APPENDIX IV
CONVENTION ON INTERNATIONAL TRADE IN ENDANGERED
SPECIES OF WILD FAUNA AND FLORA
Export Permit No...
Exporting Country:
Valid Until: (Date)
This permit is issued to..
Address........
who declares that he is aware of the provisions of the Convention, for the purpose
of exporting
(specimen(s), or part(s) or derivative(s) of specimen(s))(1)
of a species listed in Appendix I(2)
Appendix II(2)
Appendix III of the Convention as specified below(2)
(bred in captivity or cultivated ............
This (these) specimen(s) is (are) consigned to
Address....
Country
at.....
(Signature of the applicant for the permit)
at.....
on...
on...
.)(2)
(Stamp and signature of the Management Authority
issuing the export permit)
(1) Indicate the type of product. (2) Delete if not applicable.
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