Model Phytosanitary Certificate | |||||||||||||||||||||||||||||
No. _________________ | |||||||||||||||||||||||||||||
Plant Protection Organization of _________________________________________________ | |||||||||||||||||||||||||||||
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Name and address of exporter: __________________________________________________ | |||||||||||||||||||||||||||||
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Date ________ Treatment ___________ Chemical (active ingredient) ___________________ | |||||||||||||||||||||||||||||
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(Stamp of Organization) | Name of authorized officer____________________________ | ||||||||||||||||||||||||||||
Date _______ ________________________________ | |||||||||||||||||||||||||||||
(Signature) | |||||||||||||||||||||||||||||
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No. _________________ | |||||||||||||||||||||||||||||
Plant Protection Organization of ________________________ (contracting party of re-export) | |||||||||||||||||||||||||||||
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Name and address of exporter: __________________________________________________ Declared name and address of consignee: _________________________________________ Number and description of packages: _____________________________________________ Distinguishing marks: _________________________________________________________ Place of origin: ______________________________________________________________ Declared means of conveyance: _________________________________________________ Declared point of entry: _______________________________________________________ Name of produce and quantity declared: __________________________________________ Botanical name of plants: ______________________________________________________ This is to certify that the plants, plant products or other regulated articles described above ________ were imported into (contracting party of re-export) ________ from ___________ (contracting party of origin) covered by Phytosanitary Certificate No. ________, *original certified true copy of which is attached to this certificate; that they are packed repacked in original *new containers, that based on the original phytosanitary certificate and additional inspection , they are considered to conform with the current phytosanitary requirements of the importing contracting party, and that during storage in _______________ (contracting party of re-export), the consignment has not been subjected to the risk of infestation or infection. * Insert tick in appropriate boxes | |||||||||||||||||||||||||||||
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Date ________ Treatment ___________ Chemical (active ingredient) ___________________ | |||||||||||||||||||||||||||||
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(Stamp of Organization) | Name of authorized officer____________________________ | ||||||||||||||||||||||||||||
Date _______ ________________________________ | |||||||||||||||||||||||||||||
(Signature) | |||||||||||||||||||||||||||||
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