For obtaining Import Certificate for the import of planting material (To be submitted only typed in duplicate in the office of DIRECTOR OF HORTICULTURE OF THE CONCERNED STATE GOVT) 1. Name of the Growers: (in capitals) 2. Postal address: 3. Detail of land holding: (Documentary evidence in support of the same has to be produced) 4. Details of vegetables grown in the last three years: S.No Crop Year-1 Year-2 Year-3 5. Details of Flowers grown in the last three years: S.No Crop Year-1 Year-2 Year-3 6. Details of value of vegetables and flowers sold in the last three years Item Year-1 Year-2 Year-3 7. Vegetables: Flowers 8. Details of seed imports if any handled earlier: 9. Particulars of imports/ planned now: Country Firm/Company Crop Name of variety Oty. 10. Details of P.E.O facilities proposed to be established: 11. "I am hereby certified that all the above particulars are true correct and complete." Signatures of the applicant Dated: Place:
