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Name of Customer

Product

Date of Birth

Sex

Tel

Alternate Tel

Attachments

Address

Region

ID Card Number

ID Type

Grid Status

Type of Farm

List of Crops (if crops)

List of Livestock (if livestock)

Source of water

Depth (meters) of water source (if borehole or hand_dug well)

Total land size for irrigation (acres)

Irrigation System Type

Size(litres) of storage tank, if applicable

Pump type

Sujet

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Soumettre

BBOXX Ghana

Off Adenta – Aburi Road, After Dodowa Junction
Adenta
Accra
Ghana

+233800255255

info@pegafrica.com

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