- Um: VT,....
BQ TatiONG
MItu so 05 CQNG Hem XA HQI CHU NGIIIA VIET NAM
Dec lap - Tv do - Ranh pink
DON DE NMI! GIA HAls. 'CLAY MEP TIEP CAN NGUON GEN Kinh gni: (Ca quan nha nuere co thim quytn).
1. Thong tin chung
- T6 chirc, eft than de nghi gia hart thni gian tiep can nguan gen:
+ Doi ved to chat: Ten day di' ctia to chirc; so, ky hieu cua giay phep Clang ky kinh doanh, hoat dQng hoac quytt dinh thanh lap, ngly cap, nth cap; ten nguiri dai dien cua to chirc; chirc vu; ten ngueri dai dien lien lac cua to chirc; dia chi lien he; dien thoai; fax; dia chi thu dien dr;
+ D6i vii ca than:
H9 va ten; so the can cute tong clan hoac giay ter tuang throng, ngay cap, not cap; dia chi hen he; then thoai; fax; dia chi thu dien dr;
Thong tin chi Wet ve to ethic khoa h9c va Wong nghe ma ca nhan la thanh vien: Ten da'y du dm to chin; s6, ky hieu cua gia'y chimg nhan clang ky hoat thing khoa h9c va Wong nghe, ngly cap, not cap; ten ngtrilri dai dien cua to chirc; ethic vu; dia chi lien he; dien thoai; fax
- Giay phep tiep can ngutn gen di duce cap theo Quyet dinh so /Q13- _ ngay ... thing ... Warn ... cua Be truthg Be...
2. Tom tat tinh hinh, ket qua hoat clang tiep can ngutn gen va chia se Pal ich da thvc hien
3. NOi dung a nghi gia hat Gray phip tiep can ngulin gen
- L9 do (n8u r6 ly do va giai trinh) ve de nghi gia haw - Thin gian de nghi gia hart: Tir... dtn
4. Thi lieu gui kern theo (liet ke cac tai lieu kern theo quy dinh tai khoan 2 Dieu 17 Nghi dinh st.../2017/ND-CP ngay thing nam 2017 dm Chinh pin) vt quan ly tiep can ngu6n gen va chia se Igi ich tir viec sir dtmg ngu6n gen).
(Ten to chirc, ca than de nghi) bao dam va hoan toan chiu trach nhiem truerc phap luat cua nubs ging hem xa hOi chn nghia Via Nam ye tinh trung th(rc cua cac thong tin, dCk lieu dopy cung cep trong don de nghi nay va he sa kern theo.
De nghi quY ca quan xem 'cot gia han Giay phip tiep can ngu8n gen da
duct cap./.
(1)/a danh), Sing ... nom ..
To chtidea nhfin de nghi
(KJ% ghi ro ho va ten ken theo chtec danh, dung &du Mu co)
17
BO ...
Mau s6 06 CQNG HOA XA H01 CHU NGHIA VIST NAM
DOe lap - Ty do - Hanh phew St: /QD-.... (Dia danh), ngiry thang nom
QUYET DINH
Ve viec gia hen Giay phi') dap can nguon gen
BQ TRUONG BQ ...
Can cur Nghi dinh s6 .../201.../ND-CP ngay thing .... nam
Chinh phu quy dinh chile nang, nhiem vu, quyen han va ca cAu to chirc cua Be...;
Can cu ?Ighi dinh s6 /2017/ND-CP ngay thing nam 2017 dm Chinh phi ve quan 13? 68p can nguon gen va chia se Igi ich tir viec sir dung nguon gen;
Xet he sa nghi gia han Giay phep tiep can ngu'6'n gen dm... (ten t6 chirc/ca than);
Theo de nghi cua (ten ca quan thirtmg true them dinh),
QUYET D1NH:
Dieu 1. Gia han thai gian tiep can nguon gen tai Quyet dinh se /QD-
.... ngay thang nam ... cua Be truemg Be .... ye viec cap Giay phep tiep can nguon gen tir ngay... thing ... nam ... den ngay thing nam
Dieu 2. Cac not dung Ichong dieu chinh tai Quyet dinh nay thuc hien theo Quyet dinh so /9D-. ngay ... thing ... nam Be truing B6 .... ve viec cep Giay phep tiep can nguon gen.
Dieu 3. Quyet dinh nay co hieu hie thi hanh ke tir ngay k5/ d6n ngly
thing nam
Dieu 4. Thil fling (ten ca quan thuemg Ulm them dinh), (ten to chirc, ca nhan) chiu trach nhiem thirc hien Quyet dinh nay./.
Noi nhtin:
- Nhu. Dieu 4;