28-02-2016

Lmov

eb¨cÖvYx I Uªwd wbewÜKiY I mvBwUm (CITES) mb` wewagvjv, 2016

†h‡nZz cwi‡ek I Rxe‣ewPΨ msi¶Y I Dbœq‡bi ¯^v‡_© eb¨cÖvYx (msi¶Y I wbivcËv) AvBb, 2012 (2012 mv‡ji 30 bs
AvBb) cÖYqb Kiv nBqv‡Q Ges GB AvB‡bi Aaxb eb¨cÖvYx I Uªwd wbewÜKiY, Avg`vwb I ißvwb Ges CITES mb` MÖn‡Yi
wbwg‡Ë wewagvjv cÖYqb Kiv mgxPxb I c«‡qvRbxq;

†m‡nZz, eb¨cÖvYx (msi¶Y I wbivcËv) AvBb, 2012 Gi 52 avivq cÖ`Ë ¶gZve‡j miKvi wb¤œiƒc wewagvjv cÖYqb Kwij:-

1| msw¶ß wk‡ivbvg, †¶Î I cÖeZ©b|

(1) GB wewagvjv Òeb¨cÖvYx I Uªwd wbewÜKiY Ges CITES mb` wewagvjv, 2016Ó bv‡g AwfwnZ nB‡e|
(2) GB wewagvjv mgMÖ evsjv‡`‡ki Rb¨ cÖ‡hvR¨ nB‡e|
(3) GB wewagvjv miKvwi †M‡RU cÖÁvc‡Y ewY©Z ZvwiL nB‡Z ejer nB‡e|

2| msÁvt welq ev cÖms‡½i cwicš’x †Kvb wKQz bv _vwK‡j, GB wewagvjvq|-

(1)ÒAvBbÓ A_© eb¨cÖvYx (msi¶Y I wbivcËv) AvBb, 2012;

(2)"CITES" A_© The Convention on International Trade in Endangered Species of Wild

Fauna and Flora; hvnv wewfbœ †`‡ki miKv‡ii mv‡_ ¯^v¶wiZ GKwU AvšÍR©vwZK Pzw³, hvnv AvšÍR©vwZK e¨emvi
†¶‡Î wewfbœ eb¨cÖRvwZi cÖvYx I Dw™¢` Gi Aw¯ÍZ¡ wecbœ Kwi‡ebv GBiƒc wbðqZv cÖ`vb K‡i;

3)Òeb¨cÖvYxÓ A_© wewfbœ cÖKvi I Rv‡Zi cÖvYx ev Zvnv‡`i Rxeb Pµ e„w×i wewfbœ ch©vq mg~n hvnv‡`i Drm eb¨
wnmv‡e we‡ewPZ nBqv _v‡K;

(4)ÒUªwdÓ A_© ‡Kvb g„Z ev Ave× eb¨cÖvYxi m¤c~Y© ev Dnvi ‡Kvb Ask,hvnv cwi‡kvab ev cÖwµqvRvZ Kwiqv ¯^vfvweK
fv‡e ivLv nq, †hgb-

(K) Pvgov, ck‡gi ‡gvUvPv`i, m¤c~Y© ev AvswkK gvDw›Us eb¨cÖvYx A_ev U¨vw·Wvwg© Kiv Ask; Ges
(L) nwi‡Yi kvLv hy³ wks I nvo, K”Q‡ci k³ ‡Lvjm, kvgyK I wSby‡Ki ‡Lvj, n¯Íx`šÍ, †g․PvK, ckg, cvjK,
bL, `vuZ, Lyi Ges wWg;

(5) Òwecbœ cÖRvwZÓ A_© ‡Kvb eb¨cÖvYx hvnv eZ©gv‡b gnv-wec`vcbœ Ae¯Ívq bv _vwK‡jI A`~i fwel¨‡Z wejyß nIqvi
SzuwKc~Y© Ae¯’vq iwnqv‡Q;

(6) Ò`vwqZ¡cÖvß Kg©KZ©vÓ A_© AvBb ev Z`axb cÖYxZ wewagvjvi mKj ev ‡h ‡Kvb D‡Ïk¨ cvj‡bi wbwg‡Ë wb‡qvMcÖvß
Kg©KZ©v;

(7) Òbgybv wPwýZKiY gvK©Ó A_© Ggb wPý eySvB‡e hvnv ‡Kvb bgybv‡K Avjv`vfv‡e wPwýZ Kwi‡Z cvwi‡e Ges hvnv
‡Kvb AbygwZnxb e¨w³i bKj Kiv h_vm¤¢e KwVb nq|

3| wbewÜKiY, AbygwZ, mvBwUm (CITES) mb` Bm¨yKvix KZ©…c¶ Ges GZ`msµvšÍ kZ©vejxt

(1) ‡Kvb e¨w³, cÖwZôvb, miKvwi ev †emiKvwi ms¯Ív, wk¶vg~jK cÖwZôvb, •eÁvwbK M‡elYvMvi ev mvK©v‡m wbeÜb
e¨ZxZ †Kvb eb¨cÖvYx ev Uªwd msM«n ev msi¶Y Kwi‡Z cvwi‡eb bv| AÎ wewagvjvi Aaxb wbeÜb cÎ cÖ`v‡bi ‡¶‡Î
Bm¨yKvix KZ©…c¶ nB‡e mswkøó Iqv‡W©b ev ZrKZ©…K ¶gZvc«vß Kg©KZ©v |

(2) ‡Kvb e¨w³ ev cÖwZôvb mvBwUm (CITES) mb` e¨ZxZ ‡Kvb wecbœ eb¨cÖvYx Avg`vwb ev ißvwb Kwi‡Z cvwi‡eb
bv| AÎ wewagvjvi Aaxb wecbœ eb¨cªvYx Avg`vwb I idZvwbi ‡¶‡Î mvBwUm (CITES) mb` Bm¨yKvix KZ©…c¶ nB‡e
cÖavb Iqv‡W©b ev ZrKZ©…K ¶gZvcÖvß Kg©KZ©v|

(3) ‡Kvb e¨w³ ev cÖwZôvb we‡kl AbygwZ e¨ZxZ wecbœ eb¨c«vYx Qvov Ab¨vb¨ eb¨cÖvYx Avg`vwb ev ißvwb Kwi‡Z
cvwi‡eb bv| AÎ wewagvjvi Aaxb Ab¨vb¨ eb¨cÖvYx Avg`vwb I idZvwbi ‡¶‡Î we‡kl AbygwZ cÖ`v‡bi KZ©…c¶ nB‡e
AwZwi³ cÖavb Iqv‡W©b ev ZrKZ©…K ¶gZvcÖvß Kg©KZ©v |

(4) Dc-wewa (2) I (3) Gi D‡Ïk¨ c~iYK‡í ‡Kvb e¨w³ ev cÖwZôvb‡K mvBwUm (CITES) mb` Ges we‡kl
AbygwZi Rb¨ ¯^ ¯^ ‡¶‡Î AÎ wewagvjvi wewa 5(2) I 6(2) Abyhvqx Av‡e`b Kwi‡Z nB‡e|
 28-02-2016
4| eb¨cÖvYx I U«wd wbeÜb c×wZt

