Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697707561638.pdf (Zimbabwe)
FERTILIZER, FARM FEEDS AND REMEDIES ACT (CHAPTER18:12) P.2 FORM Pesticides Regulations, 2012 APPLICATION FOR THE RENEWAL OF REGISTRATION OF A PESTICIDE ( To be submitted in triplicate to the Registration Officer) Name of Applicant: Address of Applicant: Brand Name.

Chemical Name Date of existing Registration Number of Registration Certificate Period for which renewal of registration is applied for From the ………… To the -------------- Source: a) Manufacturer b) Country :.
l certify that the composition and formulation of the pesticide(s) referred to above have not changed since the date upon which application for registration was made.

Date : Signature :