POULTRY FARMER OF THE YEAR ENTRY

Section 1: Nominee Details

Full Name

Date of Birth

Gender

Phone Number:

Email Address

Farm / Business Address

SECTION 2: FARM / BUSINESS PROFILE

Farm / Business Name

Type of Poultry Enterprise:

Years in Operation

Flock Size Per Cycle

Number of Cycles Per Year (for broilers)

Average Egg Production (per day/month) – for layers

Housing System

Number of Employees

SECTION 3: PRODUCTION & BUSINESS PERFORMANCE

Brief description of your poultry business

Key management practices

Biosecurity measures implemented

Survival rate / Mortality rate

Main Markets Served

Business growth and profitability

Value addition (if applicable)

Contribution to community or local economy

Section 4: Supporting Evidence

Upload photos of your poultry houses or facilities

Upload proof of sales or production (invoices, delivery notes, contracts, receipts)

Upload certificates (optional) (biosecurity, training, veterinary certificates)

Additional supporting documents (optional)

Section 5: 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 to the declaration.

Date

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POULTRY FARMER OF THE YEAR ENTRY

Section 1: Nominee Details

SECTION 2: FARM / BUSINESS PROFILE

SECTION 3: PRODUCTION & BUSINESS PERFORMANCE

Section 4: Supporting Evidence

Section 5: Declaration

Agricoop Awards

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