(1) AÎ wewagvjvi wewa 3(1)Gi D‡Ïk¨ c~iYK‡í ‡Kvb e¨w³ ev cÖwZôvb‡K AÎ wewagvjvi Òdig-KÓ Abyhvqx I
Zdwmj 1 G DwjøwLZ wbeÜb I cÖ‡mm wd miKvwi (wewea ivR¯^ I cÖvwß) Lv‡Z cª`vb I Dnvi Rgv iwm` mshy³
Kwiqv wbe܇bi Rb¨ Zvnvi GjvKvaxb mswkøó Iqv‡W©b Gi wbKU Av‡e`b Kwi‡Z nB‡e|
Z‡e kZ© _v‡K ‡h, Av‡e`b c‡Îi mwnZ D³ eb¨cªvYx ev Uªwdi cÖvw߯’vb Ges c~‡e©i gvwjKvbv (Dchy³ cÖgvYmn)
D‡jøL Kwi‡Z nB‡e|
(2) mswkøó Iqv‡W©b D³ Av‡e`b cÎ we‡ePbv c~e©K m‡e©v”P 1 (GK) gv‡mi g‡a¨ Òdig-KÓ G DwjøwLZ Z_¨vw`i
mwVKUv hvPvB I mswkøó KvMRcÎ (hw` _v‡K) cix¶v- wbix¶v c~e©K h_vkxMÖ m¤¢e Dnvi Dci wm×všÍ MÖnY KiZt
Òdig-LÓ Abymv‡i wbeÜbcÎ Bm¨y Kwi‡eb|
Z‡e kZ© _v‡K ‡h, Av‡e`bKvix‡K wbeÜbcÎ MÖn‡Yi c~‡e© AÎ wewagvjvi ÒZdwmj -1Ó G DwjøwLZ cwigvY
wbeÜb wd Aek¨B miKvwi (wewea ivR¯^ I cªvwß) Lv‡Z cÖ`vb Kwi‡Z nB‡e|
(3) mswkøó Iqv‡W©b cÖwZwU eb¨cÖvYx ev Uªwdi Rb¨ Avjv`v BDwbK †KvW bv¤^v‡ii gva¨‡g Z_¨ msMÖn Kwiqv wbeÜb
Kwi‡eb Ges cÖ‡hvR¨ ‡¶‡Î wbeÜb wPý cÖ`vb Kwi‡eb|
(4) mswkøó Iqv‡W©b wbeÜbcÎ Bm¨y Kiv ev bv Kivi wel‡q wm×všÍ MÖnb Kivi 7 (mvZ) Kvh©w`e‡mi g‡a¨ mswkøó
Av‡e`bKvix‡K AewnZ Kwi‡eb|
(5) Dc-wewa (1) I (2) Gi Aaxb wbeÜbcÎ Gi Kwc mswkøó Iqv‡W©b h_vkxMÖ m¤¢e mswkøó ‡Rjvi I Dc‡Rjvi ‡Rjv
cÖkvmK, Dc‡Rjv wbe©vnx Awdmvi I mswkøó _vbvq ‡cÖiY Kwi‡eb|
(6) cÖavb Iqv‡W©b, miKv‡ii c~e©vby‡gv`bµ‡g, miKvwi ‡M‡R‡U weÁwß Rvwi Kwiqv mgq mgq AÎ wewagvjvi Zdwmj
1 G DwjøwLZ wbeÜb wd cybtwba©viY Kwi‡Z cvwi‡eb|
5| wecbœ eb¨cªvYx Avg`vwb I ißvwbi ‡¶‡Î cvjbxq kZ©vw`, BZ¨vw` |-

(1) miKvi wbqš¿Yvaxb eb¨cªvYx, AfqviY¨, cwi‡ekMZ msKUvcbœ GjvKvmn (Ecologically Critical Area) mgq
mgq RvwiK…Z Ab¨vb¨ iw¶Z GjvKvmg~n A_ev fwel¨‡Z Dc‡i ewY©Z iwÿZ GjvKvmg~n (Protected Area) nB‡Z
wecbœ eb¨cªvYx AvniY Kiv hvB‡e bv|

(2) Dc-wewa (1) G DwjøwLZ wbwl× GjvKvmg~n e¨ZxZ Ab¨ ‡Kvb Drm nB‡Z AvnwiZ wecbœ eb¨c«vYx Avg`vwb ev
ißvwbi Rb¨ Òdig-MÓ Abyhvqx AÎ wewagvjvi Zdwmj-2 G DwjøwLZ cª‡mm wd miKvwi (wewea ivR¯^ I cªvwß) Lv‡Z
cª`vb I Dnvi Rgv iwm` mshy³ Kwiqv mvBwUm (CITES) mb` Gi Rb¨ cªavb Iqv‡W©b Gi wbKU Av‡e`b Kwi‡Z
nB‡e|

(3) cªavb Iqv‡W©b D³ Av‡e`b cÎ, DwjøwLZ Z_¨vw`i mwVKUv hvPvB I mswkøó KvMRcÎ (hw` _v‡K) cix¶v- wbix¶v
c~e©K 10 Kvh© w`e‡mi g‡a¨ Òdig-NÓ Abyhvqx CITES mb` cª`vb ev bvgÄyi Kwi‡eb |

(4) ‡h ‡Kvb cªRvwZi bgybv, hv cwiwkó-I Gi g‡a¨ AšÍf©y³, Avg`vwbi Rb¨ c~e© AbygwZ Ges Avg`vwbi cviwgU Ges
ißvwbi AbygwZ A_ev GKwU cybtißvwb mb` Dc¯’vc‡bi cª‡qvRb nB‡e Ges GKwU ißvwb cviwgU ïaygvÎ gÄyi Kiv
hvB‡e hLb wbgœwjwLZ kZ©mg~n c~iY Kiv nBqv‡Qt

(K) Avg`vwbKviK ‡`‡ki GKwU ‣eÁvwbK KZ©…c‡¶i civgk© ‡`Iqv nBqv‡Q ‡h GB ai‡Yi Avgv`vwbK…Z
cªRvwZi ‡eu‡P _vKv Lye ¶wZKviK nB‡e bv;

(L) Avg`vwbKviK ‡`‡ki e¨e¯’vcbv KZ©…c¶ GB g‡g© mš‘ó nb ‡h, Avg`vwbKviK Avg`vwbK…Z RxešÍ
cªRvwZi cÖvYxi Rb¨ h‡_vchy³ evm¯’vb Ges Zvnvi h‡Zœi e¨e¯’v Kwi‡e; Ges

(M) Avg`vwbKviK ‡`‡ki e¨e¯’vcbv KZ©…c¶ GB g‡g© mš‘ó nq ‡h, cªRvwZwU cªv_wgKfv‡e evwYwR¨K D‡Ï‡k¨
e¨envi Kiv nB‡e bv|

(5) ‡h ‡Kvb cªRvwZi bgybv, hv cwiwkó I Gi g‡a¨ AšÍf©y³, ißvwbi Rb¨ c~e© AbygwZ Ges ißvwbi cviwgU Dc¯’vc‡bi
cª‡qvRb nB‡e| GKwU ißvwb cviwgU ïaygvÎ gÄyi Kiv hvB‡e hLb wbgœwjwLZ kZ©mg~n c~iY Kiv nBqv‡Qt

