Form 5

Form 5

NAME OF COOPERATIVE ADDRESS

INDIVIDUAL TAPPER PRODUCTION AND TAPPING INSPECTION SUMMARY PLANTATION _____________________________________

SUPERVISOR __________________________________

DIVISION _________________________________________

DATE _________________________________________

KG. OVER NAMES

CLASS

SUPERVISOR

A

D

UNDER STD B

C

TOTAL KGS

GROSS PROD. BONUS

WOUNDS BLOCK INSPECTED

A

B

EXCESSIVE C

Bark Consumption

1/8

3/16

5/16

DIRTY SHALLOW

CHITS

CUTS POOR

OFFNO. CUPS GRADES MARKS

SPOUTS

UTENSILS CHANNELS

DEDUCTIONS

NET

1

(a) Net Production Bonus _________________________ (b) 10% of (a) ___________________________ (c) Net Bonus __________________________

2.

Disciplinary Status ____________________________________________________________________________________________________________

QTR. PREM

NET