Schedule
FORM I(See rule 14)APPLICATION FORM FOR ACCESS TO BIOLOGICAL RESOURCES AND ASSOCIATED TRADITIONAL KNOWLEDGE(i)Full particulars of the applicant-(iv)Address of the contact person/agent, if any, in India:(v)Profile of the organisation (Personal profile in case the applicant is an individual). Please attach relevant documents of authentication:(vii)Turnover of the organisation in US $:2. Details and specific information about nature of access sought and biological material and associated knowledge to be accessed
(a)Identification (Scientific name) of biological resources and its traditional use:(b)Geographical location of proposed collection:(c)Description /nature of traditional knowledge (Oral/documented):(d)Any identified individual /community holding the traditional knowledge:(e)Quantity of biological resources to be collected (Give the schedule):(f)Time span in which the biological resources is proposed to be collected:(g)Name and number of person authorised by the company for making the selection:(h)The purpose for which the access is requested including the type and extent of research, commercial use being derived and expected to be derived from it:(i)Whether any collection of the resource endangers any component of biological diversity and the risks which may arise from the access:3. Details of any national institution which will participate in the Research and Development activities.
4. Primary destination of accessed resource and identity of the location where the R&D will be carried out.
5. The economic and other benefits including those arriving out of any IPR, patent obtained out of accessed biological resources and knowledgethat are intended, or may accrue to the applicant or to the country that he/she belongs
6. The biotechnological, scientific, social or any other benefits obtained out of accessed biological resources and knowledge that are intended, or may accrue to the applicant or to the country that he/she belongs.
7. Estimation of benefits, that would flow to India /communities arising out of the use of accessed bioresources and traditional knowledge.
8. Proposed mechanism and arrangements for benefit sharing.
9. Any other information considered relevant.
Part B – DECLARATION
I/ We declare that:* Collection of proposed biological resources shall not adversely affect the sustainability of the resources;* Collection of proposed biological resources shall not entail any environmental impact;* Collection of proposed biological resources shall not pose any risk to ecosystems;* Collection of proposed biological resources shall not adversely affect the local communities;I/We further declare the information provided in the application form is true and correct and I/We shall be responsible for any incorrect/wrong information.Signed ...................................Name .....................................Title ........................................Place: .......................Date: ........................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 PURPOSES1. Full particulars of the applicant-
(iii)Professional profile:(iv)Organisational 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. Geographical 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 Reserch and Development activities carried out.
7. Details of the individual/organisation 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/organisation due to commercialisation 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.
DECLARATIONI/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 ...................................Name .....................................Title ........................................Place: .......................Date: ........................FORM III(See rule 18)APPLICATION AUTHORITY FOR APPLYING FOR INTELLECTUAL PROPERTY RIGHT1. Full particulars of the applicant-
(iii)Professional profile:(iv)Organisational affiliation (Please attach relevant documents of authentication):2. Details of the invention on which IPRs sought.
3. Details of the biological resources and/or associated knowledge used in the invention.
4. Geographical location from where the biological resources used in the invention are collected.
5. Details of any traditional knowledge used in the invention and any identified individual/ community holding the traditional knowledge.
6. Details of institution where Research and Development activities carried out.
7. Details of economic, biotechnological, scientific or any other benefits that are intended, or may accrue to the applicant due to commercialisation of the invention.
DECLARATIONI/We declare the information provided in the application form is true and correct and I/ We shall be responsible for any incorrect/wrong information.SignedNameTitlePlace: .......................Date: ........................FORM IV(See rule 19)APPLICATION FORM FOR SEEKING APPROVAL OF NATIONAL BIODIVERSITY AUTHORITY FOR THIRD PARTY TRANSFER OF THE ACCESSED BIOLOGICAL RESOURCES AND ASSOCIATED TRADITIONAL KNOWLEDGE1. Full particulars of the applicant-
(iii)Professional profile:(iv)Organisational affiliation (Please attach relevant documents of authentication):2. Details of the biological material and traditional knowledge accessed.
