Import, Export, Transit & Trans-Shipment Permit Application

Please read the form carefully and complete in block capitals in blue or black ink.
A separate application form is required for each permit being applied for.
Each shipment requires a separate permit.
Each permit will only be applicable to the particular premises and/or final destination forwhich it is issued except under the authority of a diversion certificate.
Only the following categories of persons may apply for permits:
- Holders of the following licences issued by the Cannabis Licensing Authority:a)Cultivatorb)Processorc)Retaild)Research and Development.
- Local authorised agents acting on behalf of foreign/overseas entities handling ganjafor the purposes of transit and/or trans-shipment.
All completed application forms and supporting documents must be submitted at theoffices of the Cannabis Licensing Authority at: 4th Floor, PanJam Building,
60 Knutsford Boulevard, Kingston 5, St. Andrew, Jamaica.

Section A

Please indicate the type of permit for which you are applying

Import Permit

Export Permit

Transit\Trans-shipment Permit

Section B: Import Permit

Part 1: Importer Information

Importer First Name

Importer Last Name

Importer Middle Name

Importer Other Names

Importer Maiden Name (If Applicable)

Importer Mother's Maiden Name (If Applicable)

Gender/Sex

Importer Marital Status

Importer Date of Birth

Importer Country of Birth

Nationality

Length of time living in Jamaica (Years)

Tax Registration Number (TRN with no Dashes)

Identification Type

Identification Number

CLA Licence Category

Importer CLA Licence Number

Importer CLA Licence Issue Date

Importer CLA Licence Expiration Date

Importer Address Information

Permanent Address

Country

Importer Permanent and Mailing address are the same

Mailing Address

Country

Importer Company Description

Importer Company/Business Name

Importer Company Type

Importer Company Registration Number

Importer Company TRN (no dashes)

Importer Company Information

Company Registered Address

Country

Company Registered Address and Mailing address are the same

Company Mailing Address

Country

Importer Company Email Address

Importer Company Phone Number

Importer Company Phone Number
Importer Company Phone Number Type Phone
Importer Company Phone Number Type Phone

Part 2: Information pertaining to Exporter/Consignor of Foreign Jurisdiction

Exporter Contact Information

Name of Exporter

Country

Foreign Regulator Contact Information

Name of Regulatory Authority in Foreign Jurisdiction

Country

Part 3: Description of Product/Item(s) to be imported from the Country and Intended Purpose

Name of Product/Item

International Non-Proprietary Name

Substance

Intended Purpose

Quantity/Weight

Upon issuance of the Export Permit by the regulatory authority in the foreign jurisdiction, a certified copy of Export Permit must be submitted to the Authority. In addition, the Authority must be advised of the following at least two (2) days prior to the arrival of the shipment:

Port of Entry of Consignment

Mode of Transportation

Date of Arrival of Consignment

Carrier on which Consignment will Arrive

Section C: Export Permit

Part 1: Exporter Information

Exporter First Name

Exporter Middle Name

Exporter Last Name

Exporter Other Names (If Applicable)

Exporter Maiden Name (If Applicable)

Exporter Mother's Maiden Name (If Applicable)

Exporter Sex/Gender

Exporter Marital Status

Exporter Date of Birth

Exporter Country of Birth

Exporter Nationality

Exporter Length of time living in Jamaica (Years)

Exporter Tax Registration Number (TRN with no Dashes)

Exporter Identification Type

Exporter Identification Number

Exporter CLA Licence Category

Exporter CLA Licence Number

Exporter CLA Licence Issue Date

Exporter CLA Licence Expiration Date

Exporter Address Information

Exporter Permanent Address

Country

Exporter Mailing Address

Country

Exporter Company Description

Exporter Company/Business Name

Exporter Company Type

Exporter Company Registration Number

Exporter Company TRN (no dashes)

Exporter Company Information

Exporter Company Registered Address

Country

Exporter Company Registered Address and Mailing Address are the same

Exporter Company Mailing Address

Country

Exporter Company Email Address

Exporter Company Phone Number

Exporter Company Phone Number
	Exporter Company Phone Number Type Phone	Item weight

more items

Part 2: Importer/Consignee in Foreign Jurisdiction

Importer Contact Information

Name of Importer

Country

Import Authorisation/Permit Number

Import Permit Issue Date

Import Permit Expiration Date

Foreign Regulator Contact Information

Name of Regulatory Authority in Foreign Jurisdiction

Country

Part 3: Description of Product/Item(s) to be Exported to Country and the Intended Purpose

Name of Porduct/Item

International Non-Proprietary Name (If Any)

Substance

Intended Purpose

Quantity/Weight

Mode of Transport

Port of Entry

Country of Final Destination

Section D: Transit\Trans-Shipment Permit

Part 1: Applicant Information (Jamaican Authorised Agent)

Local Agent Information

Name of Local Authorised Agent

Phone Number of Local Authorised Agent

Local Agent Address

Country

Part 2: Exporter Information (Foreign/Overseas Jurisdiction)

Exporter Information

Name of Exporter

Phone Number of Exporter

Exporter Address

Country

Part 3: Importer Information (Foreign/Overseas Jurisdiction)

Importer Information

Name of Importer

Phone Number of Importer

Importer Business Address

Country

Regulatory Authority that Issued Import Authorisation

Part 4: Export Authorisation (Certified copy of original to be attached to application form)

Export Authorisation Number

Date of Issuance of Export Authorisation

Date of Expiration of Export Authorisation

Regulatory Authority that Issued Export Authorisation

Part 5: Shipment/Description of Product/Item(s)

Proposed Port of Entry

Proposed Port of Exit

Date of Arrival

Date of Departure

Mode of Transport

Name of Incoming Carrier (Ship/Aircraft)

Name of Outgoing Carrier (Ship/Aircraft)

Description of Product(s)/Item(s)

Type and Nature of Packaging of Products/Items with Unique ID Number

Declarations

Full Name of Person Completing this Form

Title/Position of Person Completing this Form

Signature for Declaration

Sign below

Declaration

I declare that this form and all the attachments, statements, disclosures and supporting documents are true and correct to the best of my knowledge and belief. I further declare that this statement is executed with the knowledge that misrepresentation or failure to reveal information requested may be deemed sufficient cause for the refusal to issue a permit by the Cannabis Licensing Authority, and that where, after the issue of a permit, a statement made in connection with the application is found to be false, the permit may be revoked.

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