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THE GOVERNMENT OF THE HONG KONG

香港特別行政區政府

SPECIAL ADMINISTRATIVE REGION

漁農自然護理署

AGRICULTURE, FISHERIES AND

CONSERVATION DEPARTMENT

九龍長沙灣道

號號號號

303

Cheung Sha Wan Government Offices

長沙灣政府合署五樓

303 Cheung Sha Wan Road

Floor, Kowloon, Hong Kong.

Application for Special Permit

(For the Importation/Transit/Transhipment of Animals & Birds)

(Under the Laws of Hong Kong Cap. 139 and Cap. 421)

*I / Our company wish(es) to apply for a Special Permit to import/transit/transhipment the animals described below. *I / Our company 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. If the information provided below is different from that of the imported animals, *I / our company will report it

immediately to your department. *I / Our company understand that *I / our company are liable for prosecution if the information provided below

is incorrect.

Please complete in BLOCK LETTERS and return to: Permit & Certification Unit, Agriculture, Fisheries and Conservation Department,

Counter No.10, 5

Floor, Cheung Sha Wan Gov’t. Offices, No.303, Cheung Sha Wan Road, Kowloon, Hong Kong.

For detailed information, please visit

or enquiry at 21507063 during office hours

Name of applicant: *Mr./Mrs./Ms.(English)

(Chinese)

_____________________________

______________________

*HK Identity Card/Passport No. and issuing country/place:

____________________________________________

Name of company:

applicable to commercial consignment only

_________________________________________ (

)

Correspondence address:

________________________________________________________________________

Telephone No.:

Fax No.

E-mail Address:

_________________

: ______________

________________________

(if not available, please provide your agent’s contact tel / fax no.)

Port and country/place of export:

__________________________________________________________________

Conveyance: by * Air/Sea/Vehicle

Flight no. (if known)

__________________________________________

The expected arrival date:

_________________________________________________________________________

* Transit to:

(for transhipment only)

______________________

________________________________

_______________

(country/place)

(means of conveyance)

(Date)

Particulars of the animals/ birds to be imported:

10.

Kind &

Scientific Name (genus/Species)

Age

Colour,

Common

(for dogs and cats, breeds are to be

Quantity

Sex

description &

Year

Month

Names

identifications

provided)

Method of dispatch of the permit (if granted):

11.

(Note: The permit will not be dispatched by fax or by registered mail)

(a) to be collected by myself or the person authorized by me at AFCD office.

(b) by post to the address as provided in paragraph 4 above

(self-addressed envelope is to be enclosed)

Purpose of the importation:

12.

pet #

trading for pets #

trading for food #

breeding #

others (specify):________

*Animal Trader Licence No.

Name of the licensee

Expiry date of the Licence:

13.

____________

________

____________

Date of application:

. Signature:

14.

________________________________

_______________________________

Notes For Guidance

For Official Use Only:

Application fees must be paid upon the submission of the application. The fees

Application Serial No.:

are NOT refundable once the permit has been approved. Cash should not be

Amount of Fees:

sent by post. Cheque and bank draft should be made payable to “The

Government of the Hong Kong Special Administrative Region”.

M.R. No.

The permit, if granted, will normally be valid for 6 months and is good for one

consignment only.

Initial of Shroff & Date:

The submission of this application form cannot be construed as the grant of

Special Permit.

Final travel arrangement should NOT be made until a permit has been granted.

Animals/birds must be transported by the fastest and most direct route as

Checked by:

MANIFESTED CARGO. If travelling by air they must be covered by an air

waybill.

Animals/birds must be crated in suitable containers for humane transportation

and in accordance with IATA standard if transported by air.

*Delete as appropriate, # insert a tick

as appropriate

(Form No.:AF240)

(N:\Permit and Certification\application form\AF240-Aug12E.doc)

Application For Special Permit Form (For The Importation/transit/transhipment Of Animals & Birds) - The Government Of The Hong Kong

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