query form

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Sustainable Use Directive
Pesticide Qualification Query
Please read the instructions below before filling in this form
Information on SUD is available at http://www.pcs.agriculture.gov.ie/sud/
1. Please complete the form below. Provide as much information as you can.
2. Please note that * signifies that without this information, your query cannot be
answered.
3. A letter or email will be issued to if a record can be found.
4. Please email the completed form to pesticide.cert@teagasc.ie
APPLICANT INFORMATION
Client Surname*
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Client First Name*:
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Client Address line 1*
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Client Address line 2*
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Client Address line 3*
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Client Address line 4*
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County*
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Client PPSN*
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Client Date of birth*
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Client email address
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Training Centre Attended*
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Course type: (stand-alone course, College,
Regional Part time)*
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Client phone number
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Query submitted by
Contact details
(email address)*
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Approximate year of course
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Send your completed form to pesticide.cert@teagasc.ie
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