FORM 4 REPUBLIC OF ZAMBIA MINISTRY OF AGRICULTURE AND FOOD SECURITY PLANT VARIETY AND SEEDS ACT, CAP. 236 PLANT VARIETY (POTATO SEED) REGULATIONS TUBER CONTROL REPORT Registration No: ........................................... Cultivar Seed Lot No: Grower: Farm: Number of tuber tested: DEFECTS: Kind ................................. ................................. ................................. ................................. ................................. ................................. Date Percentage .................................... .................................... .................................... .................................... .................................... .................................... .................................................................. Signature of Grower Inspector Index ................................. ................................. ................................. ................................. ................................. .................................