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FOR OFFICIAL USE ONLY.
Please do not write in this box.
Altitude
Incline
Aspect
Farmer's Code
Crop Code
Ex Officer Code
Full Name of Farmer:
PART 1: PLANTING DETAILS
Plot Number
Variety
Number of Sub-Plots:
Size of each Sub-Plot:
square feet
Q1. Are crops planted in an open field or greenhouse?
Q2. Number of acres devoted to this crop?
Acres
Q3. Date crop was planted (day/month/year):
Q4. Total number planted:
Plants
Q5. Space between plants (in feet):
Feet
Q6. Provide the planting and land preparation costs for the following items, in EC Dollars:
Seeds/Seedlings:
Fertilizers:
Herbicides:
Pesticides:
Water:
Employed Labour:
Own Labour:
Total Cost:
FARM DATA COLLECTION FORM
HOT PEPPERS
Form Image
PART 2: CROP DEVELOPMENT, DISEASES & PESTS
Q7. Provide details concerning the crop development of each of the 12 plant samples(begin with plant number 1 and stop with number 12):
Q8. Place an "X" in the box indicating all of the following diseases that affected each of the 12 samples:
Colour
of
leaves:
Height
of
plant:
Width
of
plant:
Any flowers?
Any
fruits?
Number of
Grade A
Fruits
Harvested:
1.None
2.Yes, first
time
3.Yes, more
flowers
1.Brown
2.Yellow
3.Green
4.Solid
1.None
2.Yes, first
time
3.Yes, more
fruits
P
L
A
N
T
N
O
Number of
Grade B
Fruits
Harvested:
1
3
4
5
8
9
10
11
12
1.Bacterial
Spots
2.Gemini
Virus
3.Potty
Virus
4.Other
Disease
6
2
HINT: Complete sample 1, by moving downwards through the list of diseases, then continue column by column to sample 12
7