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Jokkalante Producer Registration form
Producers within the Gambia
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* Indicates required question
What is your first name?
*
Your answer
What is your last name?
*
Your answer
Your ID Card number
Your answer
Which Region are you from?
*
WCR
NBR
LRR
CRR
URR
KMC
BCC
Which district did you come from?
Your answer
Which village/town did you come from?
Your answer
What is your community garden name?
Your answer
Please enter your telephone number 1
*
Your answer
Please enter your telephone number 2
Your answer
Please enter your telephone number 3
Your answer
Please select your language?
*
Mandinka
Wollof
English
Please select the crop(s) you produce?
*
Cabbage
Carrot
Chilli pepper
Courgette
Hot pepper
Onion
Sweet Pepper
Tomato
Honey melon
cucumber
Required
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