………………………………………………………………………………………
(g)
Name of the contact person in regard to this application and the position held in the
organization ……………………………………………………………………………………

PART III
FOR ALL APPLICANTS
1.0	

Financial Details

Sources:
(i)	

The total budget of the project ……………………………………………………………

(ii)	

Details of any corporate or individual sponsors of the project ……………………………..
………………………………………………………………………………………………
……………………………………………………………………………………

2.0	

Technical Particulars

(a)	

What are the details of your previous collection/research (if any) conducted in any of the
East African country (Kenya, Uganda and/or Tanzania)?

(b)	

With regard to genetic resources for which access is sought, the following must be
provided ­
(i)	

scientific names of taxa;

(ii)	

specific sites in which access will be undertaken;

(iii)	

possible location;

(iv)
parts of the genetic resource to be collected (tissues, cells, seeds, leaves,
microbes, etc);
(v)	

derivatives and/or products;

(vi)	

quantities to be collected;

(vii)	

any known uses of the genetic resources;

(viii)
in case of genetic resources held ex-situ, details of the relevant depository
institution(s).
(c)	

With regard to the planned collecting mission, the following must be provided –
(i)
sought;

identification of the provider(s) of the genetic resources for which access is

15

Select target paragraph3