Youth Scholarship Program on Organic Farming - Trainee's Registration Form 
Privacy Statement

The Agricultural Training Institute (ATI) is committed to protect and respect your personal data. We recognize our responsibilities and our data subject's right under the Republic Act No. 10173, also known as the Data Privacy Act of 2012.


Privacy Consent

I have read and understand the Institute's Data Privacy Statement and express my consent for ATI to collect, store, use, share, process, and update my personal information.
Email *
Last Name *
First Name *
Suffix (Jr, Sr., II, III....)
Middle Initial
Sex *
Civil Status *
Date of Birth *
MM
/
DD
/
YYYY
Highest Educational Attainment *
Years in farming *
Write in full. Put 'N/A" if not applicable.
Farm Address *
Write in full. Put 'N/A" if not applicable.
Mobile No. *
Put 'N/A" if not applicable.
Email Address *
Home Address:
Province *
Municipality/Town *
(Write in Full)
District *
Municipal Class *
Barangay *
Zip Code *
Are you interested to enter into the agriculture industry, especially practice organic agriculture *
Are you related to any ATI employee by affinity or consanguinity, until 3rd degree?  *

Are you willing to undertake internship and hands-on practice for 21-months? 

 *
Are you physically and mentally fit?  *
Required
Privacy Statement: The Agricultural Training Institute (ATI) is committed to protect and respect your personal data. We recognize our responsibilities and our data subject's right under the Republic Act No. 10173, also known as the Data Privacy Act of 2012. *
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