SIX1H SCHEDULE
Regulations 12 (1), 12(2), 14 (2), 19
Regulation 19
FIFTH SCHEDULE
FEES
TIlE NATIONAL ENVIRONMENT (ACCESS TO GENETIC
RESOURCES AND BENEFIT SHARING) REGULATIONS, 2005
THE UGANDA NATIONAL COUNCIL FOR SCIENCE AND
TECHNOLOGY (UNCST)
FORM: AGR4
1.
2.
Prior informed consent [Reguljltion 12 (2)]
3.
Materials Transfer Agreement
[Regulation 14(2)]
4.
Access permit [Regulation 19]
ACCESS PERMIT
Permission is hereby granted to MIS ................................... .
.................................................................................
.................................................................................
(Name and deSCription of applicant)
Application for prior informed consent
[Regulation 12 (1)]
Shs 50,000/= U4:l.";
Shs 120,000/= u<
Shs. 300,000/=
~
.................................................................................
(Describe the genetic resources, derivative products or intangible
components as stated in the materials transfer agreement)
COL. KAHINDA OTAFlIRE
Minister of Water, lAnds and Environment.
.................................................................................
(State location by local council, village, sub county and district)
This permit is issued subject to all the accessory agreements and
material transfer agreement concluded pursuant to the Regulations
and may be withdrawn should the holder breach any of 'the
conditions contained in those agreements and the Regulations.
Signed
Executive Secretary
Competent Authority
409
• Delete whichever is inapplicable
408
"0
Negotiable on
a case-by-case
basis
to access, collect and export the following genetic resources ........ .
located at .................................................................... .
'f
IJ S ~ 15