(K) ißvwbKviK ‡`‡ki GKwU ‣eÁvwbK KZ©…c‡¶i civgk© ‡`Iqv nBqv‡Q ‡h GB ai‡bi ißvwbK…Z cªRvwZi
‡eu‡P _vKv Lye ¶wZKviK nB‡e bv;

(L) ißvwbKviK ‡`‡ki e¨e¯’vcbv KZ©…c¶ GB g‡g© mš‘ó nq ‡h c«RvwZwU fauna Ges flora Gi myi¶vi
Rb¨ H ‡`‡ki AvBb jsNb Kwiqv jä nqwb;
 28-02-2016
(M) ißvwbKviK ‡`‡ki e¨e¯’vcbv KZ©…c¶ GB g‡g© mš‘ó nq ‡h, ‡Kvb RxešÍ cÖvYx Ges bgybv Ggbfv‡e
cª¯ÍyZ Ges Rvnv‡R DVv‡bv nB‡e ‡h Zvnv‡Z AvNv‡Zi SyuwK, ¯^v‡¯’¨i ¶wZ A_ev wbôyi AvPiY Kg nB‡e;
Ges

(O) ißvwbKviK ‡`‡ki e¨e¯’vcbv KZ©…c¶ GB g‡g© mš‘ó nq ‡h, Avg`vwbi AbygwZcÎ D³ cÖvYxi Rb¨ gÄyi
Kiv nBqv‡Q|

(6) Dc-wewa (3) Gi Aaxb ‡Kvb Av‡e`b hw` bvgÄyi nq Z‡e bvgÄy‡ii wm×všÍ I Zvnvi KviYmn D³
Av‡e`bKvix‡K AewnZ Kwi‡Z nB‡e|

(7) cªavb Iqv‡W©b, hw` cª‡qvRb g‡b K‡ib, ‡Kvb Avg`vwb I idZvwb KbmvB‡g‡Èi Dci ‡Kvb bgybv wPwýZKiY
gvK© cª`vb Kwievi Av‡`k w`‡Z cvwi‡eb|

(8) Òdig-MÓ ‡Z DwjøwLZ Z_¨vw` Avg`vwb I ißvwbi mvBwUm (CITES) mb‡` _vwK‡e Ges Dc‡iv³ mb` Bm¨yK…Z
ZvwiL nB‡Z 6 (Qq) gvm ch©šÍ e¨envi Kiv hvB‡e (Avg`vwbi †ÿ‡Î 1 (GK) eQi ch©šÍ †gqv` _vwK‡e)|

(9) cªavb Iqv‡W©b KZ©…K cª‡`q AbygwZ I mb` Gi ‡Kvb AweKj bKj‡K ¯úófv‡e ‡Kej ÒKwcÓ wn‡m‡e wPwýZ
Kwi‡Z nB‡e Ges GB AweKj bKjwU g~j Kwci cwie‡Z© e¨eüZ nB‡e bv |

(10) cªwZwU KbmvBb‡gÈ Avg`vwb I idZvwbi ‡¶‡Î cªwZevi Avjv`vfv‡e cªavb Iqv‡W©b KZ©…K Bm¨yK…Z CITES
mb` MªnY Kwi‡Z nB‡e|

(11) Avg`vwb, ißvwb ev cybtißvwbi D‡Ïk¨ m¤úvw`Z nB‡j mswkøó e¨e¯’vcbv KZ©…c¶ D³ mb` evwZj Kwi‡eb Ges
D³ Avg`vwb, ißvwb ev cybtißvwb m¤úwK©Z CITES mb` Ges m¤úwK©Z I mshy³ `wjjvw` envj ivwL‡eb |

6| wecbœ eb¨cªvYx e¨ZxZ Ab¨vb¨ eb¨cªvYx Avg`vwb I ißvwbi ‡¶‡Î cvjbxq kZ©vw`, BZ¨vw`|-

(1) ‡Kvb e¨w³ ev cªwZôvb wecbœ eb¨cªvYx e¨ZxZ Ab¨vb¨ eb¨cªvYx Avg`vwb I ißvwbi ‡¶‡Î wewa 5 (1) G DwjøwLZ
wbqgvejx gvwbqv Pwj‡e|

(2) Dc-wewa (1) G DwjøwLZ eb¨cªvYx Avg`vwb ev ißvwbi Rb¨ AÎ wewagvjvi wewa 5 (2) Abymv‡i cª‡mm wd Gi
kZ©vw` c~iY c~e©K Òdig-OÓ Abyhvqx AwZwi³ cªavb Iqv‡W©b Gi wbKU Av‡e`b Kwi‡Z nB‡e|

(3) AwZwi³ cªavb Iqv‡W©b Dc-wewa (1) I (2) Gi wewa-weavb m¤ú‡K© mš‘ó nB‡j 10 Kvh© w`e‡mi g‡a¨ Òdig-PÓ
Abyhvqx we‡kl AbygwZ cª`vb Kwi‡eb |

(4) Dc-wewa (3) Gi Aaxb ‡Kvb Av‡e`b hw` bvgÄyi nq Z‡e bvgÄy‡ii wm×všÍ I Zvnvi KviYmn D³
Av‡e`bKvix‡K AewnZ Kiv nB‡e|

(5) we‡kl AbygwZi ‡¶‡Î, cª‡qvRb Abyhvqx, wewa 5 (5), (6), (7), (8) I (9) cª‡hvR¨ nB‡e|

7| cÖwZ‡e`b|-

(1) mswkøó Iqv‡W©b cÖwZ wZb gvm AšÍti wbe܇bi GKwU we¯ÍvwiZ cÖwZ‡e`b cÖavb Iqv‡W©‡bi wbKU †cÖiY Kwi‡eb|

(2) cÖavb Iqv‡W©b Zvi wbKU mswkøó Iqv‡W©b KZ©…K †cÖwiZ cÖwZ‡e`b ¸‡jvi GKwU mgwš^Z cÖwZ‡e`b eb Awa`߇i
†cÖiY Kwi‡eb|

10| Aciva wePviv_© MÖnY|-GB wewagvjvi Aaxb `vwqZ¡cÖvß Kg©KZ©v A_ev Zvnvi g‡bvbxZ Aat¯Íb †Kvb Kg©KZ©vi wjwLZ
Awf‡hvM e¨wZZ †Kvb Av`vjZ GB wewagvjvi Aaxb †Kvb Aciva wePviv_© MÖnY Kwi‡ebv|

11| kvw¯Í|- GB wewagvjvi Aaxb †Kvb e¨w³ ev cÖwZôvb wbewÜKiY, we‡kl AbygwZGes CITES mb` M«nY Kwi‡Z e¨_© nB‡j
D³iƒc Aciv‡ai Rb¨ eb¨cÖvYx ev Uªwd, RãKiY A_ev m‡e©v”P 50 (cÂvk) nvRvi UvKv ch©šÍ A_©`Ð A_ev Dfq `‡Ð `wÐZ
nB‡eb Ges GKB Aciv‡ai cybive„wË NUvB‡j m‡ev©”P 3 (wZb) gvm ch©šÍ Kviv`Ð A_ev m‡e©v”P 1 (GK) j¶ UvKv A_©`Ð ev
Dfq `‡Ð `wÐZ nB‡eb|

