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Register of Agricultural Cooperatives

request form

Personal number*

Name* Surname*

E-mail* Telephone*

Field of activity* ქალაქი*

Area

Start date* End date*

State number of the vehicle*

Route of movement*

Passenger #1

Personal number

Name Surname

E-mail Telephone

Passenger #2

Personal number

Name Surname

E-mail Telephone

Please read the following information carefully and follow as instructed:

The person submitting the application, under personal responsibility, confirms the accuracy of the information entered. If it is confirmed that the data you have filled out in the application form is incorrect and you are not moving for agricultural purposes, you will be fined.

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Ministry of Environmental Protection and Agriculture of Georgia Ministry of Environmental Protection and Agriculture of Georgia

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Persmit request

Passenger #1

Passenger #2

Please read the following information carefully and follow as instructed: