濒危物种公约再出口证明书申请表

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1、瀕危物種公約再出口證明書申請表此欄由辦理機關填寫ForofficialuseonlyRCApplicationforaCITESRE-EXPORTCERTIFICATE動物標本Animalspecimens□漁農自然護理署植物標本Plantspecimens□Agriculture,FisheriesandConservationDepartment填寫此申請表前請先詳閱附加的注意事項內容Pleasereadtheattachednotesbeforefillinginthisapplicationform1

2、.申請人姓名／公司名稱及地址NameofApplicant/Company&Address聯絡人姓名ContactPerson’sName:…………………………………………..……………電話傳真Telephone:...........................................Fax:…………………..........................電郵地址E-mailAddress…………………………………………………………………..2.收貨人姓名及地址Consignee’sName&

3、Address3.公司的香港商業登記證號碼H.K.BusinessRegistrationNo.ofCompany…..............................................或or申請者身分證/護照號碼IdentityCard/PassportNo.ofApplicant…..……............................................4.(a)用途：(請參考附加的注意事項)Purpose:(Pleaserefertoattachednotes

4、)........................................................(b)擬出口的日期Proposeddateofexport……...........................................................................(c)運輸方法：空運/船運/火車/貨車/其他（請說明）Transportation:Byair/ship/train/truck/others(Pleasespecify)........

5、..................................................................................................................動/植物的物品詳細內容(如多於壹個物種，請填附頁。)DetailsofAnimalsandPlantsspecimens(Ifmorethanonespecies,pleasefillinannex)序號No.15.(a)獲得物品的日期：Thespecimenwasacquiredon

6、:............................................(date)(b)申請物品的入口商及其後各貿易商的有關發票號碼及日期InvoiceNo.andDateofitemsunderapplicationrelatingtoimporterandallsubsequenttraders.................................................................................................

7、........................................................................................................................6.(a)扣除本再出口證明書的使用量後，根據第12欄提及的准許證或證明書所持有的原料：StockbalanceofrawmaterialskeptunderthepermitorcertificatestatedinBox12afterdeductionbythisRe-E

8、xportCertificate:............................................................................................................................(b)本再出口證明書所扣除的物種貨品數量:QuantityofspecimensdeductedbythisRe-exp