APPLICATION FORM FOR PESCA SHORT COURSES TRAINING
Applicants are required to answer all questions in the form.You will be required to submit a recommendation letter from your District Fisheries Officer (DFO) at the end of this application.Please download a template of the letter from the link below.


NB:  In case any question is not clear and you need explanation, please reach Ms. Kantono Violet on 0755-280-406(WhatsApp) or 0755-000-956 from 7:00AM - 8:00PM
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1(a) First name
 *
1(b) Surname *
2.Gender
 *
3. Age
 *
4(a) District *
4(b) Sub-County
 *
4(c) Parish
*
4(d) Village *
5. National Identification Number (NIN)
 *
6(a) Applicant’s Contact details:  Phone Number *
6(b) Applicant’s Contact details : Email Address
7. Current occupation (s) in the aquaculture value chain (e.g., Catfish Hatchery, Tilapia farm manager, Feeder etc.):  
 *
8. Years of experience in your current Aquaculture Value Chain occupations (e.g., years of experience in a hatchery or in feed production etc)
 *
9. Other previous occupations in aquaculture value chain and the respective experiences (e.g., feeds-5yrs, processing/smoking-2yrs)
10. Educational background (Tick One) *

11. Proficiency in English

 *
12. Local language(s) spoken *
 13. Do you belong to any fish producer organisation? If so what type of organisation (farmer group/cooperative society/etc.)? Give the name of the organisation *
14. Type of the system used (e.g., cage, tanks, ponds) *
15. If farm is a grow out, the source of fingerlings (Name of hatchery, District) *
16. Level of Production (e.g., 1tonne per year, 5000 fingerlings per month etc.): *
17. Source of feeds for your farm *
18. Main challenges experienced at your farm (1-3 main challenges) *
19. What Knowledge and skills do you expect to gain from the training? List 3 priority areas *
20. What duration (time) is convenient for you to be available for the training? *
21. If you are selected for the training, how many other farmers will you be able to teach the acquired skills?  *
22. Do you have any IT/Computer/Smart phone skills that you consider important for teaching other farmers? *
23. Where do you see your farm in the next 5 years (e.g in terms of production or market)? *
24. Name of the Sub-County Aquaculture Officer
25 (a) Sub-County Officer Phone Number
25(b)  Sub-County Officer  Email address
26 (a) Name of your District Fisheries Officer *
26 (b) Phone number  of your District Fisheries Officer *
26 (c) Email address  of your District Fisheries Officer
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