System Forms @ACTillage

Institutional & Corporate Membership Application

This membership category is open for both public and private national, regional, and international institutions, companies, NGOs, bodies, firms or government agencies that support the aims of the Network in promoting sustainable agriculture based farming systems in Africa. Institution can join as:

National Institution
Regional and International Institution
Certified Best Practicing Organization (BPO)
Certified Centre of Excellence (CoE)

Section A: Institution Information

Organization Name:

Acronym:

Country:

City:

Physical Address:

Telephone Number:

Postal Address:

Website:

Year of Registration:

Please ensure all required fields are filled in

Section B: Institutional Capacity

1. Institution Information

Institution Type:

Research And Academic OrganizationPrivate Sector OrganizationIntergovernmental OrganizationRegional OrganizationPublic Sector OrganizationNon-Governmental OrganizationNot For-Profit OrganizationFinancial InstitutionOther

Community of Practice:

Research and AcademiaCA Equipment ManufacturersFarmer and Farmer OrganizationsWomen and Youth in AgricultureDevelopers and Disseminators of CAOther

Membership Category:

Best Practicing Organization (BPO)Centre of Excellence (CoE)

2. Network

Thematic Area of Focus:

Adoption and Scaling Up of Conservation AgricultureSustainable Agricultural MechanizationEco-System ManagementCapacity Building and PartnershipsCommunication Knowledge and Information ManagementEntrepreneurship and Business Development

3. Professional Capacity

Number of Employees:

Specialists Available:

Conservation Agriculture ExpertsSustainable Agricultural Mechanization ExpertsEcosystem Management Experts

Operational Language(s):

EnglishFrenchPortugueseArabicSpanishSwahiliOther

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Please ensure all required fields are filled in

Section C: Contact Details

First Name:

Last Name:

Position:

Department:

Email Address:

Password:

Repeat Password:

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