Application for Training

1 Select Course Type

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General Training Course

Crop, Livestock & Agribusiness

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Kitchen Gardening

Home garden training

2 Personal Information

Title *

Mr Mrs Ms

Surname *

First Name *

Address *

Fixed Line / Tel. No.

Mobile No. *

WhatsApp Available?

Yes No

N.I.C No. *

Please enter a valid 14-character NIC number

3 Background & Experience

Educational Level *

CPE Secondary Tertiary

Occupation

Current Involvement in Agriculture *

Part time Full time Nil

Crop Production Type

Open field Hydroponics Sheltered Farming

Area under Production (Arp/Ha)

Livestock – Species

No. of Heads

Agribusiness (processing, marketing, etc.)

Years of Experience in Agricultural Activity

4 Training Preferences

Training Mode Interested *

Face to Face Online

Preferred Day of Training *

Weekday Saturday (9:00 – 12:00 hr)

Duration of course: 2 half days | Certificate: Issued on full completion of training

4 Course Details

Course Applied For *

Registration fee: Rs 300 (Rs 600 for agro-processing courses) | Postage fee: Rs 45 if certificate is to be posted

5 Declaration

I hereby apply to follow the above-named course. I declare that the information given above is correct to the best of my knowledge and agree to abide by the rules and regulations of the training centre.

General Training: A registration fee of Rs 300 (or Rs 600 for agro-processing courses) is payable. A postage fee of Rs 45 is applicable if you wish to have your certificate posted.

Date *

Full Name (as signature) *

Food and Agricultural Research and Extension Institute