FORM - I Form of application for seed production under the seed certification programme 1.Name (In BLOCK LETTERS)........................... 2.Complete Address........................ (in BLOCK LETTERS) Village................................ Post Office.......................... District............................... State........................ Telegraph Office......................... Nearest Rly.Station........................ Telephone No........................... 3.Nearest town............................................its distance from your farm Highway No. or Route.......... 4.Name of variety/kind of seed offered for certification. 5.Area under each variety/kind offered for certification. 6.Class of seed desired to be produced Foundation/Registered/Certified. 7.Source of seed for Item 6 above (also mentioned Tag No. and other particulars on the tag) 8.``Isolation distance''(in metres)from other varieties of the same crop North to South: East to West. 9.Actual or proposed date of planting. Signature...................................... Date...................................... (to be filled in by the office of the Seed Certification Agency) 1.Number of field inspections made............................. Dates of Inspection (copy of inspection reports to be attached) 2.Report of Seed Analyst (copy to be attached) 3.Certificate issued. Tag No................................. Date of Issue.................... Issued by............................ Signature Director, Seed Certification Agency.