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 apply for using the phytosanitary certificate as a CITES Licence to Export for endangered plants (Please refer to Note 2 below and tick the box if appropriate) 附加聲明 Additional declaration 申請人簽署Signature of Applicant 驗貨地點／日期Location/Date of consignment to be examined 姓名請用正楷Name (in BLOCK LETTERS) 日期Date ( 注意) Note 1. 假若貨主由申請日期起三個月內仍未能安排貨物給漁農自然護理署檢驗，本署可拒絕驗貨，惟並無任何賠償或退款。If the consignment cannot be arranged by the applicant for inspection within 3 months from the date of application, Agriculture, Fisheries and Conservation Department may refuse to conduct the inspection without any refund or compensation. 2. 出口或再出口瀕危植物，出口商須持有本署發出之瀕危物種出口/ 再出口許可證。 若是出口產自香港的人工培植的附錄II植物的標本，申請人可申請以植物...
