PPRD11008B ( 11/2008 )植物檢疫證明書申請表(香港漁農自然護理署) Form of Application for Phytosanitary Certificate (AFCD, Hong Kong) 出口商名稱及地址Name & address of exporter 電郵Email 電話Phone no
收貨人名稱及地址Name & address of consignee 件數及包裝說明Number & description of package 顯著之標誌Distinguishing marks 來源地 (生長於 ) Origin (Grown at) 離港運輸方法Means of convey ance for departure 輸入港口Port of entry 最終入口國家Country of Destination 截倉 /離港日期Closing/ Departure date 產品名稱及數量Name of produce & quantity 總共Total 植物學名Botanical Name 有關瀕危品種的聲明 : 本人聲明此乃* 野 生 / 栽 培之瀕危植物或植物產品(*請將不適用者刪去) Declaration on Endangered Species: I declare that the endangered plants(s)/plant product(s) is/are * wild/artificially propagated species or variety(ies)
( *Delete as appropriate) □是□否本人同時申請以植物檢疫證明書作為瀕危植物出口許可證(請參照以下注意第2 點, 如適用的話,請在空格註上「」號)□Yes□NoI would also like to app