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1.
Name
of the product:
2.
Intended use:
3.
Purpose of import
4.
Name and identity of the living
modified organism(s).
5.
Any unique identification of the
living modified organism.
6.
The biological characteristics of
the recipient organism or parental organisms, including information on
taxonomic status, common name, mode of propagation/ pollination point of
collection or acquisition, and characteristics of recipient organism or
parental organisms related to biosafety.
7.
Taxonomic status and common name,
source, and the relevant biological characteristics of the donor organisms;
Vector. Characteristics of the vector, including its identity, if
any, and its source or origin, and its host range;
8.
Insert or inserts and/or
characteristics of modification. Genetic
characteristics of the inserted nucleic acid and the function it specifies,
and/or characteristics of the modification introduced;
9.
Identity of the living modified
organism, and the differences between the biological characteristics of the
living modified organism and those of the recipient organism or parental
organisms;
10.
Description of the gene
modification, the technique used, and the resulting characteristics of the
living modified organism.
11.
Suggested detection and
identification methods and their specificity, sensitivity and reliability;
12.
Information relating to the
intended use of the living modified organism, including new or changed use
compared to the recipient organism or parental organisms;
13.
Information on the location,
geographical, climatic and ecological characteristics, including relevant
information on biological diversity and centres of origin of the likely
potential receiving environment.
14.
Centres of origin and centres of
genetic diversity, if known, of the recipient organism and/or the parental
organisms and a description of the habitats where the organisms may persist
or proliferate.
15.
Safeguards required for field release, if any.
16.
List
of gene/events approved in the same crop species for commercial production
in the country of export/ country of origin.
17.
Whether
the product has been approved for consumption (food/feed) in Countries
other than producing countries. If so, details of the same.
18.
Whether
the gene/events from which the product has been derived is in commercial production and has been
approved for marketing in the country of origin/export.
19.
Approved uses of the living
modified organism in the country of origin/export.
20.
Environmental
and Food safety studies conducted in the country of origin/export.
21.
Analytical
/ compositional report or LMO from the country of origin/export. Whether further processing is envisaged
after import. If so details of the same.
22.
Suggested methods for the safe
handling, storage, transport and use, including packaging, labelling,
documentation, disposal and contingency procedures, where appropriate.
23.
Quality
Control and Quality Assurance.
24.
Stability
and Shelf Life of product.
25.
Regulatory
status in India / abroad. In case the certificate is issued by the
concerned authority of country of origin, the certificate should be
endorsed/ authenticated by Indian Embassy/High Commission/Consulate in that
country.
26.
Every
certificate shall be accompanied by other statutory information like
manufacturing batch, no. date of manufacture, date of analysis, date of
release of the certificate, signatory to the certificate etc.
27.
A declaration
that the above-mentioned information is factually correct.
28.
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Applicant’s signature with
seal.
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