EMBLEM FORM'K' [See Clause 30(1)] Memorandum to accompany fertiliser sample for Analysis No. From: ............................................ ............................................ ............................................ ........... To Incharge Fertiliser Quality Control Laboratory The fertiliser samples as per details given below are sent for analysis: (1) Name of fertiliser, grade and brand ................................................ (2) Date of sampling ............................................................................. (3) No. of samples taken ....................................................................... (4) Serial No. of sample ........................................................................ (5) Physical condition of fertiliser ......................................................... (2) The analysis report may please be forwarded to .............................. Place : Date : Signature of Fertiliser Inspector.