THE FOREST REPRODUCTIVE MATERIAL (GREATBRITAIN) REGULATIONS 2002 Application for Master Certificate for reproductive material derived from seed orchards or parents of family All collections 1. Botanical Name: ................................................…………….……………………………………………………………………….…... 2. Nature of reproductive material Seed unit Part of plants 3. Category of reproductive material Qualified Tested 4. Type of basic material Seed orchard Parent of family(ies) 5. Basic material reference in National Register……………………………………………………….……….……………………….…. 6. Is the material? (tick one box only) Indigenous Non-indigenous* Unknown * Origin of basic material if known.....................................……………………………………………….………………………...…….... 6a. Region of Provenance: (for native species state seed zone) …………………………………………………………….……………... 7. Seed derived from: Open pollination Supplemental pollination Controlled pollination 8. Year in which seed ripened:……………………………………………………………………………………………………………...…. 9. Quantity of reproductive material:…………………………………………………………………………………………………..…….. 10. Number of components represented: Families………………………………………………Clones…………….…………….……. 11. Has genetic modification been used in the production of the basic material? 12 For reproductive material derived from parents of family(ies): Yes No 12a. Crossing design………………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………….……… 12b. Range of percentage composition of component families…………………………………………………………………….……… 13. Has there been subsequent vegetative propagation of material derived from seed? Yes No 13a. Method of Propagation………………………………………………………………………………………………………………….…. .. 13b. Number of cycles of propagation……………………………… 13c. All collections 14. Previous Certificate Number……………………………… Date of collection from.....................................……………………………. to..........................................……..…………….……. 14a. Other relevant information ...................................................................................................................................................……. …………………………………………………………………………………………………………………………………………………… Applicant’s/ FC details 15. 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:……………....…………………...........................………… FRM4B (Jun 2009)