EMBLEM

FORM ‘P'

[See Clause 28 (I)(b)]

PARTICULARS OF SAMPLE DRAWN

•  Name and Grade of Fertiliser :

•  Compsition:

•  Physical condition of Fertiliser:

•  Code No.:

•  Date of sampling:

•  Name & Address of Fertiliser Inspector drawing sample:

Signature and Metallic Seal

Impression of Fertiliser Inspector