Province of North Cotabato

Office of the Provincial Veterinarian

User: Juan dela Cruz

Veterinary Quarantine Services Profiling System

Last Name: *

First Name: *

Street:

Purok:

Region:

Province:

Municipality | City:

Barangay:

Contact number

Veterinary Quarantine Services Center:

Latitude:

Longitude:

Category:

Date of Inspection:

Time of Inspection:

Origin:

Destination:

Purpose:

No. of Carrier (Plate Number):

Carrier (Type):

Number:

Unit:

Commodity Classification:

Commodity Classification: Animals

Please specify if selected Other Animal:

Remarks:

Commodity Classification: Animal Meat (Kg)

Please specify if selected Other Animal Meat:

Remarks:

Commodity Classification: Meat Products

Please specify if selected Other Meat Products:

Remarks:

Meat products Chicken:

Please specify if selected Others:

Remarks:

Meat Products Pork:

Please specify if selected Others:

Remarks:

Meat Products Beef:

Please specify if selected Others:

Remarks:

Animal By-Products:

Please specify if selected Other Animal By-Products:

Remarks:

Please specify if selected Other Commodity Classification:

Remarks:

Animal By-Products: Chicken

Please specify if selected Others:

Remarks:

Animal By-Products: Swine

Please specify if selected Others:

Remarks:

Animal By-Products: Cattle

Please specify if selected Others:

Remarks:

Other Quarantinable Items

Please specify if selected Other Quarantinable Items:

Remarks:

Egg (PCS)

Please specify if selected Other Egg (PCS):

Remarks:

Other Quarantinable Items: Feed Stuff & Raw: Hog

Please specify if selected Others:

Remarks:

Other Quarantinable Items: Manure / Dung

Please specify if selected Other Manure / Dung:

Remarks:

Please specify if selected Dog / Cat Food:

Remarks:

Please specify if selected Veterinary Drugs and Biologics (Vac/AntiBio/Vit):

Remarks:

Date of Inspection:

Time of Inspection:

Origin:

Destination:

Purpose:

No. of Carrier (Plate Number):

Carrier (Type):

Number:

Unit:

Commodity Classification:

Commodity Classification: Animals

Please specify if selected Other Animal:

Remarks:

Commodity Classification: Animal Meat (Kg)

Please specify if selected Other Animal Meat:

Remarks:

Commodity Classification: Meat Products

Please specify if selected Other Meat Products:

Remarks:

Meat products Chicken:

Please specify if selected Others:

Remarks:

Meat Products Pork:

Please specify if selected Others:

Remarks:

Meat Products Beef:

Please specify if selected Others:

Remarks:

Animal By-Products:

Please specify if selected Other Animal By-Products:

Remarks:

Please specify if selected Other Commodity Classification:

Remarks:

Animal By-Products: Chicken

Please specify if selected Others:

Remarks:

Animal By-Products: Swine

Please specify if selected Others:

Remarks:

Animal By-Products: Cattle

Please specify if selected Others:

Remarks:

Other Quarantinable Items

Please specify if selected Other Quarantinable Items:

Remarks:

Egg (PCS)

Please specify if selected Other Egg (PCS):

Remarks:

Other Quarantinable Items: Feed Stuff & Raw: Hog

Please specify if selected Others:

Remarks:

Other Quarantinable Items: Manure / Dung

Please specify if selected Other Manure / Dung:

Remarks:

Please specify if selected Dog / Cat Food:

Remarks:

Please specify if selected Veterinary Drugs and Biologics (Vac/AntiBio/Vit):

Remarks:

Date of Inspection:

Time of Inspection:

Origin:

Destination:

Purpose:

No. of Carrier (Plate Number):

Carrier (Type):

Number:

Unit:

Commodity Classification:

Commodity Classification: Animals

Please specify if selected Other Animal:

Remarks:

Commodity Classification: Animal Meat (Kg)

Please specify if selected Other Animal Meat:

Remarks:

Commodity Classification: Meat Products

Please specify if selected Other Meat Products:

Remarks:

Meat products Chicken:

Please specify if selected Others:

Remarks:

Meat Products Pork:

Please specify if selected Others:

Remarks:

Meat Products Beef:

Please specify if selected Others:

Remarks:

Animal By-Products:

Please specify if selected Other Animal By-Products:

Remarks:

Animal By-Products: Chicken

Please specify if selected Others:

Remarks:

Animal By-Products: Swine

Please specify if selected Others:

Remarks:

Animal By-Products: Cattle

Please specify if selected Others:

Remarks:

Other Quarantinable Items

Please specify if selected Other Quarantinable Items:

Remarks:

Egg (PCS)

Please specify if selected Other Egg (PCS):

Remarks:

Other Quarantinable Items: Feed Stuff & Raw: Hog

Please specify if selected Others:

Remarks:

Other Quarantinable Items: Manure / Dung

Please specify if selected Other Manure / Dung:

Remarks:

Please specify if selected Dog / Cat Food:

Remarks:

Please specify if selected Veterinary Drugs and Biologics (Vac/AntiBio/Vit):

Remarks:

Animal Inspection Report:

Date Issued:

Veterinary Health Certificate:

Date Issued:

Shipping Permit:

Date Issued:

NMIS:

Date Issued:

LTO/FDA:

Date Issued:

Report Submitted Successfully.