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ABOUT US
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Name
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First
Last
Gender
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Female
Male
Email
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Phone number
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Double check your phone number please !
National ID number
*
Upload you national ID.
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upload Picture or Pdf format
Bithday (DD/MM/YYYY)
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Age
*
Which region are you from?
*
Central
Western
Eastern
Northern
Which district are you from ?
*
Abim
Adjumani
Agago
Alebtong
Amolatar
Amudat
Amuria
Amuru
Apac
Arua
Budaka
Bududa
Bugiri
Bugweri
Buikwe
Bukedea
Bukomansimbi
Bukwo
Bulambuli
Buliisa
Bundibugyo
Bunyangabu
Bushenyi
Busia
Butaleja
Butambala
Butebo
Buvuma
Buyende
Dokolo
Gomba
Gulu
Hoima
Ibanda
Iganga
Isingiro
Jinja
Kaabong
Kabale
Kabarole
Kaberamaido
Kagadi
Kagoma
Kakumiro
Kalangala
Kaliro
Kalungu
Kampala
Kamuli
Kamwenge
Kanungu
Kapchorwa
Kasese
Katakwi
Kayunga
Kibaale
Kiboga
Kibuku
Kiruhura
Kiryandongo
Kisoro
Kitagwenda
Kitgum
Koboko
Kole
Kotido
Kumi
Kwania
Kween
Kyankwanzi
Kyegegwa
Kyenjojo
Kyotera
Lamwo
Lira
Luuka
Luwero
Lwengo
Lyantonde
Manafwa
Maracha
Masaka
Masindi
Mayuge
Mbale
Mbarara
Mitooma
Mityana
Moroto
Moyo
Mpigi
Mubende
Mukono
Nakapiripirit
Nakaseke
Nakasongola
Namayingo
Namisindwa
Namutumba
Napak
Nebbi
Ngora
Ntoroko
Ntungamo
Nwoya
Otuke
Oyam
Pader
Pallisa
Rakai
Rubanda
Rubirizi
Rukiga
Rukungiri
Rwampara
Sembabule
Serere
Sheema
Sironko
Soroti
Tororo
Wakiso
Yumbe
Zombo
Do you have Primary Leaving Examination Certificate (PLEC)?
*
Yes
No
What is your highest education level?
*
Masters Degree in University
Bachelors Degree in University
3-5 years of Post Secondary School
2 years of Upper Secondary School
4 years of Lower Secondary School
7 years of Primary School
Upload Academic certification
*
upload Picture or Pdf format
Which agribusiness area is your business in? or you are interested in?
*
You can choose more than one.
Livestock Farming
Agricultural Input Industry - Fertilizer and Agrochemical Companies
Agricultural Input Industry - Seed and Biotechnology Companies
Distribution and Wholesale - Logistics and Transportation
Distribution and Wholesale - Wholesale and Distribution Companies
Retail and Consumer - Farmers' Markets, Local Produce Stores, Restaurants, Food service
Agricultural Input Industry - Machinery and Equipment Manufacturers
Agricultural Processing and Manufacturing - Textile and Apparel Industry
Agricultural Processing and Manufacturing - Beverage Production
Agricultural Processing and Manufacturing - Food Processing
etc
What relevant agricultural skills and experiences do you have? *
*
You can choose more than one.
Crop Farming
Animal Rearing
Food processing
Post Harvest Handling
Farm Management
Sales and marketing
Mushroom growing
Value addition
Processing of animal feeds
Honey processing Honey production
Poultry keeping,
Coffee growing
Agricultural insurance
Installing poultry equipment
Arboriculture Installing cages and others
Coffee Farm establishment
Horticulture Apiary Research and Development
Organic fertilizers production.
Ice cream making
Soap making Extension services
Veterinary and Animal treating
Please upload a recommendation letter from LC1 of your area of residence.
*
upload Picture or Pdf format
Do you have past or current business records to provide?
*
Yes, I have past business record
Yes, I have current business record
Yes, I have past and current business record
No, I don't have business record to provide
If Yes, please provide the name and the evidence.
*
upload Picture or Pdf format
Do you have a bank or SACCO account?
*
Yes
No
What Assets do you possess?
*
You can choose more than one.
Land
Tractors and machinery
Buildings
Motorcycle
Renting Land
Goats
Animals
Rented space
Store
Cattle
Drug shop
Business
Flat iron for sealing
I don't have any
Animal feeds processing
Equipment and skills
Shop
Bodaboda
Car
Veterinary Drug Shop
Agro input shop
Gardens
Briquette machine
I use father's assets
Animal shed and a pond
Livestock
Pigs and Hens
Animals and Food Processing
Crops (Maize, Millet, etc
Space given to my mum
Goats and hens
off-grid water pumps
Rice hulling machine
Plot
Automobile
Rented place
Business assets
Offices
House
Restaurant Equipment
LENT HOUSE and other
Tree plantation ( eucaliptus etc)
What is the Average annual turnover from your agribusiness activities?
*
UGX 1,000,000- 5,000,000
UGX 5,000,001- 10,000,000
UGX 10,000,001- 20,000,000
UGX 20,000,000 and Above
What is the Average annual turnover from your agribusiness activities?
*
Do you belong any farmer's cooperative or any other groups?
*
Yes
No
If Yes, please provide the name and the evidence.
*
upload Picture or Pdf format
How many members are registered in your group ?
*
What is your role or position in the group?
*
Member
Chairperson
Treasurer
Board Member
Vice chairperson
What is your Average annual expenditure?
*
Our Terms and Conditions
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