PQ Form- 04







Government of India
Ministry of Agriculture
(Department of Agriculture & Cooperation)
Directorate of Plant Protection, Quarantine & Storage

Permit No.:


Date of issue:

Validity up to:


      In accordance with the provisions of clause 3 (6) of the Plant Quarantine (Regulation of Import into India) Order, 2003 issued under Sub-section (1) of Section 3 of the Destructive Insects & Pests Act, 1914 (2 of 1914) , I hereby grant permission to import the following plants/plant materials for sowing/planting/propagation as detailed below:

1.Name & Address of Importer



2. Name & Address of Exporter

3. Country of Origin/Re-Export)

4. Point of Entry


5. Description of plant / plant products (Common/ Scientific name)

6. Variety/ hybrid

7.Quantity (Wt./ Nos.)

8.Number of  packages

9. Kind of packing









10. The above permission is granted subject to the following conditions:

(1) The consignment of plants/ plant materials shall be free from soil, weed species and plants debris.

(2)  (i) The consignment shall be accompanied by a Phytosanitary Certificate/ Phytosanitary Certificate for re-export issued by an authorized officer in the country of origin / re-export i.e (_______________) as the case may be, with additional declaration for the freedom from:

(a) _______________________________________________________________

(b) _______________________________________________________________

(c) _______________________________________________________________

Or that above specified pests does not occur in the country or state of origin.

(ii) Certified that the plants/ plant materials as described above obtained from mother crop/ stock which were inspected on regular intervals by an appropriate authority in the country or origin and found free from:


(3)  The consignment shall be grown in an approved post-entry quarantine facility established by the importer at ________________________________ (name of location of PEQ facility) under the supervision of _________________________ (Name and address of Inspection Authority) for a period of (days/ months) ______________________________.    

(4)  The permit is not transferable and shall be valid for six months from the date of issue and valid for multiple port access and multiple part shipments provided the exporter, importer and country of origin are the same for the entire consignment. The permit number shall be quoted on the phytosanitary certificate issued at the country of origin/re-export, as the case may be








(Signature/Name and Designation of the Issuing  Authority)