Anonymous

CUCO INVENTORY OF CROP HOLDINGS (FIELDS) / INVENTAIRE DES CHAMPS AGRICOLES

Compensation form crops/fields

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Title Page

Document No:
RÉFÉRENCE INVENTORY OF CROP HOLDINGS (FIELDS) / INVENTAIRE DES CHAMPS AGRICOLES
SITE / COMPANY /SOCIETE
Conducted on
Prepared by
Location
PEOPLE PRESENT / PERSONNES PRÉSENTES

DESCRIPTION

IDENTIFICATION

FULL NAME / NOM
Vulnerable Person? (I.e. Veuve/veuf, handicape, personne age, orphelin, mineur)
OWNER PICTURE / PHOTO DU PORTEUR
ID NUMBER / NUMÉRO CARTE D'IDENTITÉ
ID PICTURE / PHOTO DE LA CARTE D'IDENTITÉ
TELEPHONE NUMBERS / NUMEROS DE TELEPHONES
ADRESS / ADRESSE
ALTERNATIVE CONTACT / CONTACTE ALTERNATIVE

INFORMATION ON FIELD / INFORMATION DU CHAMPS

TYPE OF CROPS / CULTURES
PICTURE OF CROPS / PHOTO DES CHAMPS
GPS COORDINATES
FIELD SIZE / SUPERFICIE CULTIVÉE
REMARKS / REMARQUES

SIGNATURES

SIGNATURE OWNER / PROPRIÉTAIRE
SIGNATURE AGENT CSR
GOVERNMENT AGENCY / DÉPARTEMENT DE GOUVERNEMENT
SIGNATURE AGENT GOUVERNEMENT

Anonymous

CUCO INVENTORY OF CROP HOLDINGS (FIELDS) / INVENTAIRE DES CHAMPS AGRICOLES

Compensation form crops/fields

Use this Template

Print as PDF

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