AGRICULTURE COOPERATIVE OF THE YEAR ENTRY

SECTION 1: COOPERATIVE DETAILS

1. Cooperative Name

2. Year Established

3. Registration Number (if applicable)

4. Head Office Address

5. Province & District6. Primary Contact Person

Name

Phone Number

Email Address

7. Number of Members

8. Type of Cooperative: (e.g., Crop marketing, Livestock, Poultry, Mixed, Agro-processing)

SECTION 2: BUSINESS & OPERATIONS

Other (Specify)

11. Average Annual Turnover (ZMW or local currency): (optional)

12. Number of Permanent & Seasonal Employees / Staff

13. Markets Served: (Local, Regional, Export, Processors, Other)

SECTION 3: BUSINESS PERFORMANCE & IMPACT

14. How has the cooperative contributed to member livelihoods?

15. Key achievements in the last 3 years: (e.g., growth in membership, sales, market access, awards)

16. Innovations or technologies adopted: (e.g., mechanization, digital platforms, value addition, irrigation)

17. Training, mentoring, or capacity-building provided to members:

SECTION 4: SUSTAINABILITY & COMMUNITY CONTRIBUTION

18. Environmental sustainability practices: (e.g., soil, water, waste management, climate-smart practices)

19. Community impact: (e.g., job creation, local sourcing, youth involvement, empowerment programs)

SECTION 5: SUPPORTING DOCUMENTS

20. Upload supporting materials: (Google Drive/Dropbox Links)

Cooperative registration documents

Proof of sales / contracts / financial statements

Photos of cooperative activities / facilities

Certificates or awards (optional)

SECTION 6: DECLARATION

I confirm that the information provided is accurate and true to the best of my knowledge. I consent to Agricoop Awards using this information for judging, verification, and official awards-related communication.

I also agree that Agricoop Awards’ partners and sponsors may contact me for legitimate business or collaboration purposes connected to the awards.I Agree

Full Name of Authorized Representative

Position in Cooperative:

Date

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