IMPORT LICENCE APPLICATION

NOTES FOR GUIDANCE

1An Import Licence under the Misuse of Drugs Act 1971 is required for any substance falling within Schedules 1, 2, 3, and 4 (Parts I and II) to The Misuse of Drugs Regulations 2001 or Poppy Straw.

2.Copies of the Act and Regulations may be obtained from The Stationery Office, 123 Kingsway, London WC2B 6PQ or e-mail: ; 17 Lothian Road, Edinburgh EH3 9AZ or e-mail ; 16 Arthur Street, Belfast BT1 4GD or e-mail: ; or through UK agents: see: for details.

3.An Import Licence is authority solely for the importation of the particular consignment.

4.Copy 2 of this licence is for transmission to the consignor abroad for submission to his Government in support of his application for authority to export the consignment. It is not authority for the admission of the consignment to this country.

5.Any licence issued in response to this application will be for a specific quantity of a drug or drugs and it will not be permissible for greater quantities, or material not of the specified description on the licence, to be imported under it.

6.A person to whom an import licence has been issued may not make amendments of any kind to that licence. If after issuance of a licence an error is recognised, or specific drug details are no longer relevant, the licence must be returned to Drugs Licensing & Compliance Unit, Home Office with a covering letter requesting cancellation. A fresh application should be made for the revised requirement. No amendments will be made to existing licences.

7.The attention of applicants is directed to Section 18(4) of the Misuse of Drugs Act 1971 which makes it an offence, punishable by imprisonment or fine or both, for any person to make a declaration or statement which is false in any particular for the purpose of obtaining the issue, grant or renewal of any licence or authority under the Act.

INSTRUCTIONS FOR COMPLETING THIS FORM

1.You must screen-complete all 3 pages of the following application form, other than those areas shaded in grey, which are for official use, Failure to complete all 3 pages correctly may result in your application being rejected.

2.Applications will be accepted only from persons licensed or otherwise authorised to possess drugs controlled under the Misuse of Drugs Act 1971. Such applications must always be made by the actual importer, and not by a forwarding agent (i.e. shipping agent or other such person) on his behalf.

3.BOX 1–COMPANY APPLICATION REFERENCE: Applicants are asked to provide a unique reference on each application and to quote this reference in any further communication. Further communications can be dealt with more expeditiously if your reference relates to one application only.

4.Original documentary evidence that shows where the substances were manufactured may be required in support of the application.

5.BOX8 –PARTICULARS OF EACH ITEM TO BE EXPORTED:The following requirements should be observed:

(a)Not more than one item should appear on each line.

(b)Weights should be stated in metric measures to three decimal places. Commas should not be used. The conversion to base drug at BOX 9 should always be quoted in grammes.

(c)Each item should be separately and fully described. The quantity and form in which the item will be imported should be stated, e.g. 200 x 12 x 2.15ml. ampoules Pethidine hydrochloride 100mg 2ml containing XXX grammes Pethidine base (overage should be included where applicable) and the following additional information should be given in respect of:

(i)Raw Opium: State the percentage of anhydrous morphine content and the country of origin.

(ii)Coca Leaves: State the country of origin.

(iii)Crude Drugs:State the percentage of pure drug content.

(iv)Preparations:The drug content of opium preparations should be given in terms of anhydrous morphine. The drug content of all other preparations should be given in terms of the relevant anhydrous base.

(d)If you cannot include all items in BOX 8 you will need to apply for multiple licences. DO NOT ATTACH ADDITIONAL PAGES WITH SCHEDULES AS THESE WILL BE REJECTED

6.The declaration at BOX 10 must specify a named responsible individual. If the importer is an individual, he must be named, if it is a partnership, a partner must be named; if it is a company, a Director or the Company Secretary must be named.

7.The completed form should be e-mailed ASA WORD DOCUMENT ONLY, whilst ensuring that the 3 pages remain individual, (i.e. they do not run onto another once completed) to:

8.BOXES 11 and 13 of page 1 of the licence must be completed immediately following importation and returned to this office within 7 DAYS of shipment.

MISuse of drugs act 1971
IMport licence

1 / 1. Importer (name, address and telephone number):
Company Application Reference: / 2. Licence Number:
______
THIS COPY TO BE RETURNED BY LICENSEE TO HOME OFFICE FOLLOWING IMPORT
3. Expiry date:
4. Exporter (name and address): / 5. Issuing Authority:
Drugs Licensing & Compliance Unit, Home Office,4thFloorFryBuilding, 2 Marsham Street, LondonSW1P 4DF
Tel: 0207035 0476/0479/0484
6. Country of manufacture: / 7.Reason for shipment:
Is this shipment intended for RE-EXPORT/DOMESTIC USE?
(please delete as appropriate)
If for RE-EXPORT please give the name of the country to which the drug(s) will finally be shipped:
______
8. Particulars of each item to be imported: / 9. Conversion to base drug (in grammes to 3 decimal places) for each item:
1
10. Declaration (by the applicant):
Print Name: ______Position: ______
Date: ______
11. Important: Has the whole consignment for which the licence has been granted been imported? - YES/NO (Please delete as appropriate)
If not, please give details below of the actual amount imported in anhydrous base and in grammes:
12.
Signature: ______
Date: ______Stamp: / 13. Important:CONFIRMATION OF IMPORT INTO THE UK (SEEBOX 11)
(For completion by the licensee and return to the Home Office immediately following importation)
Date of import:______
Signature: ______
Responsibility in organisation: ______
Date of signature:______

N.B. THIS LICENCE IS NOT VALID WITHOUT THE EMBOSSED SEAL IN BOX 12

Misuse of drugs act 1971
IMport licence

2 / 1. Importer (name, address and telephone number):
Company Application Reference: / 2. Licence Number:
______
THIS Copy foR the competent AUTHORITY abroad
3. Expiry date:
4. Exporter (name and address): / 5. Issuing Authority:
Drugs Licensing & Compliance Unit, Home Office,4thFloorFryBuilding, 2 Marsham Street, LondonSW1P 4DF
Tel: 0207035 0476/0479/0484
6. Country of manufacture: / 7.Reason for shipment:
Is this shipment intended for RE-EXPORT/DOMESTIC USE?
(please delete as appropriate)
If for RE-EXPORT please give the name of the country to which the drug(s) will finally be shipped:
______
8. Particulars of each item to be imported: / 9. Conversion to base drug (in grammes to 3 decimal places) for each item:
2
10. Declaration (by the applicant)
Print Name: ______Position: ______
Date: ______

Misuse of drugs act 1971
IMport licence

3 / 1. Importer (name, address and telephone number):
Company Application Reference: / 2. Licence Number:
______
Copy to ACCOMPANY THE CONSIGNMENT
3. Expiry date:
4. Exporter (name and address): / 5. Issuing Authority:
Drugs Licensing & Compliance Unit, Home Office,4thFloorFryBuilding, 2 Marsham Street, LondonSW1P 4DF
Tel: 020 7035 0476/0479/0484
6. Reason for shipment:
Is this shipment intended for RE-EXPORT/DOMESTIC USE?
(please delete as appropriate)
If for RE-EXPORT please give the name of the country to which the drug(s) will finally be shipped:
______
7. Particulars of each item be imported: / 8. Conversion to base drug (in grammes to 3 decimal places) for each item:
3
9. Declaration (by the applicant):
Print Name: ______Position: ______
Date: ______
10.
Signature: ______
Date: ______
Stamp:

N.B. THIS LICENCE IS NOT VALID WITHOUT AN EMBOSSED SEAL IN BOX 10