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Form No. 3. 
Application for the Permission to Import (Transport) Plant Diseases 
(Injurious Insects), 
The undersigned, desiring to import (transport) plant diseases (injurious 
insects) of the following descriptions, hereby requests your authorities to grant 
permission to do so. 
“AMKeSS costisssritisanseceiarsivecdeetecwouas case 
Occupation ...cccsecsccresseeces 
Dated wiessvscarencnnenee’ (Signature of the applicant, Seal.) 
To 
His Excellency... 
Minister of Agriculture and Commerce. 
Common, and scientific names of the plant diseases (injurious 
insects). 
Purpose for which imported (transported). 
Name, address and occupation of the shipper. 
Method of transportation {ore ie er py, parcel post } 
Method of culture (feeding) on the way to destination. 
During the transportation. 
After reaching destination. 
Name of the port of entry (if imported or transported through any 
other method than parcel post). 
Remarks, 
