PQ FORM - 12        

 APPLICATION FOR PERMIT TO IMPORT LIVE INSECTS/ MITES/ NEMATODES/ MICROBIAL CULTURES INCLUDING ALGAE/ BIO-CONTROL AGENTS UNDER THE
 PLANT QUARANTINE (Regulation of Import into
India) ORDER, 2003

To
The Plant Protection Adviser to the Govt. of India,
Directorate of Plant Protection, Quarantine & Storage,
N.H.-IV, Faridabad – 121 001 (Haryana)


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              I/We hereby make an application, in accordance with the provisions of clause 7(2) of the Plant Quarantine (Regulation of Import into India) Order, 2003 made under sub-section (1) of the Destructive Insects and Pests Act, 1914 (2 of 1914) for a permission to import the following Insects/ Mites/ Nematodes/ Microbial Cultures/ Bio-control agents for research/ experimental purpose as detailed below:

(Please type/write in BLOCK LETTERS)

1.  Name and address of importer

2.  Name and address of exporter


3.  Exact description of insects/ mites/ nematodes/ microbial cultures/ bio-control agents intended to import (Common and Scientific Name)

 

 

4.  Taxon (Class/ order/ family/ sub-family / tribe/ races or strains)

5.  Stages of the organism

6.  Number of specimens or units

7.  Host species, if any (Common/ Scientific name)

8.  Mode of packing and Number of packages and distinguishing marks, if any

9.  Country of origin and foreign port of shipment

10.  Mode of shipment and point of entry

 

 

 11.  Approximate date of import

12. Purpose of import

 

 

DECLARATION

I/ We hereby undertake to abide by the instructions/ guidelines issued by the Plant Protection Adviser to the Government of India from time to time in this regard.

 

Place                                                                                    

Date                                                                              

                                             (Seal)                              ________________________________
(Name & Signature of the Importer or his authorised agent)

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