Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697707484601.pdf (Zimbabwe)
Statutory Instrument 144 of 2012.

[CAP.

18:12 Form P.1 FERTILIZERS, FARM FEEDS AND REMEDIES ACT [CHAPTER 18:12] PESTICIDE REGULATIONS APPLICATION FOR REGISTRATION OF A PESTICIDE (To be submitted to a registering officer in triplicate) Receipt Number……………………… A.

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

1.

Name of applicant .................................................................................................................................... 2.
Address— (a) Postal ................................................................................................................................................ (b) Business ............................................................................................................................................ 3.

Type of pesticide (fungicide, insecticide, e.t.c.)
............................................................................................................................................................... ............................................................................................................................................................... ............................................................................................................................................................... B.
Information to be submitted with this application for all pesticides for which registration is sought: 1.

Brand name ........................................................................................................................................ ............................................................................................................................................................... 2.
Full chemical name of each active ingredient ..................................................................................... ............................................................................................................................................................... 3.
The common name of each active ingredient ..................................................................................... ............................................................................................................................................................... 4.
The empirical and structural formulae for each active ingredient....................................................... ............................................................................................................................................................... 5.
Proposed formulation ......................................................................................................................... ............................................................................................................................................................... 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 ................................................................ ............................................................................................................................................................... 8.
Physical properties of formulations containing oils ............................................................................ ............................................................................................................................................................... 9.
Physical properties of formulations of dusts or granules .................................................................... 2 ............................................................................................................................................................... 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 on storage ................................................................................................... 13.
Stability of formulation on dilution .................................................................................................. 14.

Corrosion of equipment .................................................................................................................... ............................................................................................................................................................... 15.
Phytotoxicity..................................................................................................................................... ............................................................................................................................................................... 16.

Toxicology ....................................................................................................................................... 17.
Safety precautions to be observed in handling, using and storage .................................................... ............................................................................................................................................................... 18.

Hazards to wild life .......................................................................................................................... 19.
Residue data ..................................................................................................................................... 20.

Proposed use ..................................................................................................................................... 21.
Directions for use ............................................................................................................................. ............................................................................................................................................................... 22.
Methods of analysis .......................................................................................................................... ...............................................................................................................................................................
I hereby apply for the registration, in terms of the Fertilizers, Farm Feeds and Remedies Act [Chapter 18:12], of the pesticide particulars of which are given above, and I certify that these particulars are, to the best of my knowledge, true and correct.

_____________________________ _________________________________ Name in full Authorised Signatory Designation .......................................................................................
Note – The detailed information required in section B must accompany the application.

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