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* Click here to enter text. Client First Name*: Click here to enter text. Client Address line 1* Click here to enter text. Client Address line 2* Click here to enter text. Client Address line 3* Click here to enter text. Client Address line 4* Click here to enter text. County* Choose an item. Client PPSN* Click here to enter text. Client Date of birth* Click here to enter text. Client email address Click here to enter text. Training Centre Attended* Click here to enter text. Course type: (stand-alone course, College, Regional Part time)* Choose an item. Client phone number Click here to enter text. Query submitted by Contact details (email address)* Click here to enter text. Approximate year of course Click here to enter text. Send your completed form to pesticide.cert@teagasc.ie 1