Inspection Application Form / Consignment Note

Animal &
Plant Health
Agency
EXPORT OF POTATOES TO NON-EC COUNTRIES
Inspection Application Form /
Consignment Note
PHE 60 (Rev. 03/16) (interactive)
PLANT HEALTH DIVISION
Department for Environment, Food & Rural Affairs
Welsh Assembly Government
EXPORT OF A CONSIGNMENT OF POTATOES TO NON-EC COUNTRIES
SECTION A – APPLICATION DETAILS
SECTION B – PHYTOSANITARY CERTIFICATE DETAILS
Name and address of applicant
Name and address of consignee
Name and address of exporter
Container No.
Point of Entry
Chemical treatments
Import Permit No.
Additional Declarations required
e-domero application No
Phytosanitary certificate No
For APHA PHSI entry
For APHA PHSI entry
Variety
(and cert no. for seed)
Number and type of
packages
Name and address of inspection point
Phone Number
Email
Customer Ref No.
Value of consignment
Time and date ready for inspection
Time and date of load collection
Details of the stock or stocks making up this one consignment
Application No.
Stock No.
Grower’s name
Mark
Weight
1
2
3
4
5
6
SECTION C – DECLARATION
• I/We request the Animal and Plant Health Agency (APHA), to arrange for the
inspection of the consignment detailed above and to issue such certificate as is
required by the Plant Health Regulations of the importing country.
• I/We have read and accepted the conditions overleaf and the scale of charges as laid
down in the Export Charges Explanatory Leaflet (PHE1).
PHE 60 (Rev. 03/16) (interactive)
Signed
Name in BLOCK LETTERS
Status
Date
PLANT HEALTH DIVISION
General Conditions
Special conditions applicable
to the inspection and certification
of potatoes for export
1.
APHA may on plant health grounds refuse any
application for inspection or for the issue of a certificate
without giving any reason for the refusal.
2.
liability shall be attached to APHA or any of its
No
officers for any delay in granting or failure to grant a
certificate or any delay in inspecting or failure to inspect
or non-delivery, delayed delivery or mis-delivery of any
document.
3.
guarantee is given by APHA that any certificate
No
granted will comply with or meet the requirements of
any foreign country or importer.
4.
APHA
and its official shall be entitled to rely upon the
accuracy of all information supplied by or on behalf
of an applicant for inspection or for the issue of a
certificate.
5.
No certificate issued shall be used in respect of any
plants or goods except those to which it relates.
10. APHA will not issue a certificate in respect of potatoes
intended for export to countries whose regulations
require the bags to be sealed unless the bags are closed
in such a manner that they can be effectively sealed
with one seal (i.e. bags must be sewn so that both ends
of the twine can be held by one seal).
6.
Inspections will be carried out and certificates will be
issued only on the understanding that no liability shall
attach to APHA or its officers in any circumstances in
respect of any inspection carried out or the issue or
contents of any certificates and that APHA accepts no
responsibility for any resulting loss however caused.
11. A
charge will be made in cases where the regulations
of the importing country require each bag or other
container to be officially sealed, and in cases where
‘selected seed’ cards are required for enclosure in the
bags or containers these must be completed by exporters
and inserted in containers prior to inspection.
7.
Fees
will be charged for inspection and
certification of consignments. Details of the fees
are given in a separate explanatory leaflet available
from APHA. Do not send any money with this form: an
invoice will be sent to you later. Prompt settlement of
this invoice will help meet the overall cost of providing
these services and may, therefore, affect the level of
fees. Non-payment may result in the withholding of
future services.
12. It
is essential that APHA be informed of any conditions
of entry attaching to an import permit relating to
inspection and certification of the consignment. If not
attached to this form, it should be forwarded to APHA
at the earliest opportunity or shown to the inspecting
officer at the time of his/her inspection.
8.
APHA reserves the right to carry out further inspections
at the docks before the actual shipment of the
potatoes. The responsibility for labour charges incurred
in such inspection must be borne by the applicant for
the certificate.
9.
APHA will not issue a certificate in respect of potatoes
packed in bags or other containers bearing any
indication in any language as to the variety, place of
origin of the contents or otherwise, which in the
opinion of APHA is incorrect or inaccurate.
The data Protection Act 1998
Information provided will be used for the processing of your application. Details will be held in our computer system
and will be used to compile statistics on activity in your sector for submission to the EC Commission and for any
administrative purposes. In emergency situations, such as a pest outbreak, information (including the location of
licenced material) may be used by other divisions within APHA, Defra and other Government Departments or their
appointed agents.
APHA may be required to release information, including personal data and other commercial information, on request
under the Environmental Information Regulations, the Code of Practice on Access to Government Information or
the Freedom of Information Act 2000. However, APHA will not permit any breach of confidentiality nor will we act in
contravention of our obligations under the Data Protection Act 1998. APHA, Defra or its appointed agents may use
the name, address and other details on your application form to contact you in connection with occasional customer
research aimed at improving the services that APHA provides to you.
PLANT HEALTH DIVISION