Application for Permit to ImportPlants and Plant Products

This application applies to the import of avocado plants, banana plants, grapevine material, potatoes, soybeans and turf. All applicationsmust be received at least 5 working days prior to import.

‘NT Quarantine Office Use Only’

File No.: / Import Permit No.:

Importer details

Title / Given name(s) / Surname
Company name / Contact number / Fax
Address line 1 (Must be a physical or location address. PO Box will not be accepted.)
Address line 2 (Postal Address – optional)
Suburb / State/Territory / Postcode

Email

Exporter details

Title / Given name(s) / Surname
Company name / Contact number / Fax
Address line 1 (Must be a physical or location address. PO Box will not be accepted.)
Address line 2 (Postal Address – optional)
Suburb / State/Territory / Postcode
Email
DEPARTMENT OF BUSINESS
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DEPARTMENT OF BUSINESS
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/ Application for Permit to ImportQuarantine Material / Machinery

Plant details

Common/product name / Scientific name
(Genus, species) / Description(variety, cultivar, certified scheme/accredited source) /

Quantity/ Volume

Other details
(include location where plants have been sourced and/or stored; method of preparation/treatment; virus and disease testing procedures)

Transport details

Mode of transport(e.g. road, rail, sea, air) / Date of Export / Estimated date of arrival

Approved Import Permit

Please indicate your preference for the delivery of the Import Permit(please tick only one option):

Email / Post / Fax

Importer declaration

I hereby apply for approval to import the plants and/or products detailed in this application. I declare that the plants and/or products will be presented in accordance with all quarantine restrictions and conditions as specified in any Import Permit that may be issued as a result of this application and any other import requirements that may apply. I declare that the information that I have provided is true and accurate to the best of my knowledge.
Signature

Name(Please print full name)

/ Date
DEPARTMENT OF BUSINESS
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