Name of Nursery *

Ownership * Select Ownership Private Public Cooperative

Year of Establishment *

Nursery Address *

Contact Number *

Owner Name *

Source of Planting Material *

Latitude *

Longitude *

Infrastructure Details *

Source of Potting Material * Select Source Local Imported

Type of Potting Material * Select Type Soil Peat Coco Peat

Size of Poly Bags Used *

Area of Nursery *

Total Number of Seedlings Produced per Unit Nursery Area *

Total Number of Species Propagated *

Total Number of Planting Materials Produced from Seeds *

Total Number of Planting Material Produced in Asexual Propagation/Tissue Culture *

Quantity Sold (Last Year) *

Production Quantity (Last Year) *

Details of Staff *

Layout of the Nursery *

Copy of Nursery Register with Yearly Operations *

Copy of the Sale Register *

Additional Comments

I confirm the accuracy of the provided information.