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Export Inspection Application

This document is an application for export inspection and certification of plants and plant products. It provides details of the exporter, importer, commodity being exported (coco peat), quantity, packaging, intended country of export (Malaysia), and port of export. The exporter declares that the information provided is true and correct, and agrees to pay any fees for inspection/certification and follow instructions to obtain the required phytosanitary certificate.

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Sudharsan S
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474 views1 page

Export Inspection Application

This document is an application for export inspection and certification of plants and plant products. It provides details of the exporter, importer, commodity being exported (coco peat), quantity, packaging, intended country of export (Malaysia), and port of export. The exporter declares that the information provided is true and correct, and agrees to pay any fees for inspection/certification and follow instructions to obtain the required phytosanitary certificate.

Uploaded by

Sudharsan S
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Application For Export Inspection and Phytosanitary Certification of Plants/Plant Products and other Regulated Articles.

To: For PQ Office’s use:


RPQS Chennai
Registration No:PSC8CHE2023021690
Date of Registration:2023-06-28

I/We, the exporter/the authorised agent of the exporter, herewith submit an application for inspection/disinfection/
disinfestation and issue of Phytosanitary Certificate for export of the goods described here under:
DESCRIPTION OF CONSIGNMENT
1. Name & address of Exporter: 2. Name & address of importer: For PQ Office use
COCOGENICS GREEN GROWER HORTI SOLUTION
30/17 A, CHINNAA GOUNDER SDN. BHD. Export status:
STREET, BATU 3 1/2 JALAN MUAR
SENGODAMPALAYAM, PARIT YAANI , YONG PENG
❏ Prohibited
KOVILPALAYAM PO, 83710 BATU PAHAT ❏ Restricted
PALLAPALAYAM, ERODE, JOHOR , MALAYSIA ❏ Canalised
TAMILNADU 638116 ❏ Unrestricted
3. Commodity Name(Common/ 4. Quantity (Wt./vol.): Documents verified:
Botanical name)/HS Code: 41.750 MTS
❏ Import Permit
Coco Peat
Cocos nucifera
❏ Export License
❏ Letter of Credit/Contract/ Agreement
5. No. of pieces/packages/containers: 6. Distinguishing marks: ❏ Invoice
40 AS PER INVOICE ❏ Shipping/ Airway Bill
7. Nature of packing material: 8. Means of conveyance : ❏ Others
Pallet By Sea
N.B.: Tick out the documents enclosed.
9. Country of origin : 10. Port of loading:
Date:
India Manali Chennai CFS
11. Country to which exported: 12. Foreign Port:
Malaysia PASIR GUDANG- MALAYSIA _______________
*Sign of Staff
13. Date & Place of inspection of 14. Invoice/Shipping/Airway Bill No. &
goods: date:
28/06/2023,STP CCG/02/23-24,27/06/2023

15. Value of commodity (Rs.): 16. Purpose of Export:


13360.00 Consumption
Declaration
(1) I/We the exporter/ the authorised agent of the exporter, on behalf ofCOCOGENICSdeclare that the information furnished
on this form, to the best of knowledge and belief is true, correct and complete in every respect.
(2) I/We shall pay any fees prescribed for inspection/fumigation/treatment of the consignment and any other charges
towards issue of Phytosanitary/fumigation/treatment certificate.
(3) I/We shall carry out the instructions given by the Plant Protection Adviser to the Govt. of India or any Officer duly
authorised by him in this behalf in connection with inspection/fumigation/treatment of the consignment and issue of
Phytosanitary Certificate.
(4) I/We shall provide any relevant information and related documents connected with export of consignment and issue of
Phytosanitary Certificate.
Date: 28-06-2023
Place: RPQS Chennai

COCOGENICS
_________________________________________
*Sign of Exporter/Authorised Agent

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