12| wkw_jZv|- miKvi cÖ‡qvRb g‡b Kwi‡j KviY wjwce×KiY c~e©K AÎ wewagvjvi †h †Kvb wewa ms‡kvab, ms‡hvRb,
cwieZ©b I cwiea©b Kwi‡Z cvwi‡eb|
 28-02-2016

eb Awa`ßi evsjv‡`k
ebwefvM
dig- K
wewa 4 (1) `«óe¨ cvm‡cvU ©mvB‡Ri
3 Kwc Qwe
wbeÜb Av‡e`b

1| Av‡e`bKvixi bvg (evsjvq)t

(Bs‡iwR‡Z)t

2| wcZv/¯^vgxi bvg (evsjvq)t

3| Av‡e`bKvixi eZ©gvb I ¯’vqx wVKvbvt

(K) eZ©gvb wVKvbvt (L) ¯’vqx wVKvbvt

4| RvZxq cwiPqcÎ/Rb¥ wbeÜb bv¤^vit

5| Ki mbv³KiY (TIN) bv¤^vit

6| ‡ckvt

7| RvZxqZvt

8| wbeÜb I cª‡mm wd wnmv‡e RgvK…Z A‡_©i Pvjvb bst

9| †gvevBj b¤^it

10| B-‡gBjt

11| eb¨cÖvYx I Uªwd msi¶Y ¯’vbt

12| c~e©eZ©x wbeÜb b¤^it (hw` _v‡K)

13| eb¨cÖvYxi msL¨v I weeiYt

14| Uªwdi msL¨v I weeiYt

15| eb¨cªvYx ev U«wd Avni‡Yi we¯ÍvwiZ weeiYt

 28-02-2016
A½xKvibvgv
Avwg GB g‡g© A½xKvi Kwi‡ZwQ †h-
(1) eb¨cÖvYx (msi¶Y I wbivcËv) AvBb, 2012 I eb¨cÖvYx I Uªwd wbewÜKiY I mvBwUm (CITES) mb` wewagvjv, 2016
Gi mKj weavbvejx gvwbqv Pwj‡Z eva¨ _vwKe;
(2) Avgvi eive‡i Bmy¨K…Z wbeÜbc‡Î DwjøwLZ kZ©vw` gvwbqv Pwj‡Z eva¨ _vwKe;

mZ¨cvVt

Dc‡ii wjwLZ weeiY Avgvi Ávb I wek¦vm g‡Z mZ¨ Rvwbqv Dnv‡K ï× ¯^xKv‡i A`¨....................Bs ZvwiL
(¯’vb).................. eb Awa`߇i ewmqv AÎ `yBRb mv¶xi m¤§~‡L mZ¨ cv‡V wbR bvg mwn Kwijvg|

1| mv¶x Av‡e`bKvixi ¯^v¶it

bvg....................... ZvwiLt

¯^v¶it

wVKvbvt

2| mv¶x

bvg.......................

¯^v¶it

wVKvbvt
 28-02-2016
eb Awa`ßi evsjv‡`k
ebwefvM cvm‡cvU ©mvB‡Ri
dig-L
wewa 5 (3) `«óe¨ 1 Kwc Qwe

wbeÜb mb`
1| Av‡e`bKvixi bvg (evsjvq)t

(Bs‡iwR‡Z)t

2| wcZv/¯^vgxi bvg (evsjvq)t

3| Av‡e`bKvixi eZ©gvb I ¯’vqx wVKvbvt

(K) eZ©gvb wVKvbvt (L) ¯’vqx wVKvbvt

4| RvZxq cwiPqcÎ/Rb¥ wbeÜb bv¤^vit

5| ‡ckvt

6| RvZxqZvt

7| †gvevBj b¤^it

8| eb¨cÖvYx/U«wdi msL¨v I weeiYt

wbeÜb cª`vbKvix Kg©KZ©vi mxj I ¯^v¶i

ZvwiLt

wbe܇bi kZ©vejxt

1| wbeÜbKvix e¨w³ ev cªwZôvb wbeÜbK…Z eb¨cªvYx ev Uªwdi ‡Kvb cwieZ©b (weµq, gvwjKvbv cwieZ©b, g„Zz¨, BZ¨vw`) nB‡j
h_vkxNª h_vh_ KZ©…c¶‡K AewnZ Kwi‡eb|
2| †h ‡Kvb Iqv‡W©b ev Z`~ש ‡Kvb Kg©KZ©v ev cwi‡ek I eb gš¿Yvj‡qi †Kvb Kg©KZ©v †h ‡Kvb mgq eb¨cªvYx ev Uªwd cwi`k©b
Kwi‡Z Pvwn‡j Zvunv‡K m¤ú~Y©fv‡e mn‡hvwMZv Kwi‡Z nB‡e|
3| cÖPwjZ AvBb ev GB wewagvjvi cwicš’x †Kvb KvR Kiv hvB‡ebv| cwicš’x †h ‡Kvb Kv‡Ri Rb¨ wbeÜbKvix e¨w³ ev
cªwZôv‡bi weiy‡× AvBb I wewa wba©vwiZ †h ‡Kvb e¨e¯’v MªnY Kiv hvB‡e |
 28-02-2016
eb Awa`ßi evsjv‡`k
ebwefvM cvm‡cvU ©mvB‡Ri
dig-M 3 Kwc Qwe
wewa 5 (2) `«óe¨

mvBwUm (CITES) mb‡`i Rb¨ Av‡e`b

1| Av‡e`bKvixi bvg (evsjvq)t

(Bs‡iwR‡Z)t

2| wcZv/¯^vgxi bvg (evsjvq)t

3| Av‡e`bKvixi eZ©gvb I ¯’vqx wVKvbvt

(K) eZ©gvb wVKvbvt (L) ¯’vqx wVKvbvt

4| RvZxq cwiPqcÎ/Rb¥ wbeÜb bv¤^vit

5| Ki mbv³KiY (TIN) bv¤^vit

6| ‡ckvt

7| Avg`vwb / ißvwb / cybtißvwb †`kt

8| RvZxqZvt

9| †gvevBj b¤^it

10| eb¨cÖvYx Avg`vwb/ißvwb/cybtißvwbi msL¨v I weeiY Ges Drmt

Av‡e`bKvixi ¯^v¶i
ZvwiLt
A½xKvibvgv
Avwg GB g‡g© A½xKvi Kwi‡ZwQ †h-
(1) eb¨cÖvYx (msi¶Y I wbivcËv) AvBb, 2012 I eb¨cÖvYx I Uªwd wbewÜKiY I mvBwUm (CITES) mb` wewagvjv, 2016
Gi mKj weavbvejx gvwbqv Pwj‡Z eva¨ _vwKe;
(2) Avgvi eive‡i Bmy¨K…Z wbeÜbc‡Î DwjøwLZ kZ©vw` gvwbqv Pwj‡Z eva¨ _vwKe;
(3) Avg`vwbK…Z eb¨cªvYxi ‡Kvb cwieZ©b (weµq, gvwjKvbv cwieZ©b, g„Zz¨, BZ¨vw`) nB‡j h_vkxNª h_vh_ KZ©…c¶‡K AewnZ
Kwie|
(4) cªavb Iqv‡W©b ev ZrKZ©…K ¶gZvcªvß ‡Kvb Kg©KZ©v ev cwi‡ek I eb gš¿Yvj‡qi †Kvb Kg©KZ©v †h ‡Kvb mgq Avg`vwbK…Z
ev ißvwb‡hvM¨ eb¨cªvYx cwi`k©b Kwi‡Z Pvwn‡j Zvunv‡K m¤ú~Y©fv‡e mn‡hvwMZv Kwie|
(5) cÖPwjZ AvBb ev GB wewagvjvi cwicš’x †Kvb KvR Kwie bv, cwicš’x †h ‡Kvb Kv‡Ri Rb¨ Avgvi weiæ‡× AvBb I wewa
wba©vwiZ †h ‡Kvb e¨e¯’v MªnY Kiv hvB‡e|
 28-02-2016
mZ¨cvVt

