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NOMINATION FORM

(To be filled out by the Head of Agency)

I, ________________________, ________________________ of ________________________, Name Position/Designation Agency/organization

willfully nominate the following staff for selection/admission to the training course #RiceUpPH : Help Transform Our Rice Farm Communities on the basis of their good character and outstanding performance.

Title Name Current position

Modules*

#pass ion4m ission

#partner ship&pro gress

#prod’

n&

promot ion

*please check which modules are they nominated to attend

I understand that the above-mentioned nominees meet the basic selection criteria stated in the invitation letter for the said course.

Should there be any changes or deferment, the training coordinator will be notified immediately.

To coordinate the submission of application forms and completion of document requirements, our agency may be contacted through (Mr./Ms.) ______________________, contact nos.

______________________; email address ______________________.

Thank you for this opportunity.

______________________________

Printed Name and Signature Date:

Note: It is understood that you are allowing your staff to participate fully in the activities of the course. They are expected to complete the module they are participating in.

Project IPaD (PhilRice-ATI-IRRI funded by the DA Nat’l Rice Program through BAR) (Improving Promotion and Delivery of the Next Generation of Rice Extension Professionals and Intermediaries)

Project IPaD (PhilRice-ATI-IRRI funded by the DA Nat’l Rice Program through BAR)

(Improving Promotion and Delivery of the Next Generation of Rice Extension Professionals and Intermediaries)

Project IPaD (PhilRice-ATI-IRRI funded by the DA Nat’l Rice Program through BAR)

(Improving Promotion and Delivery of the Next Generation of Rice Extension Professionals and Intermediaries)

Project IPaD (PhilRice-ATI-IRRI funded by the DA Nat’l Rice Program through BAR)

(Improving Promotion and Delivery of the Next Generation of Rice Extension Professionals and Intermediaries)

Project IPaD (PhilRice-ATI-IRRI funded by the DA Nat’l Rice Program through BAR)

(Improving Promotion and Delivery of the Next Generation of Rice Extension Professionals and Intermediaries)

Project IPaD (PhilRice-ATI-IRRI funded by the DA Nat’l Rice Program through BAR)

(Improving Promotion and Delivery of the Next Generation of Rice Extension Professionals and Intermediaries)

Project IPaD (PhilRice-ATI-IRRI funded by the DA Nat’l Rice Program through BAR)

(Improving Promotion and Delivery of the Next Generation of Rice Extension Professionals and Intermediaries)

Project IPaD (PhilRice-ATI-IRRI funded by the DA Nat’l Rice Program through BAR)

(Improving Promotion and Delivery of the Next Generation of Rice Extension Professionals and Intermediaries)

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