________________________
Co-operative representative__________________________________________________________
ID number of co-operative representative________________________________________________
Telephone __________________Cell _______________________Fax________________________
Physical/Business address ______ ___
_________
Postal Address _________
______________________
District ___________________________________________________________________________
Local Municipality __________________________________________________________________
Area name _______________________________________________________________________
Ward Number_____________________________________________________________________
GPS Coordinates___________________________________________________________________
Type of farm: Please tick Own Title Deed Lease
If Lease agreement indicate period of lease in years ______________________________________
PLEASE ATTACH PROOF OF OWNERSHIP
Total land size (ha) ____________Natural grazing (ha) ____________Planted pasture (ha) ________
Arable (ha) ___________and Plantations (ha) _____________
Livestock Brand mark
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Yes No Yes No
Yes No No Yes Yes No No Yes
Yes Yes Yes No No No
COOPERATIVE BENEFICIARIES
Total number of beneficiaries in coop__________________
Men____________________________________________
Women _________________________________________
Youth__________________________________________
People living with disability__________________________
AVAILABLE INFRASTRUCTURE: (please cross where applicable)
Boundary fence: Grazing camps
Water sources: River Streams Windmill Borehole
Handling Facilities: Kraals Crush pens Dipping facilities
CURRENT NUMBER OF STOCK ON THE FARM
Cattle: _________ Breeding Bulls: Steers: _______Cows/ Heifers________
Goats: ________________Bucks: Does:
Sheep: ________________Rams Ewes
Pigs: __________________Boars Sows
I hereby declare that the above-mentioned information is true and correct and acknowledge
that any misleading information provided will lead to disqualification.
_____
Signature of Coop representative Date
Witness _______________________ ___________________
Agricultural Advisor Date
Witness _____________________________ ____________________
Agricultural Municipal Manager Date
NB. Project profile must be attached
Office Stamp