THIRD SCHEDULE
Regulation 12 (2)
SECOND SCHEDULE
ACCESSORY AGREEMENT
Regulation 12(3)
THE NATIONAL ENVIRONMENT (ACCESS TO GENETIC
RESOURCES AND BENEFIT SHARING) REGULATIONS,
2005
THE NATIONAL ENVIRONMENT (ACCESS TO GENETIC
RESOURCES AND BENEFIT SHARING) REGULATIONS, 2005
PRIOR INFORMED CONSENT
FORM:
ACCESSORY AGREEMENT
AGR3
FORM:
I/we ................................................................................................... .
being the owner/custodian of the following genetic resources
............................................................................................................
............................................................................................................
(State the genetic resources)
located at ........................................................................................... ,
(State location by local council, village, sub county
and district)
hereby consent that .......................................................................... .
(Name and address of applicant for prior infonned consent) may
apply to the competent authority for consideration to access the
above stated genetic resources found under my ownership/custody.
1.........................................................................................................
2 ...................................................................................................... .
3....................................................................................................... .
For the purposes of ........................................................................... .
(State the purpose e.g. commercial, research, educational etc)
On condition that-
1.............................. :...............................................- ........................ ;
2........................................................................................................ ;
3........................................................................................................ ;
2
3
5........................................................................................................ ;
The applicant(s) has*lhave* obtained the following accessory
agreements
1.
2.
...................................................................................................
1.
(Attach additional infonnation where necessary)
Date of consent: ............................. 20 ....... .
Signed
,I'
.. ............................................................................................... ..
Signed ..................................... .
Lead agency, local community or owner*
*Delete whichever is not applicable
402
L~'_,
I/We............................... being the owners/local communityllead
agency/custodians of the genetic resources located at ....................... .
in .................... district of the Republic of Uganda hereby consent
that MIS ..................... may access the following genetic resources-
This consent is valid from ............... 20. ... to .............. 20 ... .
This consent is granted subject to the following conditions:
4............................................................................................; ........... ;
Date .................. .
AGR2
LEAD AGENCY/ LOCAL COMMUNITY/OWNER
c.c. The Competent Authority
403