INDUSTRY CLUSTER PROFILE FORM

Part I. PROFILE AND PRELIMINARY INFORMATION

Province _______________________________
Municipality _______________________________
Barangay _______________________________
PROFILE OF RESPONDENT
1. Name (if Organization) Name (if individual): Coop Trader,supplier
Gender: 1. Male 2. Female
Age:

2. Complete Address:
3. Current Economic Activity
Farming Agri Product Consolidator Manufacturer/Processor

Wholesaler/Dealer/Distributor Retailer Others (specify) _______________

4. Type of Business
Single Proprietor/farm owner Partnership/tenant Corporation/Plantation

Cooperative Association No. of members: _________________

5. Designation/Position in the Organization/Business:

1. Member only
2. Officer (specify title or position): _______________________________________

Date Elected: ___________ Term of office: 1 year 2 years 3 years Others _______

6. Land ownership status 1. Owner 2. Tenant 3. Farm Worker 4. Others

7. Years of Business Operation: 10 years above 5 years 3 years others, specify ______
8. Contact Person: ________________________________ Position: _____________________________
*Contact Number:__________________________ email add: _________________________________

PART II. VALUE CHAIN FUNCTION

Nursery Operation:
Number of seedlings produced annually: _______________
Where is the sources/mother trees of seedlings coming from? ____________________
How much is the cost per seedling? _____________________
Number of seedlings sold recently: _______________ Accreditation
Input Supplier Do you participate in government bidding? Yes No .
If No, Why _________________________
Farm Equipment/Machinery fabricator: _____________________________
What types of machine/equipment you fabricate? ___________________________
Volume of production (2023) ______________
Average cost per equipment/machine _________________________

Coffee Seaweeds Coconut Rubber Abaca

What are the Products produced: __________________________ Fisheries Weaving
Average Volume per harvest/season __________________________ (kg)
Average farm gate price: _______________ (in 2023) Coffee Raw dried
Total area of production: __________________ (ha) chery,Green seaweed,S Copra,
Producer
Where do you sell your products? Trader Consolidator Public Market coffee eaweed wholenut,d Cuplumps,
others, please specify ______________________________ Fiber
bean,Roaste chips,seaw ehusk,VCO bale,latex
Do you process your products? Yes No d bean, eed ,Lana tidto
If yes, what kind of processed/by-products? ____________________________ Ground cofee noodles
Dried fish,Fresh fish,smokePiz cloth,Tennun,Mat,tutup,Inaol,tubao
Coffee Seaweeds Coconut Rubber Abaca Fisheries Weaving
What products you process/manufacture? ________________________________
Average buying volume per raw material ______________________ (kg or meter)
Average cost per raw material _____________________
Average selling price of processed output ______________________
Manufacturer/
Terms of payment or arrangements: Monthly Quarterly
Processor
others, please specify _____________________
What other products do you process/manufacture?
__________________________________________
__________________________________________

What kind of products you buy from sellers/suppliers/producers?

____________________________________
Trader Average volume of products per month__________________ (kg)
Average buying price per products _____________________
Payment terms/arrangements with seller/supplier _________________________

What products you usually buy __________________________

What products you usually sell ___________________________
Wholesaler/ Average buying volume per product _____________________ (kg)
Distributor Average purchase cost _______________________
Average selling price _________________________
Payment terms/arrangments ________________________

Are you a member of any organization other than your organization?

Enabling Trader's Organization Chamber of Commerce and Industries
Organization LGU organized group Others, please specify _________________________
Name of Organization: __________________________________________

ENABLING SUPPORT TO VALUE CHAIN

Any Available Common/Shared What type of

Service Facilities (SSF) equipments

Any Equipment and

Machineries owned by the
organization?

Road (paved or unpaved)

Ports
Any available Infra Support Cold storage
Facilities? Dryer
Farm to Market Road
Others, specify _________________________

Mode of Transportation
available in your area

Is there any existing Power

Supply (yes/no):

Is there any Communication

Facilities(smart/globe/ISP)
available in your area?

PART III. GEOGRAPHIC PROFILE

Latitude:
Coordinates
Longitude:
Geo Tag Photo/s’”

Climate

Average Rainfall:

Temperature:

Natural Hazards

Site vulnerability to □ Earthquakes □ Flood

□ Landslide □ Storm/Wave Surges

Natural hazards □ Tsunami □ Tropical Cyclone

□ Volcanic Activity □ Others,_________

NEEDS ASSESSMENT 0.000334

What Government Assistance have your availed so far?

Training, CA, Machinery and equipments,Farm tools,Processing materials,others pls. specify, None
What kind of support you need?

Training, CA, Machinery and equipments,Farm tools,Processing materials,others pls. specify, None
Issues and Concern:
Recommendations:

Signature over printed name Name of Interviewer

Date Date
Province Ave Rainfall (mm) Temp(Celsius)
Mag Del Norte 86.97 33.83
Mag Del Sur 86.97 33.83
LDS 283.23 26.32
Basilan 176.97 28.95
Sulu 118.81 29.14
Tawi Tawi 79.06 28.72
SGA 174.97 31.78