PSII FORM Exporter / name(Tick appropriately): Physical business location: Address: P.O. Box: E-mail: Phone No. Date: Name of farmer group (where applicable ) Name and code of collection Farmer’s details farm (s) details crop production No of (for fruit Crop (provide trees) information for each crop in its Area of season No Name of farmer Trace code Mobile No. ID NO. County Location own row) Crop (acre) (Kg) NOTE: 1. KINDLY ATTACH DULY SIGNED CONTRACTS FOR EACH OF FARMER INDICATED ABOVE Name Signature Stamp
PSII FORM Exporter / name(Tick appropriately): Physical business location: Address: P.O. Box: E-mail: Phone No. Date: Name of farmer group (where applicable ) Name and code of collection Farmer’s details farm (s) details crop production No Name of farmer Trace code Mobile No. ID NO. County Location Crop (provide information for each crop in its own row) Area of Crop (acre) No of (for fruit trees) season (Kg) NOTE: 1. KINDLY ATTACH DULY SIGNED CONTRACTS FOR EACH OF FARMER INDICATED ABOVE Name Signature Stamp
AFA-form-1-D-editable-1-3.docx