Description of the specimen(s) or part(s) or derivative(s) of specimen(s), including any mark(s) affixed:

Living Specimens

Species (scientific and common name)

Number

Sex

Size (or volume)

Mark (if any)

Parts or Derivatives

Species (scientific and common name)

Quantity

Type of Goods

Mark (if any)

Stamps of the authorities inspecting:

(a) on exportation

(b) on importation*

*This stamp voids this permit for further trade purposes, and this permit shall be surrendered to the Management Authority.

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