ONE DAY AGRICULTURAL VISIT

Name of applicant group, organisation or institution:
Name of the contact person (person filling this form):
Designation of the contact person above (e.g. Director, teacher incharge etc).
Applicant Address
Contact email (if any):
Telphone Number (mobile/landline or both):
Proposed date of visit (day, month and year):

Areas of interest (describe in brief):
Number of participants expected to visit:
Today's date:
I hereby declare that the above information is correct and true and can be relyed upon in arranging for our proposed visit to baraka agri. college		Yes No