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APPENDIX


Model Phytosanitary Certificate
Model Phytosanitary Certificate for Re-Export

Model Phytosanitary Certificate

No. _________

Plant Protection Organization of _________________________________________________
TO: Plant Protection Organization(s) of____________________________________________

I. Description of Consignment

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 herein have been inspected and/or tested according to appropriate official procedures and are considered to be free from the quarantine pests specified by the importing contracting party and to conform with the current phytosanitary requirements of the importing contracting party, including those for regulated non-quarantine pests.

They are deemed to be practically free from other pests.[1]

II. Additional Declaration

III. Disinfestation and/or Disinfection Treatment

Date _______ Treatment __________ Chemical (active ingredient)____________________
Duration and temperature _____________________________________________________
Concentration ______________________________________________________________
Additional information ________________________________________________________
__________________________________________________________________________
Place of issue ______________________________________________________________

(Stamp of Organization) Name of authorized officer ________________________________
Date ___________ (Signature)__________________________________

No financial liability with respect to this certificate shall attach to (name of Plant Protection Organization) or to any of its officers or representatives.[2]

Model Phytosanitary Certificate for Re-Export

No. _________

Plant Protection Organization of _____________ (contracting party of re-export)
TO: Plant Protection Organization(s) of _____ (contracting party(ies) of import)

I. Description of Consignment

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. ________, [3]original ¨ certified true copy ¨ of which is attached to this certificate; that they are packed ¨ repacked ¨ in original ¨ [4]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.

II. Additional Declaration

III. Disinfestation and/or Disinfection Treatment

Date ______ Treatment _________ Chemical (active ingredient) ___________________
Duration and temperature __________________________________________________
Concentration ____________________________________________________________
Additional information ______________________________________________________
________________________________________________________________________
Place of issue ____________________________________________________________

(Stamp of Organization) Name of authorized officer ______________________________
Date ___________ (Signature)_________________________________

No financial liability with respect to this certificate shall attach to ___________ (name of Plant Protection Organization) or to any of its officers or representatives.[5]


[1] Optional clause
[2] Optional clause
[3] Insert tick in appropriate ¨ boxes
[4] Insert tick in appropriate ¨ boxes
[5] Optional clause


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