Ugmad Awards 2020 FFD Forms

Office of the Vice President for
Extension
Visca, Baybay City, Leyte, PHILIPPINES
Telefax: +63 53 563 7064
Email: extension@vsu.edu.ph
CONFIRMATION FORM
2020 VSU Farmers and Fisherfolks’ Day
Dr. Othello B. Capuno

Vice President and Chairperson, Farmers & Fisherfolks’ Day
VSU, Visca, Baybay City, Leyte
Dear Dr. Capuno,
This is to inform you that the municipality/city of _____________________
_____ Will be attending the Farmers & Fisherfolks’ Day with the following number of
people:
_____ farmers
_____ local officials
_____ entrepreneurs
_____ others
_____ Will be joining the booth exhibits with the following products to display:
_____ farm products like vegetables, rootcrops, fruits, etc.
_____ processed products, pls. specify______________
_____ handicrafts, furniture
_____ others ____________________________
_____ Not interested to join the Farmers & Fisherfolks’ Day.
Date and time of expected arrival to VSU: _____________________________
Head of the party and contact number: _________________________________
Thank you.
Very truly yours,
_________________
_________________
*(Confirmation should be sent on or before March 2, 2020)

Vision: A globally competitive university for science, technology, and environmental conservation
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable
communities and environment.
FM-OOP-05 Rev.: 01 08-13-2019 Page 1 of 14 Control Number: FFD-2020-INV

Extension
Telefax: +63 53 563 7064
2020 FARMERS AND FISHERFOLKS’ DAY

Visayas State University
Visca, Baybay City, Leyte
27 April 2020
BOOTH RESERVATION FORM
Name of Agency : _______________________________________
Address : _______________________________________
_______________________________________
Tel./Cel No./Fax No./: _______________________________________
E-mail Address _______________________________________
Name and Signature of

Authorized Official : _______________________________________
Address : _______________________________________
Items to be displayed: _______________________________________

_______________________________________
_______________________________________
_______________________________________
Expected date and time

Of arrival at VSU : _______________________________________
Please send this back to Shirley Nayre, OVPRE, VSU, Visca, Baybay City, Leyte (Tel.
Numbers: 09183800045 or 09054621962, email add.: extension@vsu.edu.ph not
later than March 02, 2020.

Extension
Telefax: +63 53 563 7064
Revised June 2003
NOMINATION FORM FOR THE 2020 OUTSTANDING FARMER-ENTERPRENEUR

(All fields are important and should be properly filled up)
Name of Nominee Age

Address
Marital Status (Please check)  Single Married  Widow/Widower
Educational  Elementary (Grade _____ )  College/University (Course: ______________________)
Attainment  High School ( ______ Year)  Other (Please specify) ___________________________
If Married, Name of Wife/Husband Age
Children
Name Age Educational Attainment
Number of years Total farm Tenurial Status  Owned  Tenanted  Leased  Other
in farming area (ha) (Please check) _________
Farm Location
Please state the reasons why this farmer is being nominated as Outstanding Farmer-Entrepreneur to receive the 2020 Ugmad Award.
Name of nominating party Signature

Address
Tel Fax e-mail (if any)
Please send on or before March 02, 2020 to Ms. Shirley Nayre, OVPRE, VSU, Visca, Baybay City,
Leyte (Tel. Numbers: 09183800045 or 09054621962, email add.: extension@vsu.edu.ph

Extension
Telefax: +63 53 563 7064
SEARCH FOR THE OUTSTANDING FARMER-ENTREPRENEUR
A. Objective: To give recognition to the outstanding farmer among nominees from all over
Region VIII.
B. Name of Award: UGMAD AWARD OUTSTANDING FARMER-ENTREPRENEUR 2020
C. Criteria (Revised July 2003)

Rating
1. Innovativeness (30%)
1.1 Adoption of appropriate technologies (10%)
1.2. Resourcefulness (Maximizing local available resource; sourcing out
resources) (10%)
1.3. Degree of diversification (10%)
2. Productivity (30%)
2.1. Sustainability of production (10%)
2.2. Profitability (20%)
3. Community Leadership (20%)
3.1. Ability to influence other farmers (10%)
3.2. Respect of and recognition by people in and outside his/her community (5%)
3.3. Wholesome family standing (Practicing norms of conduct acceptable to the
society) (5%)
4. Environmental Concerns (20%)
4.1. Adoption of environment-friendly technologies (10%)
4.2. Participation in environmental conservation and protection activities (10%)
TOTAL
SEARCH FOR THE UGMAD OUTSTANDING FARMER-ENTREPRENEUR

