A. FARMER'S PERSONAL DETAILS

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GNACOFA MEMBERSHIP APPLICATION FORMS

**PLEASE ALL FIELDS ARE REQUIRED AND SHOULD BE FILLED  IN UPPERCASE**

PUT *N/A* IF YOU DO NOT HAVE AN ANSWER TO A QUESTION

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B. FARM INFORMATION

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C. FINANCIAL ASSISTANCE

Incase of financial assistance what would you use the fund for:

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D. INTEREST

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Are you interested in Farmer's Financial Association?

Do you belong to an association?:

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if yes, State the name of the Association.

DECLARATION

I confirm the truth of the information provided above

Check the box
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