ANNEX 2: PRIOR INFORMED CONSENT Regulation 12(2) SECOND SCHEDULE THE NATIONAL ENVIRONMENT (ACCESS TO GENETIC RESOURCES AND BENEFIT SHARING) REGULATIONS, 2005 PRIOR INFORMED CONSENT Form: AGR 3 I / we*………………………………………………………………………………………………………………… ……………………. being the owner(s) / custodian(s) of the following genetic resources …………………………………………………………………………��………………………………………… ………………………… ……………………………………………………………………………………………………………………… …………………………. (State the genetic resources) Located at…………………………………………………………………………………………………………………… …………….. (State location by local council, village, parish, sub-county and district) Hereby consent that ………………………………………..…………………………………………………………………………. (Name and address of applicant for prior informed consent) may apply to the competent authority for consideration to access the above stated genetic resources found under my / our ownership / custody. This consent is valid from……………………..….20…...… to……20….………… This consent is granted subject to the following conditions: 1.…………………………………………………………………………………………………………………… …………………………. 2.…………………………………………………………………………………………………………………… …………………………. 3.…………………………………………………………………………………………………………………… …………………………. 4.…………………………………………………………………………………………………………………… …………………………. 5.…………………………………………………………………………………………………………………… …………………………. The applicant(s) has*/have* obtained the following accessory agreements: 1.…………………………………………………………………………………………………………………… …………………………. Guidelines for Access to Genetic Resources and Benefit Sharing  32