Instruction for completing the sample application form

Laboratory
number and
sample receipt
date

Will be filled in by the sample reception department

Name and
address

• Relations number: Give the relations number known by the NAK. If you do not have a relations number our relation department will provide you with one.
• Applicant: State your company name
• Address: Give your complete address

Seedlot number

• Report the complete seed lot number including the country code
• One seed lot can be a unique lot ore a combination of different lots

Species

Variety

Report the variety name of the submitted sample

Category

Prebasic-, basic- ore certified seed

Packed in

Total weight of
the seedlot

Report the total weight of the seedlot

Number of
containers

• Report the number of containers and the weight of the content of each container
• If there are different container types, please use the space above and below the dotted line

Country of
origin

Type of label

Report the type of label that is attached to the seedlot (eg EU-label, OECD-label)

Disinfected seed

• Report if the sample is disinfected and give the name of the disinfection product
• Also report the disinfection product on the sample bag

Lot sealed

Analysis

• Germination:
  – NAK-method is analysis of 300 seeds
  – ISTA method is analysis of 400 seeds
• Chose the analyses on which you want the sample examined

ISTA
certificates

Report how many ISTA certificates you want and in which language

Remarks

Sampling

• Report who did the sampling
• Report if the sampling was done by hand or automatic
• Report the date of sampling
• Sign the application form if you are the applicant and / or sampler

Questions

• tel nr: 0527635499
• e-mail: monsterontvangst@nak.nl