Membership Registration

Complete the form below to sign up for

A2Z Biofloc Consultancy Service

1. Name: __________________________________________________

2. Phone number, want to be registered (only 1) : _________________

3. Address: ________________________________________________

________________________________________________________________________________

4.Email Address:__________________________ 5. Farm location (Rural or Urban): ____________

6.Spoken Languages: ______________________ 7. Date of Birth: ______________ 8. Age: _____

9. Qualification: _____________________________ 10. Profession: _______________________

11. Are you new in biofloc? (YES/NO): _______

Your Target Farm Size: _____________ No. Of Tanks: _________ Target Tank Size: ___________

Your Target fish species (and their rate in local market) : __________________________________

12. Any experience in fish Farming/Aquaculture? If yes, describe your self in short and the
technique you are using: _________________________________________________________

_______________________________________________________________________________.

13. Did you took any training or small scale practical on biofloc? If yes, give the detail: __________

_______________________________________________________________________________.

14. Have you started Farming in Biofloc?____________. How many Tanks do you have? ________

Tank size in diameter: _________________. Fish density in each tank: ___________________.

Aeration system: ___________________. Fish species:__________________________________.

From where did you took the fish seeds? Supplier name:_________________________________.

From where did you took the fish feed? Supplier name: __________________________________.

Mention your carbon source?

(Molasses / Jaggery / Sugar / Rice bran / any other): _____________________________________

Mention your Alkalinity source?

(CaCO3 / Dolomite powder/ LimeStone powder / any other): ______________________________

Probiotic or any other supplements names, you are using? _______________________________.

Tick the BOX bellow.

I confirm to have read, understand and accepted the Terms and conditions ... and agree to

be bounded by the terms and conditions of this membership.

Date:___________________ Sign: __________________

For A2Z Biofloc Consultancy Service use only

Remark / observation: _____________________________________________________________

Form ACCEPTED

Form REJECTED
Terms & conditions
1. Print out the form.
2. Fill up the form in Capital letters.
3. Attached the recent passport size colored photo.
4. Serial number 1 to 10 should be filled in english only.
5. Serial number 11 to 15 can be filled in hindi, urdu or english.
6. Complete the form and scan it.
7. Candidates should maintain discipline and manners, strictly.
8. This service is available for Biofloc fish farming only.
9. Experts will avail all the guidance & the informations strictly according to indian weather
and scenario.
10. Only one mobile number will be registered under one account, other number will not be
entertain.
11. The initial fees for membership for First month is 5000.
12. You can extend your monthly membership at the cost mentioned below;
4000 for 2nd month
4000 for 3rd month
3000 for 4th month
3000 for 5th month
2500 for each month start from 6th month till the end of culture.
13. After paying the fees you will get your membership number and our communication
number.
14. All the Communications between members and ABCS (A2Z Biofloc Consultansy Service)
Team will be on telegram secret chat only, for messages, and for sending pics and videos.
15. In the case of emergency, you may contact us by voice call on telegram only.
16. You can ask any question about your problem related to Biofloc, any of our Experts will be
answer you as soon as possible, within 24 hrs.
17. Stricly, All the information are for personal use and/or for own commercial farming only,
can not use for business or for any other purpose.
18. ABCS have full right to add any other term or condition in future, if needed.
19. Scan copy of the form will be send on Captain’s telegram or at mail id:
laeiba0927@yahoo.com
20. We will share bank detail for payment if your form accepted.