遺伝資源の取得に係る許可証等に基づく報告Report Based on Permit or Its Equivalent Concerning Access to Genetic Resources

報告日Report date

-- 年year -- 月month -- 日date  ～  -- 年year -- 月month -- 日date

報告者Reporter

遺伝資源の適法な取得に係る事項Matters concerning the lawful access to genetic resources

■  許可証等の発給日 Date of issuance of the permit or its equivalent

-- 年year -- 月month -- 日date  ～  -- 年year -- 月month -- 日date

■  遺伝資源 Genetic resources

■  提供者と相互に合意する条件の設定の有無 Whether mutually agreed terms were established with the provider 有 Yes

■  商業的又は非商業的な利用の別 Whether the purpose is commercial use or non-commercial use 商業的利用 Commercial 非商業的利用 Non-commercial

■  当該遺伝資源の利用に併せて利用することを目的として当該遺伝資源に関連する伝統的な知識を取得して我が国に持ち込んだ場合 If the reporter obtained access to and imported traditional knowledge associated with the said genetic resources with an intention to utilize it in combination with the said genetic resources

先住民の社会または地域社会の情報に基づく事前の同意又は当該社会の承認及び関与によって当該知識を取得した The said knowledge was accessed based on a prior informed consent or approval and involvement of indigenous or local communities

先住民の社会または地域社会と相互に合意する条件を設定し、当該知識を取得した The said knowledge was accessed by establishing mutually agreed terms with indigenous or local communities

遺伝資源の利用（研究及び開発）に係る事項Matters concerning the utilization of genetic resources (research and development)

報告者自らが遺伝資源を利用 The genetic resources will be utilized by the reporter him/herself

報告者から譲り受けた別の者が遺伝資源を利用 The genetic resources will be utilized by a person who receives them from the reporter

その他 Others

報告の区分Category of the report