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AGARWOOD GROWERS PRODUCERS COOPERATIVE

Applicant’s Personal Data


Name: CARTAJENAS, NEIL PATRICK MADJUS
__________________________________________________________________
(Surname) (First name) (Middle name)

Present Address : P3, 92-B BRGY. CARMEN ANNEX, OZAMIZ CITY

Permanent : P3, 92-B BRGY. CARMEN ANNEX, OZAMIZ CITY Postal code: 7200

Date of Birth: 10/28/1980 Age: 42 Religion: Catholic

Place of Birth : OZAMIZ CITY, MISAMIS OCCIDENTAL . Citizenship: Filipino

Sex: M. Civil Status: M

Name of spouse: JESSICA FUENTES CARTAJENAS Number of Children:__0.

Profession/Occupation:

Contact details

Mobile No._ 0917 689 0089 Landline No.:_______________________

Email address: patrick102880@gmail.com

Highest Educational Attainment: JURIS DOCTOR

School: MU – MISAMIS UNIVERSITY

What is your purpose of joining the Cooperative?: MY OBJECTIVES IN JOINING THE


COOPERATIVE ARE: 1. TO GAIN KNOWLEDGE AND IDEAS IN AGARWOOD
FARMING AND PRODUCTION, 2. TO CREATE A NETWORK OF CONTACTS IN THE
AGARWOOD INDUSTRY, 3. TO AVAIL OF THE SERVICES OF THE COOPERATIVE.

1. Do you have Aquilaria malaccensis plantation? No.


Total area of Aquilaria malaccensis plantation: Proposed is 3 hectares
Total number of Aquilaria malaccensis planted: Plan is : 2,000 plants

2. Are you willing to attend the Pre-Membership Seminar (PMS)? Yes

3. How much initial Paid-Up Capital you can share? ₱2,000.00

Contact Person in case of emergency:

Name: JESSICA FUENTES CARTAJENAS


Mobile No. 09604545775

NEIL PATRICK M. CARTJANEAS October 4, 2023


Signature over Printed Name Date

Approved/Disapproved

________________________________________
CHAIRMAN OF THE BOARD OF DIRECTORS

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