26-MAY-1992
12:38
FEES MUST BE PAID UPON APPLICATION
HK GOVERNMENT HOUSE
NOT REFUNDABLE ONCE APPROVED
Note Animals & Birds" includes mammals, birds and reptiles.
252 521 1868
Application Serial No.
AGRICULTURE & FISHERIES DEPARTMENT
HONG KONG GOVERNMENT Special Permit Application Form (Under Laws of Hong Kong Cap. 139 and Cap. 187) For the Importation/Transit/Transhipment of Animals & Birds
P.08
This Form should be forwarded to the Director
of Agriculture & Fisheries (Attn. Senior Veterinary Officer) at 393 Canton Road, Government Offices, 12th floor, Kowloon, Hong Kong.
1/Our company wish(es) to apply for a permit to import/transit/tranship the animals/birds described below. I hereby undertake to ensure that the terms of the Special Permit and all other relevant legislation will be fully complied with and the particulars given hereunder are correct.
CHRISTOPHER
1. Name of applicant in BLOCK LETTERS:
2.
Hong Kong Identity Card No./or Passport No. with Country of Issue:
3. Name of Company, address and telephone No.:
HONG
HOUSE
UPPER ALBERT ROAD
4.
Valid Business Registration Certificate No.:
FRANCIS PATTE
GAAAAIPADAJ
U.K. PASSPORT
KONG GOVERNMENT
B304535
GOVERNMENT
5. Valid AFD Animal Trading Licence No. and Name of the Licensee:
6. Nature of animals & birds:--
(This column must be completed in English)
Kind of Animals/Birds
Common Name
DOG
NORFOLK
TERRIER
Scientific Name
Quantity
Age
Sex
Colour, description & identification marks
6 months M
BROWN
Note: Please use separate sheet if space is not sufficient
7.
Give full address of the present location of the animals/birds:
SPINNEY
HANLEY CASTLE
LONDON
8. Port and Country of export:
9. Proposed date of importation/transit/transhipment
10. Flight No. and Name of airline/vessel (Arrival Details):
11. Purpose of bringing in the animals/birds:—
910 Works HEATHRO
16 JULY
BA027
L.W.R.CLEMENTS
THE
WRS OBB
J.K
1992
*(*) *(b) Trading
(c) Breeding
*(d) Slaughter
{*Please
tick as relevant)
amiving 16 July at 17.30hrs
PEST HONG KONG
15/16 JULY.
by
*(e) In direct transit/transhipment to i................................ BAQ27
(Airline/Vessel) on
*(7) Others (please specify)
.............
GOVERNMENT
HOUSE
13. Who will keep the animals/birds, and where?
THE
UPPER ALBERT
OWNER
A T
CHRISTOPHER
ROAD
THE
12. Name and address of the actual owner of the imported animals/birds in Hong Kong:
A BOVE
arrivi
(Country).
17-30 (13.)
1
PATTEN
ADDRESS
14. Name of approved quarantine kennels preferred in the case of the dogs/cats arriving Hong Kong which are required to undergo Six (6) full
months quarantine:—
[*Please tick as relevant}
"(w) Sung Wong Tọi Government Kennels *(6) Victoria Road Government Kennels
15. FULL ADDRESS TO WHICH THE PERMIT. IF GRANTED, IS TO BE SENT: UPPER ALBERT RAD...... H.K.
*(c) Approved but privately-run Pokfulam Kennels *(d) Airport, AFD Animal Hostel (For short "Transhipment) GOVERNMENT
16. Applicant's direct contact telephone No. in Hong Kong: 5.23.2031 ext 211 CANNE
17. Applicant's official capacity in the Company:
HORSE.
•
18
Date of application:
IS JUNE
1992
19. Signature:
(Owner or owner's authorized agent and/or stamp)
For Official Use Only
WARNING:
(1) IT MAY NOT BE POSSIBLE TO GRANT A PERMIT UNLESS ALL THE
İNFORMATION ASKED FOR ON THIS APPLICATION IS SUPPLIED.
(2) NO FINAL TRAVEL ARRANGEMENT SHOULD BE MADE UNTIL A PERMIT
HAS BEEN GRANTED.
(3) ALL ANIMALS/BIRDS ARE TO TRAVEL AS Manifest Cargo, IF TRAVELLING
BY AIR THEY MUST BE COVERED BY AN AIR WAYBILL.
(4) ALL ANIMALS/BIRDS MUST BE ACCOMMODATED IN SUITABLE CONTAINERS FOR HUMANE TRANSPORTATION. IF TRAVELLING BY AIR, THE CONTAINERS SHOULD BE OF RECOMMENDED IATA STANDARD.
Amount of Fee:
M.R. No.: Date of Payment:
Initial of Shroff:
Initial of Licensing Officer:
Permit No.:
Examined by:
AF 240
TUTA!