Declaration Of Percent Hybrid Seed
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1Form 180
CSGA
Declaration of Percent Hybrid Seed
This
is completed, and submitted to the Canadian
Declaration of Percent Hybrid Seed (Form 180)
Seed Growers’ Association (CSGA) office, to complete the certification of those hybrid pedigreed
seed crops with this regulatory requirement in Circular 6. After verifying that the information in this
ACPS
declaration complies with certification standards for the variety, the CSGA issues a crop certificate.
I hereby declare that the seed harvested from the following field:
Field Information
Grower Information
Name:
Field identification :
Grower number:
Crop inspection year:
Address:
Sequence number:
City:
Number of acres:
Province:
Variety:
Postal code:
Crop kind:
is __________ % hybrid (
) as determined with the following confidence level,
percent hybridity
number of seeds tested and recognized test method:
Confidence level (%):
Number of seeds tested:
Name or number of hybridity:
(test method recognized by CFIA)
I declare all of the above to be true:
Signature
Date
Name and Position (printed)
Representing (Name of Company)
Office Use Only
SEND TO: CANADIAN SEED GROWERS’ ASSOCIATION
Box 8455, Ottawa, Ontario, K1G 3T1
Fax: (613) 563-7855 Email: applications@seedgrowers.ca
CSGA Form 180 Declaration of Percent Hybrid Seed_2008
QMF 17
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