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Annex

Application: Release Drosophila spp. from biosecurity control

Effective 8 August 2019 to 2 October 2021


ID Number:


Entomologist (Importer) Details

Name


Address


Phone


Email


Fax


Import Details

Import permit number


Entry number


Date of arrival


Address of facility where

insects are held


AA site number


Number of insects for release


Drosophila species


I hereby apply for permission to release the Drosophila spp. described in this form. I fully understand and have complied with the conditions for release from biosecurity control outlined in the import permit conditions. I declare that only progeny of the imported Drosophila spp. will be removed from the facility.


The Drosophila described in the above table have been inspected and found free of parasites (e.g. mites) and pathogens since importation. The stocks were examined under magnification and no evidence of pathogens was detected. No mites or other pests were present in any of the stocks.



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Full Name Position and Qualifications



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Signature Date