THIRD SCHEDULE
(Regulations 5, 7, 8, 10 and 11)

PRESCRIBED FORMS
FORM 1 (To be completed in duplicate)
REPUBLIC OF ZAMBIA
MINISTRY OF AGRICULTURE AND FOOD SECURITY
(SEEDS) ACT, CAP. 236
PLANT VARIETY (POTATO SEED) REGULATIONS
APPLICATION FOR REGISTRATION AS SEED GROWER TO PRODUCE POTATO
SEED
To: Controller of Seeds,
P.O. Private Bag 7,
Chilanga.
Name of applicant
Name and address of farm

Cultivar to be grown
Parent seed: Class ........................... Certification No
Quantity.................................kg. Proposed date of planting
Previous crops grown in this field for the last three years:
Year:

19................................

19.................................

19.....................................

Crop:Year:....................................

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