APPLICATIONS

FORM II
(see Rule 17)
 

Application for seeking prior approval of National Biodiversity Authority for transferring the results of research to foreign nationals, companies, NRI`s, for commercial purposes.

1. Full particulars of the applicant

1. Name

2. Address:

3. Professional profile

4. Organizational affiliation (Please attach relevant documents of
   authentication):

2. Details of the results of research conducted

3. Details of the Biological resources and /or associated knowledge used in the research.

4. Geo-graphical location from where the biological resources used in the research are collected

5 Details of any traditional knowledge used in the research and any identified individual /community holding the traditional knowledge

6. Details of institution where R&D activities carried out.

7. Details of the individual / organization to whom the research results are intend to transfer.

8. Details of economic, biotechnological, scientific or any other benefits that are intended, or may accrue to the individual /organization due to commercialization of transferred research results.

9. Details of economic, biotechnological, scientific or any other benefits that are intended, or may accrue to the applicant seeking approval for transfer of results of research.

10. Details of any agreement or MOU between by the proposed recipient and applicant seeking approval for transfer of results of research.

Declaration

I/we declare the Information provided in the application form is true and correct and I /We shall be responsible for any incorrect / wrong information.

                                                                                     Signed
Place                                                                              Name
Date                                                                               Title

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