Docstoc

APPLICATION FOR THE ISSUING OF PHYTOSANITARY

Document Sample
APPLICATION FOR THE ISSUING OF PHYTOSANITARY Powered By Docstoc
					                                         Directorate: Agricultural Product Inspection Services
                                         Office      :
                                         Tel No     :
                                         Fax No      :



APPLICATION FOR THE ISSUING OF A PHYTOSANITARY CERTIFICATE

PLEASE NOTE: Completed application, ACCOMPANIED BY AN IMPORT PERMIT OR OFFICIAL IMPORT
REQUIREMENTS OF THE IMPORTING COUNTRY and all relevant documents, must reach this Directorate 48 hours
before required inspection. Exporter or authorized agent to complete this form; consignment to be exported within 14
days after certification.

I (full name) ____________________________________________________________________ of (firm name)
_________________________________________________________________hereby apply on behalf of the
exporter (name/firm name) __________________________________________________for the issuance of a
phytosanitary certificate at (inspection address)
___________________________________________________________________________________________
on (date) _______________________________________________at (time) ____________________________
Please indicate firm that will be liable for the inspection fees:         Agent                  Exporter
Postal address for the above __________________________________________________________________
Signature of applicant _____________________________________Date_______________________________
Tel No: (____) __________________       Fax No: (____) ______________             Cell No: _______________________
Email address:______________________________________________________________________________
PARTICULARS OF CONSIGNMENT
Importing country: _ _________________________________________________________________________
Name and address of exporter _________________________________________________________________
                                 _________________________________________________________________
Name and address of
consignee:__________________________________________________________________________________


__________________________________________________________________________________________
Number and description of packages/Container no.:_______________________________________________
Distinguishing marks/Lot no: __________________________________________________________________
Place of origin: ______________________________________________________________________________
Means of conveyance          AIR    MAIL     PASSENGER          RAIL     ROAD       SEA

Port of entry: _______________________________________________________________________________
Name of produce, purpose, mass and quantity declared: __________________________________________
Botanical name(s) of plant(s): _________________________________________________________________
DISINFECTION/DISINFESTATION TREATMENT
Important:    Treatment to be confirmed by either supervision of an official of this Directorate, or a
              certificate issued by a person registered in terms of Act 36 of 1947.
 Date      of Chemical used (only Concentration of Duration              and Method of treatment
 treatment     active ingredient)      dosage               temperature


ADDITIONAL DECLARATION
Important: Attach import permit or official import requirements of the importing country (permit no.)

FOR OFFICIAL USE ONLY
Date of inspection _________________________ Inspected by ______________________________________
Inspection and traveling time: From____________ To__________ Amount payable ____________________
Invoice No. _________________ Date _________________ Phytosanitary Cert. No _____________________

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:2
posted:10/2/2012
language:Latin
pages:1