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AUSVEGApplication Form 06 Sep to 08 Sep 2017

The project has been funded by Horticulture Innovation Australia Limited using the National Vegetable Levy and funds from the Australian Government.

Contact Details

First Name Enter text here

Last Name Enter text here

D.O.B Enter text here

Home Address Enter text here

Mobile Phone Enter text here

Email Enter text here

Nature of current employment

Employer / Organisation Enter text here

Position Held Enter text here

Business focus / crops grown Enter text here

Work Address Enter text here

Work Phone Number Enter text here

Email Enter text here

Emergency Contact

Name Enter text here

Relationship to you Enter text here

Phone and Email Enter text here

Name Enter text here

Relationship to you Enter text here

Phone and Email Enter text here

AUSVEGApplication Form 06 Sep to 08 Sep 2017

The project has been funded by Horticulture Innovation Australia Limited using the National Vegetable Levy and funds from the Australian Government.

Selection Criteria A

Please outline your role within the organisation. Enter text here

Selection Criteria B

Please outline your current export activities. If you are not currently exporting, please explain the steps you are taking to become export ready. Enter text here

AUSVEGApplication Form 06 Sep to 08 Sep 2017

The project has been funded by Horticulture Innovation Australia Limited using the National Vegetable Levy and funds from the Australian Government.

Selection Criteria C

Do you currently export to the Hong Kong market? If yes, please explain what you expect to achieve by attending this trade event. Enter text here

Participation

I acknowledge that if I am selected and accept the offer of a position on the tour, my name and contact details, including my organisation and position within the organisation, will be provided to Horticulture Innovation Australia

Applicant’s signature: Date:

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