Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697707570664.pdf (Zimbabwe)
FERTILIZER, FARM FEEDS AND REMEDIES ACT (CHAPTER 18:12 Pesticide Regulations, 1977 Information to be submitted in triplicate, to the Registering Officer in respect of importation of Pesticides APPLICATION FORM: 1) Name of applicant: 2) Address of applicant: …………………………….. a) Postal: b) Physical : c) Phone: d) Fax e) E-mail 3) Chemical Name Trade/ Brand Name Registration No.
4) Type of pesticide; (lnsecticide, Herbicide, Fungicide etc): 5) Amount (Mass/Volume): 6) Source: a) Manufacturer: Date: Name of person representing the applicant:…………………………………….. Signature……………………………….