VALIDATION FORM

(Adopt-A-Livestock-School-Project)

Date of Validation: ____________________________

Name of Recipient: ( ) Group ( ) Individual ________________________________________________________

Name of representative during validation: ___________________________________________________________
Gender: ___________________ Age: _________________ Ethnic Group: ___________________
Contact no. _______________________________________
Address: ____________________________________________________________________________________________________
Geo-Location: Longitude: ___________________________________ Latitude: ___________________________________

Means of
CRITERIA Max Points Score Remarks
Verification
I. Legal Personality 10
Certificates of
1. Agricultural School 10 Registration

II. The Farm 25

1. Area
Lot title/
a. Equivalent to the required area DOD/Usufruct
2
(1,000 sq. m.)
b. More than the required area 3
2. Distance from other pig farms
Actual field
a. At least 250-m away 2 validation

b. More than 250-m away 3

3. Zoning
Local zoning
a. Classified as agricultural land, as map
indicated in the local zoning laws and 5
regulations
4. Topographic feature
a. Relatively flat surface of land 3 Actual field
b. Slopy/hilly type of land 2 validation

Lot title/
5. Land ownership 5
DOD/Usufruct

III. Facilities 20
1. Housing/structure 5
 2. Biosecurity Area (Foot bath) 5

3. Waste Management and Utilization Facility 5 Actual field

validation
4. Mortality Pit 5

IV. Sustainability and capacity to maintain

10
the intervention
Farm records,
1. Sustainability
Financial
a. Farm Recording System 5 reports
b. Income Stability (Capital) 5

V. Accessibility 15
1. Road network (for easy transport of animals Actual field
5 validation,
and materials)
electric and
2. Power supply 5
water bills
3. Water supply 5

VI. Application documents 15

1. Letter of intent 10 Documents
submitted
2. Endorsement letter from Agriculture/
5
Veterinary Office

VII. Involvement of Special Sectors 5

1. Indigenous Peoples 1
2. Women 1 Profile of
recipients
3. Youth 1
4. Differently abled Persons 1
5. Senior Citizens 1

TOTAL 100
Minimum Acceptable Score: 60 points

SUMMARY OF RECOMMENDATIONS: (Discussed with the Target Recipients)

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Validated by: Conformed:

_______________________________________________________ ____________________________________________________
ATI-ITCPH Representative Project-Recipient
(Name and signature) (Name and signature)

(see attached separate documents for the photos)