2

COPY for the issuing authority

2

EUROPEAN UNION

1. Holder

CERTIFICATE

Not for use outside the European Union

No

Certificate of legal acquisition

Certificate for commercial activities

Certificate for movement of live specimen

Council Regulation (EC) No 338/97 and Commission Regulation (EC) No 865/2006 on the protection of species of wild fauna and flora by regulating trade therein

2. Authorised location for live specimens of Annex A species

3. Issuing Management Authority

4. Description of specimens (incl. marks, sex/date of birth for live animals)

5. Net mass (kg)

6. Quantity

7. CITES Appendix

8. EU Annex

9. Source

10. Country of origin

11. Permit No

12. Permit No

16. Scientific name of species

13. Member State of import

17. Common name of species (if available)

14. Document No

15. Date of issue

18. It is hereby certified that the specimens described above:

a)

were taken from the wild in accordance with the legislation in force in the issuing Member State

b)

are abandoned or escaped specimens that were recovered in accordance with the legislation in force in the issuing Member State

c)

are captive born-and-bred or artificially propagated specimens

d)

were acquired in or introduced into the Union in compliance with the provisions of Council Regulation (EC) No 338/97.

e)

were acquired in or introduced into the Union before 1 June 1997 in accordance with Council Regulation (EEC) No 3626/82.

f)

were acquired in or introduced into the Union before 1 January 1984 in compliance with the provisions of CITES

g)

were acquired in or introduced into the issuing Member State before the provisions of Regulations (EC) No 338/97 or (EEC) No 3626/82 or of CITES became applicable in this territory

19. This document is issued for the purpose of :

a)

confirming that a specimen to be (re-) exported has been acquired in accordance with the legislation in force on the protection of the species in question

b)

exempting for sale Annex A specimens from the prohibitions relating to commercial activities listed in Article 8.1 of Regulation (EC) No 338/97

c)

exempting for display to the public without sale Annex A specimens from the prohibitions relating to commercial activities listed in Article 8.1 of Regulation (EC) No 338/97

d)

using the specimens for the advancement of science/breeding or propagation/research or education or other non-detrimental purposes

e)

authorising the movement within the Union of a live Annex A specimen from the location indicated in the import permit or in any certificate

Certificate valid only for holder named in box 1

Yes

No

20. Special conditions

Name of issuing official

Place and date

Signature and stamp