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ASF Hog Depopulation Record

This document is a form for recording information during an African swine fever (ASF) depopulation event in a specific province, municipality, and barangay. It includes fields to record the name and contact information of hog raisers, as well as the number of sows, boars, fattener/growers, and weanlings each owns. GPS coordinates and signatures are also collected. The form is certified by city/municipal and provincial veterinary and agriculture offices.

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MunicipalLegal Kalibo
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152 views1 page

ASF Hog Depopulation Record

This document is a form for recording information during an African swine fever (ASF) depopulation event in a specific province, municipality, and barangay. It includes fields to record the name and contact information of hog raisers, as well as the number of sows, boars, fattener/growers, and weanlings each owns. GPS coordinates and signatures are also collected. The form is certified by city/municipal and provincial veterinary and agriculture offices.

Uploaded by

MunicipalLegal Kalibo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ASF Depopulation Form

Province: ________________
Municipality: ________________
Barangay: ________________
Date: ________________

No. Name of Hog Raiser Address and Contact Number Sow Boar Fattener/Grower Weanlings GPS Signature
Coordinates
No. of Heads No. of Heads No. of Heads No. of
Heads
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Conducted by: Certified By: Attested and Verified by:

_____________________ ___________________________ _________________________


Barangay Representative City/Municipal Veterinary Office/ Provincial Veterinary Office/
City/Municipal Agriculture office Provincial Agriculture Office
Signature over Printed Name Signature over Printed Name

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