Flora & Fauna (samples, products or by-products)
General Objective
Country of Origin
Country of Procedence
Full mailing address of University / Institution where importation proceeds
Import date 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
Person responsable for permit fee
Please send curriculum vitae and two passport size pictures (if digital pictures, on JPG format) to arosemo@si.edu.
Note: If an export permit is required by the country where the importation proceeds, this document must also be sent in order to complete the import permit request.
Name
Nationality
E-mail
Date of Request 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