Pre-Shipment Plant Health Declaration Form
Exporter Details
Exporter Name
Exporter Address
Consignee Details
Consignee Name
Consignee Address
Shipment Details
Date of Shipment
Country of Origin
Country of Destination
Port of Export
Means of Transport
Plant/Plant Product Details
Botanical Name
Common Name
Quantity
Description
Health Declaration
Inspection Details
Declaration
Official Use Only
Inspected By
Date of Inspection
Remarks