Department of Seed Certification and Organic Certification

Home Service Sample Registration Form

Farmer's Details

Sample Details

Name of the Farmer/Organization *

Email *

Mobile No *

Name of Father/Mother/Spouse *

Please enter Father/mother/spouse

Door No *

Street *

District *

Please enter District

Block *

Please enter Block

Village *

Please enter Village

City/Town/Taluk *

Please enter Taluk

Pin code*

Please enter Pincode

Select Lab for Testing *

Please enter Lab

Crop Group *

Please enter Crop Group

Crop *

Please enter Crop

Variety *

Please enter Variety

Class of Seed *

Please enter Class of Seed

Submitted Sample size (Nos/grams) *

Please enter Sample Size

Lot number *

Please enter Lot number

Covering letter no *

Please enter Cover Letter no

Mode of result communication *

Date of Registration

Please enter Date of Registration

Select Test *

Physical Purity	Germination	Moisture	ODV	Insect Infestation	OCS/Kg

Result required on priority?