The Seeds (National Lists of Varieties) Regulations 2001 (as amended) The Plant Breeders’ Rights Regulations 1998 Payment for an application to add a variety to The United Kingdom National List and/or an application for Plant Breeders’ Rights in the United Kingdom

RAS2 (Rev 5/18)1

Please read the following notes before completing the form

Euro Cheques, BACS remittances and this form should be sent to Shared Services Connected Ltd, Moorside, Monks Cross Drive,Huntington, York, YO32 9GZ or email to sscl.receipts@gov.sscl.com. Payments may also be made by credit card. 1. Please ensure you enter all the requested details.2. Fill in details for each variety entered for National Listing or Plant Breeders’ Rights. The relevant Reference

Number for columns c) and d) can be identified from the list overleaf. If a variety is entered for bothNational Listing and Plant Breeders’ Rights two reference numbers are required.

3. Please ensure that your payment includes all bank charges incurred in transferring fees. The Animaland Plant Health Agency will not be liable for these charges and will aim to recover any costs incurred.

4. For payment by credit card: Phone +44(0) 1633 631800.5. If the application fee and this form are not received within two weeks of receipt of the application, it

may result in delays and in the longer-term the application may not be processed.

1. Applicant details:

Name (and for companies include contact name details also)

Address

Telephone Number (including national dialling code) Email address

2. Administration fee details (please use continuation sheet if necessary)

Reference Number (select from list overleaf)

a) Species (Common name) b) Breeders’ reference number c) National List d) Plant Breeders’ Rights

Continued Overleaf

RAS2 (Rev 5/18)2

3. Payment details (Please see notes overleaf)

BACS…………………………………… Cheque…………………………………… (tick if appropriate) (tick if appropriate)

Expected completion date for BACS payment Cheque number:

Credit Card……………………………… (tick if appropriate)

Customer name

4. APHA account details for BACS (Euros)

Bank Account National Westminster Bank PLC

RBS London Corporate Service, 2nd

Floor Bishopsgate, London, EC2M 4RB

Sort code 6 0 – 7 0 – 8 0

Swift / BIC code NWBKGB2L IBAN number GB28NWBK60708010004718

Account number 10004718

Account Name Animal and Plant Health Agency

Reference NL/PBR

Data Protection Any personal data which you have provided on this form will be processed in accordance with the Data Protection Act 2018. For information on how we handle personal data please go to www.gov.uk and search Animal and Plant Health Agency personal information charter.

If a species is not listed below please phone 0300 600 497 for the information required

No Crop Type Includes Ref No

NL Ref No PBR

1 Cereals Wheat, Barley, Oats, Triticale and Rye 2031 2048

2 Maize 2032 2049

3 Winter Oilseed Rape 2033 2050

4 Spring Oilseed Rape 2034 2051

5 Herbage (UK) Perennial, Italian and Hybrid ryegrass, Festulolium and White Clover 2035 2052

6 Minor Herbage (non UK) Red Fescue, Red clover, Sheep's fescue, Smooth stalked meadow grass and Timothy 2036 2053

7 Oilseed Turnip Rape 2037 2054

8 Potatoes 2038 2055

9 Field Pea 2039 2056

10 Vegetable Pea 2040 2057

11 Field Bean 2041 2058

12 Vegetable (UK) (excluding peas) Beetroot, Brussels sprouts, Cabbage, Carrot, Celery, Curly kale, Leek, Onion, Radish and Turnip

2042 2059

13 Other Vegetables Not listed above 2043 2060

14 Fodder Turnip Rape and Swede 2044 2061

15 Sugar Beet 2045 2062

16 Fodder Beet 2046 2063

17 Minor Crops Linseed, Soya bean, Lupin, Fodder kale, Sunflower, Mustard 2047 2064

18 Roses N/A 2065

19 Chrysanthemums N/A 2066

20 Dahlias N/A 2067

21 Misc Ornamentals Not listed above N/A 2068