NSA Ltd - Fruit Propagation Certification Scheme - Application Form - Fragaria - Rubus - Ribes
ENTRY YEAR
SPECIES Fragaria etc…
GROWER NAME
FIELD NAME
Accredited & Authorised by APHA
Ap. No.
FIELD ADDRESS
GROWER ADDRESS
FIELD IACS No.
E MAIL
ROTATION MET Yes/No
TEL. No. / MOBILE
PCN test result
APPLICANT if different to Grower
Applications to be submitted with a field plan by 15th APRIL
(refer to scheme rules)
(refer to PCN questionnaire)
(Fragaria only)
Enter 'NO' if you do NOT want these stocks published in the PHPS register
No.
Variety
Last years
Certificate No.
Last years
Stock No.
OFFICIAL USE ONLY
Date planted
Grade
Entered
No. of plants or
row length (m)
Eligibility
check
New stock
No.
Number
failed
Number
certified
Grade
Certificate No. Issued
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
No. of sheets for this
field
Please return with field plan via email to:
[email protected]
OR post to:
NSA Ltd, Dalric, Nutcroft Way, Harwell, Doncaster, DN10 5BU