Dc‡ii wjwLZ weeiY Avgvi Ávb I wek¦vm g‡Z mZ¨ Rvwbqv Dnv‡K ï× ¯^xKv‡i A`¨....................Bs ZvwiL
(¯’vb).................. eb Awa`߇i ewmqv AÎ `yBRb mv¶xi m¤§~‡L mZ¨ cv‡V wbR bvg mwn Kwijvg|

1| mv¶x Av‡e`bKvixi ¯^v¶it

bvg....................... ZvwiLt

¯^v¶it

wVKvbvt

2| mv¶x

bvg.......................

¯^v¶it

wVKvbvt
 28-02-2016
eb Awa`ßi evsjv‡`k
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dig-M
wewa 5 (3) `«óe¨
mvBwUm (CITES) mb`
Annex 2 Standard CITES form
CONVENTION ON
INTERNATIONAL TRADE IN ENDANGERED SPECIES OF
WILD FAUNA AND FLORA / .-
□
□
□
□ :

। ।

। we‡kl kZ© ¸‡jv KZ©…c‡ÿi †`k

I ATA Live Animals Regulations

I ATA Perishable Cargo Regulation; CITES
Guidelinesfor theNon-Air TransportofLiveWild AnimalsandPlants ।
৫খ।

. (genusand species) specimens

ক .

. ।

. ।

specimens
specimens
specimens

Awdwmqvj mxj I c`ex

Resolution Conf. 12.3 (Rev. CoP16) - 16

CITES
 28-02-2016
wb‡`©kbv Ges e¨vL¨v
wb‡Pi wb‡`©kbvmg~n di‡g DwjøwLZ eøK bv¤^vimg~n‡K wb‡`©k Ki‡e

1. ‡h WKy‡g›U (idZvwb AbygwZ, cybt ißvwb mb`, Avg`vwb AbygwZ ev Ab¨vb¨) Bm¨y Kiv n‡e Zvi mswkøó e…ËwU‡Z wUK
wPý w`‡Z nB‡e| hw` Ab¨vb¨ ‡jLv e„ËwU wUK wPý ‡`qv nq Zvnv nB‡j wK WKy‡g›U cª`vb Kiv nBqv‡Q Zvnv wb‡`©k
Kwi‡Z nB‡e| cª‡Z¨K WKy‡g›U Gi Rb¨ e¨e¯’vcbv KZ©…c¶ KZ©…K cª‡`q GKwU g~j bv¤^vi _vwK‡e hvnv BDwbK bv¤^vi
nB‡e|

ißvwb AbygwZ Ges cybtißvwb mb‡`i ‡gqv` Bm¨yKi‡Yi ZvwiL nB‡Z Qq gv‡mi ‡ewk nB‡e bv (Avg`vwb AbygwZi
Rb¨ 1 eQi)

3| Avg`vwbKvi‡Ki c~Y© bvg I wVKvbvt

3K. ‡`‡ki bvg Aek¨B m¤ú~Y© wjwL‡Z nB‡et

4. ißvwbKviK /cybt ißvwbKvi‡Ki c~Y© bvg I wVKvbv| ‡`‡ki bvg Aek¨B m¤ú~Y© wjwL‡Z nB‡e| Av‡e`bKvixi ¯^vÿi
bv _vwK‡j AbygwZ ev mb` evwZj ewjqv MY¨ nB‡e|
5. we‡kl kZ©vw` ewj‡Z RvZxq AvBb-Kvbyb ev e¨e¯’vcbv KZ©…c¶ KZ©…K wkc‡g‡È Av‡ivwcZ we‡kl kZ©vw` eySvB‡Z
cv‡i| GB eøK ‡Kvb Z_¨ eR©‡bi mZ¨q‡bi ‡¶‡ÎI e¨envi Kiv hv‡e|
5K. wbgœwjwLZ ‡KvWmg~n e¨envi Kiv DwPZt T- evwYwR¨K, Z- wPwoqvLvbv, G- ‡evUvwbK¨vj Mv‡W©b, Q- mvK©vm ev ågY
cª`k©b, S - ‣eÁvwbK, H- U«wd msMÖn, P- e¨w³MZ, M- ‡gwWK¨vj, E- wk¶v, N- e‡b¨ cwiwPZ ev cybtcwiwPZKiY,
B- Ave× Ae¯’vq Rb¥‡bqv A_ev K…wÎg esk we¯Ívi Ges L- AvBb cª‡qvMKvix / wePvwiK/ d‡ibwmK |
5L. eøK 13 ‡Z mshy³ wmwKDwiwU ÷¨v¤ú Gi msL¨v D‡jøLKiYt
6. Bm¨yKvix e¨e¯’vcbv KZ©…c‡¶i bvg, wVKvbv Ges ‡`k GB dig Gi mwnZ wcª‡›UW nB‡e|
7-8. cªvYx A_ev Dw™¢‡`i ‣eÁvwbK bvg (‡MvÎ I cªRvwZ, Dc-cªRvwZ, ‡hLv‡b cª‡hvR¨) D‡jøLKiY hvnv GB Kb‡fbkb Gi
cwiwk‡ó cªZxqgvb A_ev ‡mB ‡i‡d‡iÝ ZvwjKv hvnv c¶‡`i civgk© mfvq Aby‡gvw`Z, Ges ‡mB cªvYx A_ev Dw™¢‡`i
mvaviY bvg hvnv AbygwZ cª`vbKvix ‡`‡k cwiwPZ|
9. hZ`~i m¤¢e ms‡¶‡c bgybvmg~‡ni (specimens) weeiY ‡`qv hvnv evwY‡R¨ (RxweZ c«vYx, Pvgov, gvsm, †QvU _‡j,
cv`yKv) e¨eüZ n‡”Q| bgybv (specimen) hw` gvK©K…Z (U¨vM, wPwýZKiY gvK©, ejq BZ¨vw`) nq, hvnv c¶‡`i
civgk© mfvi wm×všÍ Abyhvqx cª‡qvRb A_ev Acª‡qvRb (‡h bgybvmg~n (specimens) we¯ÍxY© PviY f~wg nB‡Z D™¢e,
‡h me bgybv (specimen) ‡KvUv Gi Aaxb Ges c¶‡`i civgk© mfvq Aby‡gvw`Z, cwiwkó-I Gi bgybvmg~n
(specimens), ‡h me cªRvwZ e¨emvwqK D‡Ï‡k¨ Ave× Ae¯’vq cªRbb nq) Zvnvi bv¤^vi Ges gvK© Gi aiY
D‡jøLKiY| RxweZ cªvYx‡`i wj½ I eqm bw_fy³ _vwK‡e, hw` m¤¢e nq|
10. Kb‡fbkb Gi cwiwk‡ó ‡hLv‡b cªRvwZ mg~n AšÍf©y³ i‡q‡Q ‡mLv‡b bv¤^^vi (i, ii or iii) w`‡Z nB‡e|

