Date Received: Signed:

India National Standard for PRA

Client Details

Name/ Organisation: …………………………………………………………………………..

Address ………………………………………………………………………………………

……………………………………………………………Postcode ………………………..

PRA General Parameters

Activity (circle one): Import Export

Common/ Product name ………………………………………………………………………

Scientific/ botanical name (genus & species) …………………………………………………..

Scientific/ botanical name (Strain/ variety/ cultivar) …………………………………………….

Country/ countries of origin …………………………………………………………………..

Product Type (circle one or more)

Processed/ Non-processed Living/ non-living

Plant/ Animal Genetically modified/ non-genetically modified

Seed/ plant/ soil Culture / non-culture

Product Processing (if applicable)

If seed: Ground/ kibbled/ whole/ preserved

If plant: Fresh/ dried/ freeze dried/ preserved

Processing refinement: Cooked/ frozen/ pulped/ steamed

Specify treatment details ……………………………………………………………………….

Product Origins (please state if question not relevant)

Source location (by country, origin & locality) ………………………………………………….

Production method, Certification scheme and / or accreditation type? …………………………..

- Page 2-

PEST RISK ANALYSIS REQUEST FORM (contd.)

	Date Received: Signed:

India National Standard for PRA

End Use (circle one or more)

Human consumption / Processing/ Stock feed/ Pet food/ Fish food/ Seeds for sowing/ Nursery stock/ Multiplication/ Post-entry Quarantine/ Therapeutic/ Fertilisers/ In-vivo / In-vitro

End Destination (circle &/or specify)

Rural/ urban Multiple locations/ single

Specify Country, State & / or region (PRA defined area) …………………………………......

Entry (circle one or more)

Ship/ Air/ Ground transport/ Rail

General Comment

(any further general comment or notes that need to be made, please make here)