Importer Details (Address in St Helena)
VETERINARY SECTION / Form issued pursuant to Regulation 3 of the St Helena Animal (Diseases) Regulations, 2001 (as amended).
Please complete this form in BLOCK LETTERS
In order for ANRD to provide an import licence of this type, applications should be made no later than 6 working weeks before the scheduled date that the animal(s) is expected to leave the exporting country. / FOR ANRD USE:
Issued on: ______
Date received: ______
Licence No: ______
Importer Details (address in St Helena)
Your Name / Contact personFull Address
Work phone / Email / Fax
Exporter Details (address in exporting country)
Name / Contact personFull Address
Work phone / Email / Fax
Application for a Licence to Import Dogs and Cats into St Helena
Description of Animals/sSpecies* / Breed ** / Microchip number / Name / Age (yr/mth) / Sex***
* Must be members of the species Canis familiaris (domestic dog) and Felis catis (domestic cat).
* * Dogs of the following breeds (including crosses of these breeds) are not eligible for importation: American Pit Bull Terrier, Dogo Argentino, Japanese Tosa, and Brazilian Fila.
*** Please enter M (entire male), F (entire female), MN (neutered male), FN (neutered female).
Country of Animal’s Birth / Date of Importation into St HelenaImporter’s Declaration
I the undersigned hereby declare that the information provided above is accurate to the best of my knowledge, and understand that if a ‘Licence to Import’ document is issued, I must comply in full to the conditions attached to such a licence.
Signature: Name: Date:
, the
Where to send this application when it is completed
Post, e-mail, or faxSenior Veterinary Officer / Fax: +00 290 24603
Agriculture and Natural Resources Division, Scotland / E-mail:
St Helena Island
STHL 1ZZ
Notes:
(1) This form contains 2 pages. Applicants should ensure that the sheets and any supporting documentation are stapled and clipped together when submitted. ANRD will not accept applications comprising incomplete forms.
(2) It is important that you attempt to apply to the UK, South African or other exporting countries veterinary organisation for a Veterinary Health Certificate as early as possible for the animal(s) to be exported, as this often takes a while to process.
(3) The data collected in this form will be kept in confidence. They may however be disclosed to other third parties on the Island, if such disclosure is necessary to facilitate consideration of the related application, or is in the public interest.