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1. General information
1.1.
Number or reference of the application for a permit:
1.2.
First application:
1.3.
Date of the application for a permit:
1.4.
Data on the species:
1.4.1.
FAO code:
1.4.2.
Common name:
1.4.3.
Scientific name:
1.4.4.
Sub-species (if relevant):
1.4.5.
Additional information:
1.4.5.1.
Tetraploid:
1.4.5.2.
Fertile artificially hybrid:
1.4.5.3.
If YES, FAO code and name of the parent species:
1.5.
Source:
1.5.1.
Country:
1.5.2.
Location:
1.5.3.
Type of source:
1.6.
Receiving aquaculture facility:
1.6.1.
1.6.2.
Method of farming:
1.7.
Number of organisms and life stage:
1.8.
Purpose:
1.9.
Number of movements foreseen:
2. Screening and risk assessment
2.1.
Type of movement:
2.1.1.
Routine introduction or translocation:
2.1.1.1.
Permit approval:
2.1.1.2.
Date of the delivery of the permit:
2.1.1.3.
Authority issuing the permit:
2.1.1.4.
Duration of the permit:
2.1.1.5.
If subject to conditions:
2.1.1.5.1.
Quarantine:
2.1.1.5.2.
Pilot releases:
2.1.2.
Non-routine introduction or translocation:
2.1.2.1.
Type of risk:
2.1.2.1.1.
Low:
2.1.2.1.2.
Medium:
2.1.2.1.3.
High:
2.1.2.2.
Summary report of the overall environment risk assessment:
2.1.2.3.
2.1.2.4.
2.1.2.5.
2.1.2.6.
2.1.2.7.
2.1.2.7.1.
2.1.2.7.2.
3. Monitoring
3.1.
Duration of monitoring programme:
3.2.
Summary of the results of the evaluation of the monitoring programme:
3.3.
Contingency plans applied:
3.4.
Withdrawal of the permit (if applicable):
3.4.1.
If YES:
3.4.2.
Date:
3.4.3.
Reasons for the withdrawal: