THE FOREST REPRODUCTIVE MATERIAL (GREAT BRITAIN) REGULATIONS 2002 Application for Master Certificate for reproductive material derived from seed sources and stands All collections Registered stands only Sourceidentified seed sources only ................................................…………….………………………………………………….. 1. Botanical Name: 2. This application is for: (tick one box only) 3. Basic material reference in National Register……………………………………………………….……….………………….…….. 4. If the reproductive material is from a source-identified seed source please complete sections 4 and 5. 4a. Is the material? (tick one box only) Indigenous Seed units Part of plants (e.g. cuttings) Non-indigenous* Unknown * Origin of basic material if known.....................................……………………………………………….…………………….………... 4b. Region of Provenance (for native species state seed zone) ……………………………………………………………….………. 4c. Location of collection (e.g. Harry ‘s Wood, near Kelso) …………………........……………...................……….………………….. ......................................................……………………………………………………….………………………………………….……... 4d. Grid reference(s) (6 figure).……………………………………………………………………………...............……................…… (tick box if you do not want this to appear on Master Certificate) All collections 5. Altitude or altitudinal range of collection site from..........…....……...metres to ................……..metres. (at minimum, must specify whether 0 - 300m, or 300m +) 6. Year in which seed ripened ……………………………………………………………………………………………………………….. 7. Quantity of reproductive material ......................................................................……………………………………………………. (for seed enter quantity of cleaned seed (in kg) not quantity of cones or berries) 8. Is this Master Certificate for a mixture of material that has been covered by previous Master Certificates? All collections Yes No (state previous Master Certificate numbers and % of lot covered by each certificate) …………………………………………………………………………………………………………………………………………….……. All collections All collections 9. Has there been subsequent vegetative propagation of material derived from seed? Yes No *(complete 9a-c) 9a Method of Propagation .................................................... 9b. Number of cycles of propagation ............…....….......…….. 9c. Master Certificate number of parent material ........................................................................………………….........….......…… 10a. Date of collection from.....................................……………………………. to..........................................……..…………………. 10b. Other relevant information ................................................................................................................................................…….. ……………………………………………….......................................................………………………................……….........……… For closely related species (e.g. Quercus spp, Larix spp. or Betula spp.) please give an estimate of the percentage purity of the seed collected. Applicant's/ FC details 11. Name and address of applicant: .................................................................................................…....... .....................................................................................................….. Postcode:......................................……………………………….…….. Please return completed form to: Forestry Commission, Forest Reproductive Material Silvan House, 231 Corstorphine Road, Edinburgh, EH12 7AT Tel: ..........................……..…………………………...................…...... FRM Supplier Number: ….....................……………………………….. Declaration Tel: email: 0300 067 5129 frm@forestry.gsi.gov.uk I certify that the quantity of reproductive material detailed above has been collected in accordance with the Forest Reproductive Material (Great Britain) Regulations 2002 and I apply for a Master Certificate for this material. Signed................................................................…………………..………. Date………………....………………….........................…… FRM4A (Jun 2009)