Veterinary Certificate of Free Pratique Application
Applicant Information
Name of Applicant
Organization
Phone
Email
Address
Animal/Shipment Details
Species
Breed
Age
Number of Animals
Identification/Tag Number
Purpose of Import/Export
Transport Information
Type of Transport
Vessel/Flight Number
Country of Origin
Country of Destination
Expected Date of Arrival
Port/Place of Entry
Health Information
Vaccination Details
Previous Veterinary Certificates
Declaration
Name
Date
Signature