Drm wb‡`©k Kwi‡Z wb‡Pi ‡KvW mg~n e¨envi Kwi‡Z nB‡et

W ‡h me bgybvmg~n (specimen) eb nB‡Z ‡bqv n‡q‡Q|
X: ‡h me bgybvmg~n (specimen) mvgyw`«K GjvKv ‡_‡K ‡bqv n‡q‡Q Ges hvnv ‡Kvb ‡`‡ki GLwZqvifz³ bq|
R: Lvgv‡ii bgybvmg~n (specimens) t cªvYx‡`i ‡h me bgybvmg~n (specimens) hvnv wbqwš¿Z cwi‡e‡k jvjb-cvjb
Kiv nBqv _v‡K Ges eb nB‡Z wWg A_ev ‡QvU ev”Pv wn‡m‡e ‡bqv n‡q‡Q, ‡hLv‡b cwic~Y© eqm ch©šÍ ‡eu‡Q _vKvi
m¤¢vebv LyeB Kg wQj|

D: cwiwkó-I: ‡hme cªvYx evwYwR¨K D‡Ï‡k¨ Ave× Ae¯’vq jvjb-cvjb Kiv nq Ges hvnv Resolution Conf. 12.10
(Rev. CoP15) Abyhvqx ‡iwRóvify³ Ges ‡h me Dw™¢` evwYwR¨K D‡Ï‡k¨ K…wÎg fv‡e esk we¯Ívi Kiv nBqv _v‡K
Ges Zvnv‡`i Askmg~n hvnv GB Kb‡fbkb Gi Aby‡”Q` VII, c¨vivM«vd 4 Abyhvqx ißvwb Kiv nBqv _v‡K|
 28-02-2016

A ‡h mKj Dw™¢` Resolution Conf. 11.11 (Rev. Co P 15) Abyhvqx K…wÎgfv‡e esk we¯Ívi Kiv nBqv _v‡K Ges
Zvnv‡`i Askmg~n hvnv GB Kb‡fbkb Gi Aby‡”Q` VII, c¨vivMªvd 5 Abyhvqx ißvwb Kiv nBqv _v‡K (cªRvwZi ‡m
mKj bgybvmg~n (specimens) hvnv cwiwkó-I Gi AšÍf©y³ hvnv K…wÎgfv‡e AevwYwR¨K D‡Ï‡k¨ esk we¯Ívi Kiv nBqv
_v‡K Ges cªRvwZi ‡m mKj bgybvmg~n (specimens) hvnv cwiwkó- II I III Gi AšÍf©y³)
C: ‡h me cªvYx Ave× Ae¯’vq Resolution Conf.10.16 (Rev.) Abyhvqx esk we¯Ívi Kiv nBqv _v‡K Ges Zvnv‡`i
Askmg~n hvnv GB Kb‡fbkb Gi Aby‡”Q` VII, c¨vivM«vd 5 Abyhvqx ißvwb Kiv nBqv _v‡K|
F: ‡h mKj cªvYx Ges Zvnv‡`i Askmg~n Ave× Ae¯’vq Rb¥ ‡bq (F-1 A_ev cieZ©x cªRb¥) hvnv Resolution
Conf.10.16 (Rev.) Abyhvqx ÒAve× Ae¯’vq esk we¯ÍviÓ Gi msÁvi g‡a¨ c‡o bv|
U: Drm ARvbv (hyw³ m½Z nB‡Z nB‡e)
I: Rã A_ev ev‡Rqvß bgybvmg~n (specimens)
O: wcª-Kb‡fbkb bgybvmg~n (specimens) (Ab¨vb¨ Drm ‡KvW mg~‡ni mv‡_ e¨eüZ nB‡Z cv‡i)

11. ‡h ‡KvqvwjwU Ges BDwbU wb‡`©k Kiv n‡q‡Q Zvnv ÒGuidelines for the preparation and submission of
CITES annual reports” Gi me©‡kl ms¯‥i‡Yi mwnZ m½wZ _vwK‡Z nB‡e|
11K. bgybvmg‡~ni (specimens) PjwZ eQ‡ii (1 Rvbyqvix ‡_‡K 31 wW‡m¤^i) me©‡gvU idZvwbi msL¨v D‡jøLKiY (eZ©gvb
Aby‡gv`bI Bnvi AšÍf©y³) Ges mswkøó cªRvwZ mg~‡ni PjwZ evrmwiK ‡KvUv (D`vniY ¯^iƒct 500/1000)| Bnv GKB
mv‡_ RvZxq ‡KvUv Ges Zvnv‡`i Rb¨ hvnv c¶mg~‡ni civgk© mfvq wba©vwiZ nBqv‡Q|

12. Drm ‡`k ej‡Z ‡mB ‡`k‡K eySv‡e ‡hLvbKvi eb, Ave× ¯’vb, K…wÎg esk-we¯Ív‡ii ¯’vb nB‡Z ‡Kvb bgybvmg~n
(specimens) msM«n Kiv nBqv‡Q Ges Dw™¢‡`i ‡m mKj bgybvmg~n (specimens) hvnv CITES Gi weavbvewj
Abyhvqx Ae¨vnwZ cvIqvi ‡hvM¨Zv evwZj nBqv‡Q| GB ‡¶‡Î Drm ‡`k ej‡Z ‡mB ‡`k‡K eySv‡e ‡hLv‡b bgybvmg~‡ni
(specimens) Ae¨vnwZ cvIqvi ‡hvM¨Zv evwZj n‡q‡Q| ißvwb ‡`k mg~‡ni AbygwZ ev mb` mg~‡ni msL¨v Ges
Zvnv‡`i Bm¨y ZvwiL D‡jøLKiY| hw` mKj Z_¨ ev ‡Kvb Ask ARvbv _v‡K Zvnv nB‡j Zvnv eøK 5 Øviv mgw_©Z nB‡Z
nB‡e|
12K. me©‡kl cybt ißvwb ‡`k ej‡Z ‡mB ‡`k‡K eySv‡e ‡hLv‡b bgybvmg‡~ni (specimens) cybtißvwb Kivi c~‡e© eZ©gvb
WKy‡g›U Bm¨y Kiv nBqv‡Q| cybtißvwb ‡`‡ki mb` msL¨v Ges Zvnvi Bm¨y ZvwiL D‡jøLKiY| hw` mKj Z_¨ ev ‡Kvb
Ask ARvbv _v‡K Zvn‡j Zvnv eøK 5 Øviv mgw_©Z nB‡Z nB‡e| GB eøK bgybvmg‡~ni (specimens) cybtißvwbi
‡¶‡Î Aek¨B m¤úbœ Kwi‡Z nB‡e hw` Bnv c~‡e©B cybtißvwb n‡q _v‡K|

