Date of collection___________________
Sample____________________________
Collector information.Information about Farmer.
Name____________________Name ________________
Address________________________Address_____________________
_______________________________________________
Roll no._____________ Language:____________________
Cell no. _____________
Famer planting: _______________________________
Age of plant and planting: ___________________
Method of planting _____________ Seed bed prepration ___________
Field history: ________________ Field condition_________________
Plant name. 1) Local ___________ 2) Scientific ____________________
Variety name______________ planting time: ___________________
Seed rate kg/acre ________ sowing method ___________________
Irrigation: ____________ water resources________________
Fertilizer used: Name _______________ Application ___________
Insect attack: Name_____________ scientific __________________
Type of sample: ________________ Soil drainage_________________
Disease description:
Symptoms first noticed, date ______________ Occurrence in previous years: No Yes Unknown
Disease assessment 1) incident_________ severity___________
Disease name in local language___________________
Spots on leaves: Shape____ color_______ size______________
Spots on stem: Shape____ color_______ size______________
Management:-
Cultural practices adopted:
____________________________________________________________________________________________________________________
Pesticides Used: __________________________________
Fungicides used: ___________________________________
Quantity ____________________ interval ____________________
Do you want a control recommendation for:
Home lawn/garden
Commercial production
Lawn/landscape management
other