(Ugmad Award)
General Criteria
Past awardees will not be eligible for another Ugmad Award
You can nominate any farmer who:
 operates a farm not larger than 3 hectares

 is innovative, resourceful and adopts appropriate technologies
 is able to sustain vegetable production for at least 3 consecutive years and profit from it
 is a community leader who is able to influence other farmers
 adopts environment-friendly technologies, and participates in environmental
conservation and protection activities

Extension
Telefax: +63 53 563 7064
Revised June 2003
NOMINATION FORM FOR THE 2020 OUTSTANDING VEGETABLE FARMER

Name of Nominee Age

Address
Children
Farm Location
Please state the reasons why this farmer is being nominated as Outstanding Vegetable Farmer to receive the 2020 Ugmad Award.

Address

Extension
Telefax: +63 53 563 7064
SEARCH FOR THE OUTSTANDING VEGETABLE FARMER
Region VIII.
B. Name of Award: UGMAD AWARD OUTSTANDING VEGETABLE FARMER 2020
D. Criteria (Revised July 2003)

Rating
resources) (10%)
society) (5%)
TOTAL
SEARCH FOR THE UGMAD OUTSTANDING VEGETABLE FARMER

(Ugmad Award)
General Criteria


Extension
Telefax: +63 53 563 7064
Revised June 2003
NOMINATION FORM FOR THE 2020 OUTSTANDING LIVESTOCK FARMER

Name of Nominee Age

Address
Children
Farm Location
Please state the reasons why this farmer is being nominated as Outstanding Livestock Farmer to receive the 2020 Ugmad Award.

Address

Extension
Telefax: +63 53 563 7064
SEARCH FOR THE OUTSTANDING LIVESTOCK FARMER
Region VIII.
B. Name of Award: UGMAD AWARD OUTSTANDING LIVESTOCK FARMER 2020
E. Criteria (Revised July 2003)

Rating
resources) (10%)
society) (5%)
TOTAL
SEARCH FOR THE UGMAD OUTSTANDING LIVESTOCK FARMER

(Ugmad Award)
General Criteria


Extension
Telefax: +63 53 563 7064
Revised June 2003
NOMINATION FORM FOR THE 2020 OUTSTANDING FARMER’S ASSOCIATION

Name of Nominee Age

Address
Children
Farm Location
Please state the reasons why this farmer is being nominated as Outstanding Farmer’s Association to receive the 2020 Ugmad Award.

Address

Extension
Telefax: +63 53 563 7064
SEARCH FOR THE OUTSTANDING FARMER’S ASSOCIATION
Region VIII.
B. Name of Award: UGMAD AWARD OUTSTANDING FARMER’S ASSOCIATION 2020
F. Criteria (Revised July 2003)

Rating
resources) (10%)
society) (5%)
TOTAL
SEARCH FOR THE UGMAD OUTSTANDING FARMER’S ASSOCIATION

(Ugmad Award)
General Criteria


Extension
Telefax: +63 53 563 7064
Revised June 2003
NOMINATION FORM FOR THE 2020 OUTSTANDING FISHERFOLK’S ASSOCIATION

Name of Nominee Age

Address
Children
Farm Location
Please state the reasons why this farmer is being nominated as Outstanding Fisherfolk’s Association to receive the 2020 Ugmad
Award.

Address

Extension
Telefax: +63 53 563 7064
SEARCH FOR THE OUTSTANDING FISHERFOLK’S ASSOCIATION
Region VIII.
B. Name of Award: UGMAD AWARD OUTSTANDING FISHERFOLK’S ASSOCIATION

2020
G. Criteria (Revised July 2003)

Rating
resources) (10%)
society) (5%)
TOTAL
SEARCH FOR THE UGMAD OUTSTANDING FISHERFOLK’S ASSOCIATION

(Ugmad Award)
General Criteria


Extension
Telefax: +63 53 563 7064
NOMINATION FORM FOR THE 2020 OUTSTANDING BEST AGRI-TOURISM FARM

Name of Nominee Age

Address
Marital Status (Please check)  Single  Married  Widow/Widower
Children
Farm Location
Please state the reasons why this farmer is being nominated as Best Agri-Tourism Farm to receive the 2020 Ugmad Award.

