Area Reserva Forestal Fortuna Areas de Manejo Especial

Type of visit Cientifico Otro (Especifique)

Tipe of visit (Other)

ANAM Collecting/Research Permit Number

Validity of permit

Research/visit purpose

Research methodology

Date of visit

From month January February March April May June July August September October November December day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 year 2004 2005 2006 2007 2008 2009 2010

To month January February March April May June July August September October November December day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 year 2004 2005 2006 2007 2008 2009 2010

Name of Researcher

E-mail

Collaborators / Assistants

License Plate Number of Research Vehicle

Researcher Responsabilities

1. Comply with the conditions for scientific research and collection set forth by ANAM.
2. Send three copies of the research advances and results to the Environmental Department at Fortuna.
3. Comply with the conditions set forth by the Technical Scientific Cooperation Agreement between EGE Fortuna S.A. and STRI on June 6, 2001.