Plant Quarantine Clearance Certificate

Certificate Number:		Date of Issue:
Reference Number:		Country of Origin:

Name:
Address:

Name:
Address:

Description of Plants/Products:
Quantity:		Weight:
Packaging type:		Means of Conveyance:
Port of Entry:		Date of Arrival:

Inspection Date:		Inspection Place:
Findings/Remarks:

This is to certify that the above-mentioned plants or plant products have been inspected and found to comply with the current regulations and are cleared for entry.