12L . "No. of the operation" ewj‡Z wbewÜZ Ave×-cªRbb ev K…wÎg esk-we¯Ív‡ii KvR‡K eyBSv‡e| "date of
acquisition" Gi msÁv Resolution Conf. 13.6 (Rev. CoP16) G ‡`qv Ges GwU wcª-Kb‡fbkb Gi ‡¶‡ÎB
cª‡qvRb|

13. ‡hB Awdmvi AbygwZ w`‡qwQ‡jb Bnv Zvnvi ØvivB m¤úbœ Kwi‡Z nB‡e| Awdwmqvj Gi c~Y© bvg Aek¨B wjwL‡Z
nB‡e| wmwKDwiwU ÷¨v¤ú Aek¨B GB eøK G mshy³ Kwi‡Z nB‡e Ges Bnv Aek¨B AbygwZ cª`vbKvix Awdmvi KZ©…K
evwZj nB‡e Ges evwZ‡ji ‡¶‡Î ÷¨v¤ú ev mxj mshy³ Kwi‡Z nB‡e|

14. ‡hB Awdmvi Avg`vwb-ißvwbi mgq wkc‡g›U cwi`k©b K‡iwQ‡jb Bnv Zvnvi ØvivB m¤úbœ Kwi‡Z nB‡e| ißvwb ev
cybtißvwbi †ÿ‡Î bgybvmg‡~ni (specimens) h_vh_ cwigvY wjwL‡Z nB‡e|

15. wej Ad ‡jwWs ev Gqvi I‡q wej Gi bv¤^vi AšÍf©y³KiY hw` Uªv݇cvU© Gi ai‡Y GB WKy‡g›U Gi cª‡qvRb nBqv
_v‡K|
 28-02-2016
GB WKy‡g›UwU Kb‡fbkb Gi wZbwU IqvwK©s j¨v½y‡qR (Bswjk, ‡¯úwbk ev ‡d«Â) Gi ‡h ‡Kvb GKwU j¨v½y‡qR G
wjwL‡Z nB‡Z nB‡e A_ev wZbwU j¨v½y‡qR (Bswjk, ‡¯úwbk ev ‡d«Â) Gi ‡h ‡Kvb GKwU j¨v½y‡qR G fvlvšÍwiZ
nB‡Z nB‡e| ißvwbK…Z Ges cybt ißvwbK…Z bgybvmg~n (specimens) GKB WKy‡g›U G ‡jLv DwPZ nB‡e bv, hw` bv
GUv ¯úófv‡e D‡jøL _v‡K ‡Kvb bgybvmg~n (specimens) ißvwb ev cybtißvwb Kiv nB‡Z‡Q|

e¨env‡ii ci GB WKy‡g›U Avg`vwbKviK ‡`‡ki e¨e¯’vcbv KZ©…c¶‡K Aek¨B ‡diZ w`‡Z nB‡e|

Instructions and explanations

(These correspond to block numbers on the form)

1. Tick the square which corresponds to the type of document issued (export permit, re export
certificate, import permit or other). If the box "other" has been ticked, the type of document
must be indicated. The original number is a unique number allocated to each document by
the Management Authority.
For export permits and re-export certificates, the date of expiry of the document may not be
more than six months after the date of issuance (one year for import permits).

3| Complete name and address of the importer.

3a. The name of the country must be written in full.

4. Complete name and address of the exporter/re-exporter. The name of the country must be
stated. The absence of the signature of the applicant renders the permit or certificate
invalid.

5a. The following codes should be used: T for commercial, Z for zoo, G for botanical garden, Q
for circus or travelling exhibition, S for scientific, H for hunting trophy, P for personal, M
for medical, E for education, N for reintroduction or introduction into the wild, B for
breeding in captivity or artificial propagation and L for law enforcement / judicial / forensic.

5b. Indicate the number of the security stamp affixed in block 13.

6. The name, address and country of the issuing Management Authority should already be
printed on the form

7-8. Indicate the scientific name (genus and species, where appropriate subspecies) of the animal
or plant as it appears in the Convention Appendices or the reference lists approved by the
Conference of the Parties, and the common name of the animal or plant as known in the
country issuing the permit.

9. Describe, as precisely as possible, the specimens entering trade (live animals, skins, flanks,
wallets, shoes, etc.). If a specimen is marked (tags, identifying marks, rings, etc.), whether
or not this is required by a Resolution of the Conference of the Parties (specimens
originating in a ranching operation, specimens subject to quotas approved by the Conference
of the Parties, specimens of Appendix-I species bred in captivity for commercial purposes,
etc.), indicate the number and type of mark. The sex and age of the live animals should be
recorded, if possible.
 28-02-2016
10. Enter the number of the Appendix of the Convention (I, II or III) in which the species is
listed.
Use the following codes to indicate the source:
W Specimens taken from the wild
X Specimens taken in "the marine environment not under the jurisdiction of any State".
R Ranched specimens: specimens of animals reared in a controlled environment, taken as eggs
or juveniles from the wild, where they would otherwise have had a very low probability of
surviving to adulthood.

D Appendix-I animals bred in captivity for commercial purposes in operations included in the
Secretariat's Register, in accordance with Resolution Conf. 12.10 (Rev. CoP15), and
Appendix-I plants artificially propagated for commercial purposes, as well as parts and
derivatives thereof, exported under the provisions of Article VII, paragraph 4, of the
Convention

A Plants that are artificially propagated in accordance with Resolution Conf. 11.11 (Rev.
CoP15), as well as parts and derivatives thereof, exported under the provisions of Article
VII, paragraph 5 (specimens of species included in Appendix I that have been propagated
artificially for non-commercial purposes and specimens of species included in Appendices II
and III)

C Animals bred in captivity in accordance with Resolution Conf. 10.16 (Rev.), as well as parts
and derivatives thereof, exported under the provisions of Article VII, paragraph 5
F Animals born in captivity (F1 or subsequent generations) that do not fulfill the definition of
'bred in captivity' in Resolution Conf. 10.16 (Rev.), as well as parts and derivatives thereof
U Source unknown (must be justified)
I Confiscated or seized specimens
O Pre-Convention specimens (may be used with other source codes).

11. The quantity and units indicated should conform to the most recent version of the Guidelines
for the preparation and submission of CITES annual reports.

11a. Indicate the total number of specimens exported in the current calendar year (1 January to
31 December) (including those covered by the present permit) and the current annual quota
for the species concerned (for example 500/1000). This should be done for the national
quotas as well as for those determined by the Conference of the Parties.
12. The country of origin is the country in which the specimens were taken from the wild, bred
in captivity or artificially propagated, except in the case of plant specimens that cease to
qualify for an exemption from the provisions of CITES. In such instances, the country of
origin is deemed to be the country in which the specimens ceased to qualify for the
exemption. Indicate the number of the permit or certificate of the exporting country and the
date of issuance. If all or part of the information is not known, this should be justified in
block 5. This block must only be completed in case of re-exports;

12a. The country of last re-export is the country from which the specimens were re-exported
before entering the country in which the present document is issued. Enter the number of the
re-export certificate of the country of last re-export and its date of issuance. If all or part of
the information is not known, this should be justified in block 5. This block must only be
completed in case of re-export of specimens previously re-exported.
 28-02-2016

12b. The "No. of the operation" is the number of the registered captive-breeding or artificial
propagation operation. The "date of acquisition" is defined in Resolution Conf. 13.6 (Rev.
CoP16) and is required only for pre-Convention specimens.

