Annex

Application to release Drosophila spp. from biosecurity control

Effective 17 July 2016 to 22 April 2017

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