JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Curso: "TECNOLOGIA DE MANEJO INTEGRAL EN EL CULTIVO DE AJO"
Sign in to Google
to save your progress.
Learn more
* Indicates required question
APELLIDOS
*
Your answer
NOMBRES
*
Your answer
DNI
*
Your answer
EDAD
*
Your answer
GENERO
*
Masculino
Femenino
PAIS
*
Your answer
DEPARTAMENTO
*
Your answer
PROVINCIA
*
Your answer
DISTRITO
*
Your answer
OCUPACION O ACTIVIDAD
*
Técnico
Profesional
Productor
Estudiante
SI ES PRODUCTOR, CULTIVO PRINCIPAL ES:
*
Your answer
PERTENECE A UNA ASOCIACION, EMPRESA O INSTITUCION
*
Si
No
CARGO O PUESTO DE TRABAJO
*
Your answer
N° CELULAR
*
Your answer
CORREO ELECTRONICO
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Instituto Nacional de Innovación Agraria - INIA.
Report Abuse
Forms
