VTest 1.00Ag 27/06/2022
Application Form
for registration of new farmer for purchase of breeding stock

* Mandatory fields

Date
...
National ID : *
Surname : *
Other Name(s) : *
Occupation :
Residential Address : *
Farm Address :
Telephone No. : 
Mobile No. :
Email Address :
Breeding Stock Type : 
  *
Farm Capacity :
(Number of heads)

Mode of registration

Applicant for broiler chick and duckling is requested to call in person at the Poultry Breeding Centre, Animal Production Division, Agricultural Services, Reduit (Tel No. 464 37 33) for collection of registration card on weekdays from 8.45 hrs to 16.00 hrs.


The poultry Breeding Centre reserves the right to cancel order due to change in production program and any other unforseen circumstances. Confirmation of quantity of chicks, ducklings ordered will rest solely on Poultry Breeding Centre.


Note: Farmers who are already registered with the Animal Production Division need not fill this form again.