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:.................................... ..................................... ......................................... Comments