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Wildlife Import Certification
DENR application form for WIC
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
Department of Environmental and Natural Resources
National Capital Region
North Avenue, Diliman, Quezon City
Telephone No. 435-8880
WRPS Form No. 2
Series of 2015
APPLICATION FOR NON-CITES WILDLIFE EXPORT/RE-EXPORT/IMPORT CERTIFICATION
The Regional Director
DENR – National Capital Region
National Ecology Center, East Avenue
Quezon City
Thru:
The ARD, Technical Services
Sir/Madam
I would like to request for the issuance of permit/certification for the following
species/items/articles of wildlife (fauna/flora) intended for export/re-export/import for purpose of
______________________________.
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Common/Scientific Name
Description of Parts or Derivatives
Quantity/Weight
Including Identifying Marks
or Numbers (Age & Sex)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
________________________________________________________________________________
TOTAL:
______________________________________________________________________________
Document Attached: _________________________________________________________________
The aforementioned specimen will be exported/imported on or before
_________________________
Air Cargo
Sea Cargo
Postal Cargo (Mail)
Plane:
Flt. No.
Port of Loading:
Date of Loading:
Vessel:
Voyage No.
Port of Loading:
Date of Loading:
Carrier:
Postal Office:
Date of Posting:
Name of Exporter:
_________________________________________________________________
Address: _____________________________________________________________________________
Tel. No.: ____________________ Fax No.:__________________ TIN No. __________________
Name of Importer:
_________________________________________________________________
Address: _____________________________________________________________________________
Tel. No.: ____________________ Fax No.:__________________ TIN No. __________________
__________________________
Signature of Applicant
__________________________
Verified by
__________________________
Position
