Department of Environment and Natural Resources

National Capital Region

National Ecology Center, East Avenue, Diliman, Quezon City
E-mail: denrncr@hotmail.com

APPLICATION FOR CERTIFICATE OF WILDLIFE REGISTRATION

______________________
Date

The Regional Director

DENR – National Capital Region
National Ecology Center, East Avenue
Quezon City

Thru: The ARD, Technical Services

Sir/Madam:

I, _____________________________________________ with the address at

____________________________________________________________________________
_______ with telephone number _____________________________ have the honor to apply
for the registration _______________________________ located at
___________________________________________ with telephone
number_____________________________ and registration of wildlife species maintained
thereat which are as follows:

Species Number of heads

1.
2.
3.
4.
5.

I understand that the filing of this application conveys no right to continuously possess
wildlife until the Certificate of Wildlife Registration is issued to me by the Regional Director of
DENR-NCR.

_________________________
Signature of applicant

Inspected by:

__________________________________