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Register for Small Parcels of Health Products and Technologies (HPTs)
Client's Full Name
Client's Phone Number
Client's Email
Country of Origin
Select Country of Origin
AFGHANISTAN
ALBANIA
ANTARCTICA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANTIGUA AND BARBUDA
AZERBAIJAN
ARGENTINA
AUSTRALIA
AUSTRIA
BAHAMAS
BAHRAIN
BANGLADESH
ARMENIA
BARBADOS
BELGIUM
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOWINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BELIZE
BRITISH INDIAN OCEAN TERRITORY
VIRGIN ISLANDS(BRITISH)
BRUNEI DARUSSALAM
BULGARIA
MYANMAR
BURUNDI
BELARUS
CAMBODIA
CAMEROON
CANADA
CANTONE AND ENDE
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
SRI LANKA
CHAD
CHILE
CHINA
TAIWAN
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
MAYOTTE
CONGO
ZAIRE
COOK ISLANDS
COSTA RICA
CROATIA (local name: Hrvatska)
CUBA
CYPRUS
CZECH REPUBLIC
BENIN
DENMARK
ETHIOPIA
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
FAROE ISLANDS
FALKLAND ISLANDS (MALVINAS)
FIJI
FINLAND
FRANCE METROPOLITAN
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
DJIBOUTI
GABON
GEORGIA
GAMBIA
Palestinian Territory
GERMANY
GHANA
GIBRALTAR
KIRIBATI
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUYANA
HAITI
HEARD AND MC DONALD ISLANDS
VATICAN CITY STATE (HOLY SEE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISRAEL
ITALY
COTE DIVOIRE
JAMAICA
JAPAN
JOHNSTON ISLAND
KAZAKHSTAN
JORDAN
KENYA
"KOREA DEMOCRATIC PEOPLE""S(NORT"
KOREA REPUBLIC OF (SOUTH KOREA
KUWAIT
KYRGYZSTAN
LAO PEOPLE DEMOCRATIC REPUBLIC
LEBANON
LESOTHO
LATVIA
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MADAGASCAR
MALAWI
MALAYSIA
MALI
MALTA
MARTINIQUE
MAURITANIA
MAURITIUS
MEXICO
MIDWAY ISLAND
MONACO
MONGOLIA
MOLDOVA
MONTSERRAT
MOROCCO
MOZAMBIQUE
OMAN
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
ARUBA
NEW CALEDONIA
VANUATU
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORWAY
NORTHERN MARIANA ISLANDS
UNITED STATES MINOR OUTLYING I
MICRONESIA
MARSHALL ISLANDS
PALAU
PAKISTAN
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
UINEA-BISSAU
EAST TIMOR
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
ST. HELENA
SAINT KITTS AND NEVIS
ANGUILLA
SAINT LUCIA
ST. PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADIN
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA (Slovak Republic)
VIET NAM
SLOVENIA
SOMALIA
SOUTH AFRICA
ZIMBABWE
SPAIN
WESTERN SAHARA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN ISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAJIKISTAN
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
UNITED ARAB EMIRATES
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
MACEDONIA
EGYPT
UNITED KINGDOM
TANZANIA
UNITED STATES
US MISCELLANEOUS
VIRGIN ISLANDS (U.S.)
BURKINA FASO
URUGUAY
UZBEKISTAN
VENEZUELA
WAKE ISLAND
WALLIS AND FUTUNA ISLANDS
SAMOA
YEMEN
Serbia and Montenegro
ZAMBIA
United Nations Interim Adminis
INDIA
SOUTH AFRICA
South Sudan
Port Of Entry
Select Port Of Entry
Jomo Kenyatta International Airport (Air)
Wilson Airport (Air)
Eldoret International Airport (Air)
Kisumu International Airport (Air)
Kilindini (Sea)
Inland Container Deport - Embakasi (Sea)
Moi International Airport (Air)
Inland Container Deport - Pepe (Sea)
Busia (Land)
Taveta Border (Land)
Namanga (Land)
Malaba (Land)
Isibania (Land)
Lunga Lunga (Land)
Citi Square (Post Office)
Express Mail Service - GPO (Post office)
EPZ Athi River (EPZ)
Parcel No: RDP/DP/AM
Tracking No
Exporter
Consignee
Select HPT Category
Select HPT Category
Pharmaceutical product(s)
Medical Device(s)
Vaccines and other Biological product(s)
Medical Donation
Parallel import
Samples for Clinical Trials
Raw Materials
Promotional and Packaging materials
Drug Samples for registration
Prescription medicines
Laboratory chemicals and reagents
Borderline products
Weight (Kgs)
Purpose of the import
Purpose of the import
Personal
Donations
Describe purpose of the import
Value (USD) or equiv. in (Ksh)
Attach Evidence/ProForma
Parcel Products
Add Parcel Products
Add Parcel Products
Append Signature
Sign Below
Clear
Declaration
I confirm that the information given in this form is true, complete and accurate.
Submit Small Parcel Application
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Product Details Entry Form
Product Name
Quantity (Units)
Batch No
Expiry Date
