Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697707535455.pdf (Zimbabwe)
+ Form P3 FERTILIZER, FARM FEEDS AND REMEDIES ACT (CHAPTER 18:12) Pesticides Regulations, 1977 lnformation to be submitted, in triplicate, to the Registering Officer in respect of Experimental Pesticides.

1.

Name of applicant:............................................................. 2.
Address of applicant-.......................................................... a) Postal:............................................................................. b) Business:........................................................................ 3.

Code name or number of pesticide:.................................... 4.

Type of pesticide (fungicide, herbicide, insecticide.

etc):...................... 5.

Chemical group:............................................................. 6.
Toxicological data, if available a) Humans and Animals……………………………………………………………….

b) Symptoms of poisoning…………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… c) First aid……………………………………………………………………………… ……………………………………………………………………………………….. ……………………………………………………………………………………….. 7.

Mass or volume of pesticide imported:..................................................................... 8.
Suggested use:.......................................................................... 9.

Location of trials:..................................................................... 10.

Plot- size:............................................................................... 11.

Person conducting the trials:....................................................

Date: .............................. Signature of applicant:.............................