3. Details of the access contract entered (Copy to be enclosed).
4. Details of the benefits and mechanism/ arrangements for benefit sharing already implemented.
5. Full particulars of the third party to whom the accessed material/ knowledge is intended to transfer.
6. The purpose of the intended third party transfer.
7. Details of economic, social, biotechnological, scientific or any other benefits that are intended, or may accrue to the third party due to transfer of accessed biological material and knowledge.
8. Details of any agreement to be entered between the applicant and the third party.
9. Estimation of benefits that would flow to India /communities arising out of the third party transfer of assessed biological resources and traditional knowledge.
10. Proposed mechanism and arrangements for benefit sharing arising out of the proposed third party transfer.
11. Any other relevant information.
DECLARATIONI/We declare the information provided in the application form is true and correct and I / W e shall be responsible for any incorrect/wrong information.Signed ...................................Name .....................................Title ........................................Place: .......................Date: ........................FORM V[See rule 23(1)]FORM OF MEMORANDUM OF APPEALBefore the ........................................Ministry of Environment and Forests, New DelhiOrNational Biodiversity Authority(As the case may be)(Memorandum of Appeal under section 50 of the Biological Diversity Act, 2002)Appeal No ..............................of 200...................................Appellant(s)versus...................................:Respondent(s)(Here mention the designation of the Authority/ Board, as the case may be)The appellant begs to prefer this Memorandum of Appeal against the order dated ...................passed by the respondent on the following facts and grounds:1. Facts:
(Here briefly mention the facts of the case):2. Ground:
(Here mention the grounds on which the appeal is made):(a)In the light of what is stated above, the appellant respectfully prays that the order/ decision of the respondent be quashed/set-aside.(b)The policy/guidelines/regulation framed by the respondent be quashed/ modified /annulled to the extent ...................................................(c)..........................................................................................................................................................Place: .......................Signature of the Appellant with SealDate: ........................Address:VERIFICATIONI, the appellant do hereby declare that what is stated above is true to the best of my information and belief.Verified on ...................day of..................................................................Signature of the Appellant with SealAddress:................................................................Signature of the Authorised representative of the AppellantEnclosures:1. Authenticated copy of the order/direction/policy decision, against which the appeal has been preferred.
FORM VI(See rule 28)Before the ...............................Ministry of Environment and Forests, New DelhiOrNational Biodiversity Authority(As the case maybe)Appeal No .....................of 200.......Between:......................................Appellant(s)versus......................................Respondent(s)NOTICEPlease take notice that the above appeal filed by the appellant, against the order/direction/ policy decision (give details) is fixed for hearing on ......................... at...........................The copies of the appeal memorandum and other annexure filed alongwith the appeal are sent herewith for your reference.Please note that if you fail to appear on the said date of other subsequent date of hearing of the appeal, the appeal would be disposed of finally by placing you ex parte..................................Authorised signatory on behalf of the Appellant Authority(Seal)Place: .......................Date: ........................FORM VIIFORM OF NOTICE[See rule 24(1)]By Registered Post/Acknowledgement dueFrom,Shri ...........................................................................................................................To,.................................................................................................................................Sub: Notice under section 61(b) of the Biological Diversity Act, 2002Whereas an offence under the Biological Diversity Act, 2002 has been committed/is being committed by .................................................................2. I/We hereby give notice of 30 days under section 61(b) of the Biological Diversity Act, 2002 of my /our intention to file a complaint in the Court against ...........................for violat:;,of the provisions of the Biological Diversity Act, 2002.
3. In support of my/our notice, I am/We are enclosing herewith the following documents as evidence of proof.
..................SignaturePlace: ........................ SignatureDate: ........................EXPLANATION(1)In case the notice to be given in the name of a company, documentary evidence authorising the person to sign the notice on behalf of the company shall be enclosed to the notice.(2)Give the name and address of the alleged offender. In case of using biological resource/knowledge/research/bio-survey and bio-utilisation/the intellectual property right/patent, without the approval of the Authority, the details thereof and the commercial utilisation if any, may be furnished.(3)Documentary evidence shall include photograph, technical report, etc., for enabling enquiry into the alleged violation/offence.