FORM IV (Under section 8 (2) of the Andhra Pradesh Cotton Seeds (Regulation of Supply, Distribution, Sale and Fixation of Sale Price) Act, 2007 and rule 24(3)(1) of the Andhra Pradesh Cotton seeds (Regulation of Supply, Distribution, Sale and Fixation of Sale Price) Rules, 2007) Form of Memorandum of acknowledgement To M/s.............. ................ ................ I have this day taken from the premises of ........................................... Situated at ....................................................... Samples of cotton seeds specified below to have the same tested/ analysed by seed analyst. Details of samples taken: SI.No Variety Lot No Quantity of seed available ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... Place: Date: Seed Inspector Signature of the party from whose premises samples taken: Witnesses: * Name Father Name Age Permanent Address Signature (* Select witnesses of known address)