FORM 'N' (Under section 7 of the Andhra Pradesh Cotton Seeds (Regulation of Supply, Distribution, Sale and Fixation of Sale Price) Act, 2007 and rule 28(C) of the Andhra Pradesh Cotton Seeds (Regulation of Supply, Distribution, Sale and Fixation of Sale Price) Rules, 2007) Preliminary inspection report of seed Inspector for complaint on genetic impurity Date of receipt of complaint: Date of inspection: a) Details of complaint: 1) Name of farmer: 2) Village: 3) Mandal: 4) District: b) Details of seed purchased: 1) Variety/hybrid: 2) Lot Number: 3) Certification status of seed: 4) Name of company: 5) Name of dealer & address 6) Quality/No of containers purchased: 7) Cash memo: 8) Information on label (genetic impurity %, validity of seed): c) Details of sowing: 1) Date of sowing: 2) Area sown: 3) Stage of the crop: d) Observations: 1) Rain fill pattern (enclose rainfall data) 2) Soil condition: 3) Genetic purity % based on field count: 4) % variation in generic impurity: 5) Genetic impurity % in adjacent fields: 6 ) Genetic impurity % of seed of same lot in other's fields: 7) Package of practices adopted 8) Expected yield: Normal yield: Difference in yield: Signature of Seed inspector: Remarks of District Level Committee Complaint no: Date of inspection: Remarks: Signature of chairman Signature of members: Signature of representative of Seed Company: Signature of complainant: