APPLICATION FOR SEED CERTIFICATION Application for Seed Production Under Certification Note : To be submitted to the Seed Certification Officer in duplicate by the applicant, at least 10 days before the proposed sowing date but never later than ten days after sowing. The Seed Certification Officer retain the original and return the second copy to the applicant with decision. 1. Name (In block letters) & Address : of the producer 2. Name of Grower Village Post District : Telephone No. 3. Title of the land of Grower : 4. Exact location of the farm where seed is proposed to be produced : 5. Details of the production offered for certification : Crop. / Variety Class of seed proposed to be produced Area (Hac.) Proposed/ actual date of sowing Source of Seed Tag No. for seed mentioned in col. 5 Remarks 1 2 3 4 5 6 7 6. Details of payment : A) Application fee : B) Field Inspection Fee : Date : Signature For SCOs Use Date of receipt : Application No. allotted : Decision varietywise : Variety Decision Reason, if rejected Remarks 1 2 3 4 *Accepted/Rejected Signature SCO/SCI