PQ FORM - 01

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APPLICATION FOR PERMIT TO IMPORT PLANTS/ PLANT MATERIALS FOR CONSUMPTION OR FOR PROCESSING
[ Plant Quarantine (Regulation of Import into India) Order, 2003 ]

To
_________________________
_________________________
_________________________
_________________________
(Address of Issuing Authority)

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              I/ We hereby make an application, in accordance with provisions of Clause 3(3) of the Plant Quarantine (Regulation of Import into India) Order, 2003 made under Sub-section (1) of Section 3 of the Destructive Insects and Pests Act, 1914 (2 of 1914) for permission to import following plants/ plant products consumption/ processing:

(Please type/write in BLOCK LETTERS)

1.

Name and address of the importer

2.

Details of consignment

Sl.No

Exact description of seeds/ plants to imported(State common and Botanical name)

3.  Quantity

(Wt./ Volume)

 

4. Whether transgenic or not

 

5. Country of origin/ re-export and foreign port of shipment

 

 

 

6.  Mode of packing and Number of packages

 

7. Means of conveyance and point of entry

 

 

8.  Name and address of exporter

 

 

 

9. Approximate date of arrival of shipment

 

10. Purpose of import

 

 

11. Particulars of documents, if any attached

 

 

         I/ We hereby undertake to pay to an officer duly authorized by the Plant Protection Adviser, the prescribed fees towards inspection, fumigation, treatment or supervision of and abide by the instructions/ guidelines issued by him.

 

Place                                                                                    

Date                  

                                                                 

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

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