13. To be completed by the official who issues the permit. The name of the official must be
written in full. The security stamp must be affixed in this block and must be cancelled by the
signature of the issuing official and a stamp or seal. The seal, signature and security-stamp
number should be clearly legible.

14. To be completed by the official who inspects the shipment at the time of export or re-export.
Enter the quantities of specimens actually exported or re-exported. Strike out the unused
blocks.

15. Enter the number of the bill of lading or air way-bill if the method of transport used requires
the use of such a document.
The document must be written in one of the three working languages of the Convention
(English, Spanish or French) or must include a full translation into one of these three
languages. Exported and re-exported specimens should not appear on the same document
unless it is clearly indicated which specimens are being exported and which re-exported.
AFTER USE THIS DOCUMENT MUST BE RETURNED TO A MANAGEMENT
AUTHORITY OF THE IMPORTING COUNTRY.

Resolution Conf. 12.3 (Rev. CoP16) - 17

 28-02-2016
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Avg`vwb/ ißvwbi Av‡e`b

1| Av‡e`bKvixi bvg (evsjvq)t

(Bs‡iwR‡Z)t

2| wcZv/¯^vgxi bvg (evsjvq)t

3| Av‡e`bKvixi eZ©gvb I ¯’vqx wVKvbvt

(K) eZ©gvb wVKvbvt (L) ¯’vqx wVKvbvt

4| RvZxq cwiPqcÎ/Rb¥ wbeÜb bv¤^vit

5| Ki mbv³KiY (TIN) bv¤^vit

6| ‡ckvt

7| RvZxqZvt

8| wbeÜb I cª‡mm wd wnmv‡e RgvK…Z A‡_©i Pvjvb bs-

9| †gvevBj b¤^it

10| B-‡gBjt

11| eb¨cÖvYx msi¶Y ¯’vbt

12| c~e©eZ©x AbygwZ (hw` _v‡K)

13| eb¨cÖvYxi (Avg`vwb/ißvwb) msL¨v I weeiYt

14| eb¨cªvYx ev Uªwd Avni‡Yi we¯ÍvwiZ weeiY (Drmmn)t

 28-02-2016
A½xKvibvgv
Avwg GB g‡g© A½xKvi Kwi‡ZwQ †h-
(1) eb¨cÖvYx (msi¶Y I wbivcËv) AvBb, 2012I Ôeb¨cÖvYx I Uªwd wbewÜKiY I mvBwUm (CITES) mb` wewagvjv, 2016ÕÕ
Gi mKj weavbvejx gvwbqv Pwj‡Z eva¨ _vwKe;
(2) Avgvi eive‡i Bmy¨K…Z we‡kl AbygwZc‡Î DwjøwLZ kZ©vw` gvwbqv Pwj‡Z eva¨ _vwKe|

mZ¨cvVt

Dc‡ii wjwLZ weeiY Avgvi Ávb I wek¦vmg‡Z mZ¨ Rvwbqv Dnv‡K ï× ¯^xKv‡i A`¨.......................Bs ZvwiL
(¯’vb).................. eb Awa`߇i ewmqv AÎ `yBRb mv¶xi m¤§~‡L mZ¨ cv‡V wbR bvg mwn Kwijvg|

1| mv¶x Av‡e`bKvixi ¯^v¶it

ZvwiLt

bvg.......................

¯^v¶it

wVKvbvt

2| mv¶x

bvg.......................

¯^v¶it

wVKvbvt
 28-02-2016
eb Awa`ßi evsjv‡`k
eb wefvM
cvm‡cvU ©mvB‡Ri
dig-P
wewa 6 (3) `«óe¨ 1 Kwc Qwe

we‡kl AbygwZcÎ (Avg`vwb I ißvwb)

1| Av‡e`bKvixi bvg (evsjvq)t

(Bs‡iwR‡Z)t

2| wcZv/¯^vgxi bvg (evsjvq)t

3| Av‡e`bKvixi eZ©gvb I ¯’vqx wVKvbvt

(K) eZ©gvb wVKvbvt (L) ¯’vqx wVKvbvt

4| RvZxq cwiPqcÎ/Rb¥ wbeÜb bv¤^vit

5| ‡ckvt

6| RvZxqZvt

7| †gvevBj b¤^it

8| eb¨cÖvYx Avg`vwb ev ißvwbi msL¨v I weeiYt

AbygwZ cª`vbKvix Kg©KZ©vi mxj I ¯^v¶i

ZvwiLt

AbygwZi kZ©vejx
1| AbygwZcªvß e¨w³ ev cªwZôvb Avg`vwbK…Z eb¨cªvYxi ‡Kvb cwieZ©b (weµq, gvwjKvbv cwieZ©b, g„Zz¨, BZ¨vw`) nB‡j h_vkxN«
h_vh_ KZ©…c¶‡K AewnZ Kwi‡eb|
2| AwZwi³ cªavb Iqv‡W©b ev ZrKZ©…K ¶gZvcªvß ‡Kvb Kg©KZ©v ev cwi‡ek I eb gš¿Yvj‡qi †Kvb Kg©KZ©v †h ‡Kvb mgq
Avg`vwbK…Z ev idZvwb‡hvM¨ eb¨cªvYx cwi`k©b Kwi‡Z Pvwn‡j Zvunv‡K m¤ú~Y©fv‡e mn‡hvwMZv Kwi‡Z nB‡e|
3| cÖPwjZ AvBb ev GB wewagvjvi cwicš’x †Kvb KvR Kiv hvB‡e bv, cwicš’x †h ‡Kvb Kv‡Ri Rb¨ AbygwZcªvß e¨w³ ev
cªwZôv‡bi weiy‡× AvBb I wewa wba©vwiZ †h ‡Kvb e¨e¯’v MªnY Kiv hvB‡e|
 28-02-2016
Zdwmj -1
[wewa 4 (1) `ªóe¨]

eb¨cªvYx ev Uªwd wbeÜb I cª‡mm wdt-

bvg wbeÜb wd (cªwZwU AvB‡Ug Gi Rb¨ ) cª‡mm wd (cªwZwU AvB‡Ug Gi Rb¨ )
e¨w³i ‡¶‡Î 1,000/-(GK nvRvi) UvKv 1,000/-(GK nvRvi) UvKv
cªwZôv‡bi ‡¶‡Î 5,000/-(cvuPnvRvi) UvKv 5,000/-(cvuPnvRvi) UvKv

Zdwmj -2
[wewa 5 (2) I 6 (2) `ªóe¨]
wecbœ eb¨cªvYx Avg`vwb I ißvwb wdt-
bvg Avg`vwb/idZvwb wd (cªwZwU AvB‡Ug Gi Rb¨ ) cª‡mm wd (cªwZwU AvB‡Ug Gi Rb¨ )
e¨w³i ‡¶‡Î 5,000/-(cvuP nvRvi) UvKv 5,000/-(cvuP nvRvi) UvKv
cªwZôv‡bi ‡¶‡Î 10,000/-(`k nvRvi) UvKv 10,000/-(`k nvRvi) UvKv