ANNEX 2: PRIOR INFORMED CONSENT
Regulation 12(2)
SECOND SCHEDULE
THE NATIONAL ENVIRONMENT (ACCESS TO GENETIC RESOURCES AND BENEFIT
SHARING) REGULATIONS, 2005
PRIOR INFORMED CONSENT
Form: AGR 3
I
/
we*…………………………………………………………………………………………………………………
…………………….
being the owner(s) / custodian(s) of the following genetic resources
………………………………………………………………………………………………………………………
…………………………
………………………………………………………………………………………………………………………
………………………….
(State the genetic resources)
Located
at……………………………………………………………………………………………………………………
……………..
(State location by local council, village, parish, sub-county and district)
Hereby
consent
that
………………………………………..………………………………………………………………………….
(Name and address of applicant for prior informed consent) may apply to the competent authority for
consideration to access the above stated genetic resources found under my / our ownership / custody.
This consent is valid from……………………..….20…...…
to……20….…………
This consent is granted subject to the following conditions:
1.……………………………………………………………………………………………………………………
………………………….
2.……………………………………………………………………………………………………………………
………………………….
3.……………………………………………………………………………………………………………………
………………………….
4.……………………………………………………………………………………………………………………
………………………….
5.……………………………………………………………………………………………………………………
………………………….
The applicant(s) has*/have* obtained the following accessory agreements:
1.……………………………………………………………………………………………………………………
………………………….
Guidelines for Access to Genetic Resources and Benefit Sharing
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