SCHEDULE D
DECLARATION RELATING TO PLANTS AND PROPAGTING MATERIAL SUBMITTED IN RESPECT OF A VARIETY
1. | Full name and address of deponent: ........................................... |
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| ..................................................................................................... |
| ..................................................................................................... |
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2. | Kind of plant:............................................................................... |
| Botanical name : ......................................................................... |
| Common name: .......................................................................... |
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3. | Proposed denomination: ............................................................ |
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4. | Date on which application was made for recognition of variety: ................... |
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5. | Particulars of plants and propagating material: |
| Identifying mark on sample container: ................................. |
| Place where cultivated: ......................................................... |
| Grower: ................................................................................. |
| Year of cultivation: ................................................................. |
| Treatment applied (indicate dates and kinds of fungicides, insecticides, trace elements, etc. used): |
| .............................................................................................. |
| .............................................................................................. |
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(a) | the plants and propagating material submitted herewith is a representative sample of plants and propagating material of the variety indicated above; |
(b) | such plants and propagating material is submitted in terms of the Plant Improvement Act, 1976 (Act 53 of 1976), with a view to the recognition and/or evaluation of the agricultural or industrial usefulness of the variety concerned; and |
(c) | to the best of my knowledge, the information furnished in this form is correct, and that no relevant information has been omitted. |
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7. | Signed at (place)..................................................................... |
| this..............day of ..................................(month) 19............ |
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Signature of deponent
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[Schedule D amended by R. 2496 of 9 December 1988]