CITES

Convention on International Trade in Endangered Species
Supporting sustainable trade through customer focused licensing services

Article 10 Application Certificate application form
Guidance to Completing form FED 1012

This guidance should be read in conjunction with GN2 (General Guidance Note for Commercial Use)
This page is available as a downloadable document here PDF

FED 1012 Examples

Box 1. Holder / Breeder (only for specimens of species listed in Annex A)

Please write your name, address and telephone number in this box (not the details of an agent). This is important, as we may need to contact you. Please also indicate whether you are the Breeder of the specimen/s. Please add your contact phone number and e-mail address if you have one.
Box 2. Location at which live wild-taken specimens of Annex A species will be kept.
State the location at which live wild-taken specimens of Annex A species will be kept. This is only applicable to wild-taken animals (these may have movement restrictions).
Box 3. Issuing Management Authority.
This box should already have the pre-printed address of the UK Management Authority.
Box 4. Description of specimens (incl. marks, sex/date of birth for live animals).
This should include a three letter code from List A attached. Please also complete the following details if known:
• Description of the item and circa date if applicable (for antiques etc).
• Sex of the specimen.
• Permanent markings, e.g. close ring number or microchip number.
• Hatch date or date of birth (dd/mm/yy) or approximate age.
• Acquired date: dd/mm/yy.
• Previous Article 10 certificate number of the specimen - if applicable.
• Parent ring numbers/markings & A10 numbers - if available.
• Live or dead specimen.
Box 5. Net mass (kg).
Please select the appropriate unit of measurement from list B attached. This only applies to parts and derivatives as described in List A. It does not apply to live specimens.
Box 6. Quantity.
Enter the quantity (using the appropriate unit of measurement from List B if applicable).
Box 7. CITES Appendix.
Enter the correct CITES Appendix I, II or III, if known. Please do not guess.
Box 8. EC Annex.
Enter the correct EC Annex A, or B, if known. Please do not guess.
Box 9. Source.
Enter the appropriate code from List C attached.
Box 10. Country of origin.
Enter the country in which the specimen was born/hatched.
Box 11. Permit No.
For imported specimens only. Enter the export permit number (the permit with which the export from the country of origin took place).
Box 12. Date of issue
For imported specimens only. Enter the date of issue of the permit referred to in box 12 above.
Box 13. Member State of import.
For specimens which were imported into another EU member state. Enter the EU country into which the specimen was first imported.
Box 14. Document No.
Only relevant for specimens imported into another EU member state. Enter the details of the import permit issued by the EU member state referred to above.
Box 15. Date of issue.
Enter the date of issue of the permit referred to in box 15 above
Box 16. Scientific name of species.
Enter the scientific / Latin name of the species (for example Ara macao). Your application cannot be processed without this. You may need to visit your local library or perhaps a veterinary surgeon may be able to assist you.
Box 17. Common name of species.
Enter the common name of the species (for example Scarlet Macaw).
Box 18. It is hereby certified that the specimens described above:
Tick all the boxes that apply. Please note that::
• The boxes refer to the origin of the specimen. More than one box may apply;
• Documentary evidence must be provided with the application form (e.g. relevant licences, permits, letters from breeders confirming origin).
Box 19. This is the purpose of your application
• Tick the box that applies to your application.
Remarks.
Please refer to any supporting documents and include any additional information or comments, e.g. the specimen was received by way of gift.
Declaration.
Please check that you have provided as much information as possible (provide additional material on a seperate sheet if necessary) and sign and date the declaration at the foot of the form.

List A

Codes to be included in the description of specimens and units of measure to be used in permits and certificates

List B

Units of measure to be used in description of Net Mass

g = grams

kg = kilograms

l = litres

cm3 = cubic centimetres

ml = millilitres

m = metres

m2 = square metres

m3 = cubic metres

no. = number of specimens

List C

Codes for the indication in permits and certificates

of the source of specimens

W Specimens taken from the wild

R Specimens originating from a ranching operation

D Annex A animals bred in captivity for commercial purposes and Annex A plants artificially propagated for commercial purposes in accordance with the Commission Regulation, as well as parts and derivatives thereof. See note below.

A Annex A plants artificially propagated for non-commercial purposes and Annexes B and C plants artificially propagated in accordance with the Commission Regulation, as well as parts and derivatives thereof

C Annex A animals bred in captivity for non-commercial purposes and Annexes B and C animals bred in captivity in accordance with the Commission Regulation, as well as parts and derivatives thereof. See note below.

F Animals born in captivity, but for which the criteria of the Commission Regulation are not met, as well as parts and derivatives thereof

I Confiscated or seized specimens (only to be used in conjunction with another source code)

Pre-Convention (only in conjunction with another source code)

O

U Source unknown (must be justified)

Note: It is the applicant’s responsibility to ensure that the correct code is given for captive bred and artificially propagated specimens and to decide whether source code C or D is most appropriate.

List D

Codes for the indication in permits and certificates

of the purpose of a transaction

B Breeding in captivity or artificial propagation

E Educational

G Botanical gardens

H Hunting trophies

L Enforcement

M Bio-medical research

N Reintroduction or introduction into the wild

P Personal

Q Circuses and travelling exhibitions

S Scientific

T Commercial

Z Zoos




 

Page last modified:08 January 2008
Page published:31 January 2008

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Animal Health is an Executive Agency of the Department for Environment, Food and Rural Affairs and also works on behalf of the Scottish Executive, Welsh Assembly Government and the Food Standards Agency