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Belize Forest Department Logo
FOREST DEPARTMENT
Ministry of Natural Resources and the Environment
#23/25 Unity Blvd, Belmopan, Belize
Tel: (501) 822-1524 Fax: (501) 822-1523
General email: fdsecretary@mnrei.gov.bz
 Chief Forest Officer
cfo@mnrei.gov.bz

Programmes:
biodiversity@mnrei.gov.bz
forestmanagement@mnrei.gov.bz
forestrevenue@mnrei.gov.bz
mangroves@mnrei.gov.bz nationalparks@mnrei.gov.bz
frpm@mnrei.gov.bz
wildlife@mnrei.gov.bz
SCIENTIFIC COLLECTION/RESEARCH REGISTRATION FORM

NOTE : All fields are required unless noted otherwise.

NOTE : If you would like to renew your existing permit, please enter your permit # and hit "Renew". All fields will be filled be in with existing data. You will be responsible changing the appropriate dates and other related information. On submit, the application will treated as a new application and a new permit number will be assigned on approval.


Name of Researcher (Max : 250 characters)
Name of Institution (Max : 250 characters)
Address of Institution (Max : 250 characters)
Nationality (Max : 250 characters)
Passport Number (Max : 250 characters)
Telephone (Max : 20 characters)
Fax (Max : 20 characters)
Email (Max : 100 characters)
Permanent Address (Max : 250 characters)
Address in Belize (Max : 250 characters)
Telephone (Max : 20 characters)
Fax (Max : 20 characters)
Email (Max : 100 characters)
Title of Research Project (Max : 250 characters)
Research Objective (Max : 500 characters)
Summary or Abstract (Include Methodology) (Max : 1000 characters)
Expected Duration of Project (Max : 250 characters)
Accumulating Data From : Pick a date
To : Pick a date
Analyzing Data From : Pick a date
To : Pick a date
Expected Date Report Due Pick a date
Site(s) Where Research Will Be Carried Out (Max : 500 characters)
Number of Companions(Include names, qualifications and the functions to be carried out) (Max : 500 characters)

Are you expected to camp in any protected areas?

NOTE: A separate permit from the Forest Department will be required.

Yes No
If yes, where (Max : 500 characters)
For how many days(Max : 10 characters)
Specify(Species, common names, number of specimens, measured quantities, weights, form etc) (Max : 500 characters)
Destination of all specimen collected under loan (Max : 250 characters)
Anticipated results after project implementation (Max : 500 characters)
Source of Financing for research (Max : 500 characters)
Collaborating Institution in Belize (Max : 250 characters)
Name of Contact Person (Max : 250 characters)
Address (Max : 250 characters)
Telephone (Max : 20 characters)
Fax (Max : 20 characters)
Logistical Support Required from them (Max : 250 characters)
Does the research pursue or intends to purse commercial ends? Yes No

Would you like details of your research to be viewed by general users of the CHM?

Note : Following fields will be made available to the users.
- Name of the researcher
- Title of research
- Research objective
- Summary or Abstract
- Expected duration of project.

Yes, I would like the details of my research to be made available to the general users of the CHM
No, I would like to keep the details of my research confidential.
Do you have an account with Belize CHM? Yes No
If you have an account with Belize CHM, please specify the username you use to sign into the site (Password is not required).
If you do not have an account with Belize CHM, then please specify a username-password combination which you will want to use to submit research reports and proposals.
Username (8 characters)
Password (8 characters)


I certify that the above information is true.
I agree to comply with Appendix I and II.