Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697707510236.pdf (Zimbabwe)
FIRST SCHEDULE (SECTION 3) Form P.1 FERTILIZERS, FARM FEEDS AND REMEDIES ACT (CHAPTER 18:12) Pesticides Regulations, 1997 APPLICATION FOR REGISTRATION OF A PESTICIDE (To be submitted to the Registration Officer, in triplicate) A.

To be completed for all pesticides for which registration is sought 1.

Name of applicant: 2.

Address of applicant: a) Postal: b) Business: 3.

Type of pesticide (fungicides, insecticide, herbicide etc): B.
Information to be submitted with this application for all pesticides for which registration us sought: 1.

Brand name: 2.

Full chemical name of each active ingredient : 3.

The common name of active ingredient : 6.

Percentage, on mass-by-mass or mass-by –volume basis, of each ingredient in the pesticide: 7.
Physical and chemical properties of each active ingredient Melting point: Bulk density: Vapour pressure in mm at 20oC: Solubility in water and other solvents: Effect of light: Rate of degradation: Disintegrated products: Stability in aqueous solution, hydrolysis, disintegrated products: Role of water pH: Stability in organic solvents: 8.

Physical properties of formulations containing oils:…………………………………….
……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………… 9.

Physical properties of formulations dusts or granules: Appearance : Odour: Explosive properties: Flash point: Auto-ignition temperature: Persistent foaming: Solubility in water: 10.

Size of containers in which pesticide is to be sold, and net mass:……………………... ……………………………………………………………………………………………………… ……………………………………………………………………………………… 11.
Nature of containers in which pesticide is to be sold:………………………………….

……………………………………………………………………………………………………… ……………………………………………………………………………………… 12.

Stability of formulation: a) On storage:……………………………………………………………………………... …………………………………………………………………………………………….. b) On dilution……………………………………………………………………………… ……………………………………………………………………………………………… 13.

Corrosion of equipment:……………………………………………………………… 14.

Phytotoxicity:………………………………………………………………………….. 15.

Toxicity:……………………………………………………………………………….. 16.


Safety precautions to be observed in handling, using and storage:…………………….

……………………………………………………………………………………………… 17.

Hazards to wild life:…………………………………………………………………….

……………………………………………………………………………………………… ……………………………………………………………………………………………… 18.

Residue data:…………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………………… 19.
Proposed use:…………………………………………………………………………... ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………… 20.

Directions for use:……………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… 21.
Method of analysis: Product analysis: Residue analysis: Source of the pesticides: a) Manufacturer……………………………………………… b) Country……………………………………………………… I hereby apply for the registration, in terms of the Fertilizers, Farm and Remedies Act (Chapter18:12), of the pesticide particulars of which are given above, and l certify that these particulars are, to the best of my knowledge, true and correct.

Date………………………….. Signature of Applicant………………………………….
NOTE: The detailed information required in section B, must accompany the application.

Any claims made for biological effectiveness and statements made regarding residues must be supported by detailed relevant experimental data