Address

Extension
Telefax: +63 53 563 7064
SEARCH FOR THE BEST AGRI-TOURISM FARM
A. Objective: To give recognition to the Best Agri-Tourism Farm among nominees from all
over Region VIII.
B. Name of Award: UGMAD AWARD BEST AGRI-TOURISM FARM 2020
H. Criteria (Revised July 2003)

Rating
resources) (10%)
society) (5%)
TOTAL
SEARCH FOR THE UGMAD OUTSTANDING BEST AGRI-TOURISM FARM

(Ugmad Award)
General Criteria

 number of farm activities to attract tourists and number of visitors (local, international)
 is able to sustain production and activities the last 3 years

Ugmad Awards 2020 FFD Forms

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Office of the Vice President for

Dr. Othello B. Capuno

Dear Dr. Capuno,

This is to inform you that the municipality/city of _____________________

_____ Not interested to join the Farmers & Fisherfolks’ Day.

Date and time of expected arrival to VSU: _____________________________

Head of the party and contact number: _________________________________

Very truly yours,

*(Confirmation should be sent on or before March 2, 2020)

FM-OOP-05 Rev.: 01 08-13-2019 Page 1 of 14 Control Number: FFD-2020-INV

2020 FARMERS AND FISHERFOLKS’ DAY

BOOTH RESERVATION FORM

Name of Agency : _______________________________________

Name and Signature of

Items to be displayed: _______________________________________

Expected date and time

FM-OOP-05 Rev.: 01 08-13-2019 Page 2 of 14 Control Number: FFD-2020-INV

Revised June 2003

NOMINATION FORM FOR THE 2020 OUTSTANDING FARMER-ENTERPRENEUR

Name of Nominee Age

Name of nominating party Signature

FM-OOP-05 Rev.: 01 08-13-2019 Page 3 of 14 Control Number: FFD-2020-INV

SEARCH FOR THE OUTSTANDING FARMER-ENTREPRENEUR

B. Name of Award: UGMAD AWARD OUTSTANDING FARMER-ENTREPRENEUR 2020

C. Criteria (Revised July 2003)

SEARCH FOR THE UGMAD OUTSTANDING FARMER-ENTREPRENEUR

Past awardees will not be eligible for another Ugmad Award

You can nominate any farmer who:

 operates a farm not larger than 3 hectares

FM-OOP-05 Rev.: 01 08-13-2019 Page 4 of 14 Control Number: FFD-2020-INV

Revised June 2003

NOMINATION FORM FOR THE 2020 OUTSTANDING VEGETABLE FARMER

Name of Nominee Age

Name of nominating party Signature

FM-OOP-05 Rev.: 01 08-13-2019 Page 5 of 14 Control Number: FFD-2020-INV

SEARCH FOR THE OUTSTANDING VEGETABLE FARMER

B. Name of Award: UGMAD AWARD OUTSTANDING VEGETABLE FARMER 2020

D. Criteria (Revised July 2003)

SEARCH FOR THE UGMAD OUTSTANDING VEGETABLE FARMER

Past awardees will not be eligible for another Ugmad Award

You can nominate any farmer who:

 operates a farm not larger than 3 hectares

FM-OOP-05 Rev.: 01 08-13-2019 Page 6 of 14 Control Number: FFD-2020-INV

Revised June 2003

NOMINATION FORM FOR THE 2020 OUTSTANDING LIVESTOCK FARMER

Name of Nominee Age

Name of nominating party Signature

FM-OOP-05 Rev.: 01 08-13-2019 Page 7 of 14 Control Number: FFD-2020-INV

SEARCH FOR THE OUTSTANDING LIVESTOCK FARMER

B. Name of Award: UGMAD AWARD OUTSTANDING LIVESTOCK FARMER 2020

E. Criteria (Revised July 2003)

SEARCH FOR THE UGMAD OUTSTANDING LIVESTOCK FARMER

Past awardees will not be eligible for another Ugmad Award

You can nominate any farmer who:

 operates a farm not larger than 3 hectares

FM-OOP-05 Rev.: 01 08-13-2019 Page 8 of 14 Control Number: FFD-2020-INV

Revised June 2003

NOMINATION FORM FOR THE 2020 OUTSTANDING FARMER’S ASSOCIATION

Name of Nominee Age

Name of nominating party Signature

FM-OOP-05 Rev.: 01 08-13-2019 Page 9 of 14 Control Number: FFD-2020-INV

SEARCH FOR THE OUTSTANDING FARMER’S ASSOCIATION

B. Name of Award: UGMAD AWARD OUTSTANDING FARMER’S ASSOCIATION 2020

F. Criteria (Revised July 2003)