THIRD SCHEDULE Form of Access Permit This permit is hereby granted to M/s. ………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………….. (insert name, contact address and description of applicant) in accordance with regulation 13 of the Environmental Management and Co-ordination (Conservation of Biological Diversity and Resources, Access to Genetic Resources and Benefit Sharing) Regulations, 2006 for the collection of the following genetic resources: ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… …………………………………………………………………………………………. (insert description of the genetic resource, its derivative product(s) or intangible component(s) as stated in the Materials Transfer Agreement) located at ………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… …………………………………………………………….. (insert geographical description of the location of the genetic resources). This permit is issued subject to the Regulations and all agreements concluded pursuant to its grant, and may be suspended, cancelled or revoked should the holder breach any of those agreements and the conditions of issue and those contained in the Regulations. M/s. ……………………………………………………………….. (insert name of applicant) being the holder of this permit, including his agents and assignees, undertake to abide by the conditions of this permit and to promptly report to the National Environment Management Authority any matter that may prejudice the interests of Kenya and other parties concluded pursuant to the grant of this permit. Signed: …………………………… Date: ………………….. Director General, National Environment Management Authority Dated the ………………………………….….……….., 2006. KIVUTHA KIBWANA, Minister for Environment and Natural Resources 18 (r. 12)