Organisation Form

Award Category applied for *

a) Organization/ Co-operative Society’s name: *

b) Registration Number: *

Place of Registration: *

c) TIN/VAT Registration Number *

c) Address: Village: *

Post office: *

Upazila: *

District *

Contact No: *

d) Number of Members/Employees:

e) Organization/ Co-operative Society’s Objective

f) Brief Description of Past work

g) Future Work Agenda

A) Best Agricultural Organization in Research & Innovation & Technology Category information: Agriculture Science (Crop/Trees/Fisheries/Live stock) Research success special Description

a) Field of Research, Innovation or Technology

b) Description of Research, Innovation or Technology

c) Outcome

d) Application of Outcome

e) Description of Contribution in Related Sector

f) Special Recognition (If any):

g) Comment

B) Best Agricultural Organization in Support & Execution category information: Special Description on the accomplishment of Agriculture Support & Execution:

(1) Field of Work

(2) Description of Work

(3) Assisted areas in Agriculture process

(4) Special Recognition (If any):

(5) Current Working areas and Outcome:

(6) Comment

C) Best Agricultural Exporter of the Year category information:(Special Description on Agriculture Product Export) Name of The Product