THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION PRIVATE MUSEUM
FOR INTERNAL USE ONLY
Template No.: T097
Template Title: TK-097 Relic Travel Request Abroad (C/F) — Permits — Travel Risk Assessment Form
Related Research Case IDs / Cluster:
Cluster C (Institution-Building & MoUs) / Cluster F (HGT Conflicts)
Linked Templates / Policies:
T31 Chain-of-Custody Log / T34 International Custodian Visit / T40 Cross-Border Enshrinement Governance / T59 International Lab & Cooperation / T66–T67 Conflict & Risk Logs
Date of form: ____ / ____ / ______
Prepared by / Role: _______________________
Office / Unit: ____________________________
Country / Location (Departure): _______________________
Confidentiality Level:
Internal only [ ] Restricted [ ] Sacred-Restricted / Sensitive [ ]
Use of this form (tick):
New case / action [ ] Follow-up [ ] Annual review [ ] Archive only [ ]
Fields (TK-097 Body)
1) Request Identification
1.1 Case title / reference: _____________________________________
1.2 Date request received: ____ / ____ / ______
1.3 Requested destination country/city: ________________________
1.4 Requesting party (institution/person): _____________________
1.5 Purpose of travel (tick):
Exhibition [ ] Ceremony [ ] Research/testing [ ] Diplomatic visit [ ] Enshrinement [ ] Other [ ]
1.6 Requested travel period: From ____ / ____ / ______ To ____ / ____ / ______
2) Relic Details (Facts Only)
2.1 Relic type (tick):
Buddha relic [ ] Arahant relic [ ] Relic container [ ] Associated sacred object [ ]
2.2 Relic description / identifier: _____________________________
2.3 Current custody location: _________________________________
2.4 Access level (tick):
Public [ ] Restricted [ ] Sacred-Restricted [ ]
2.5 Chain-of-custody record exists? Yes [ ] No [ ]
If yes, T31 reference: _______________________________________
3) Custodian and Escort Information
3.1 Primary custodian name/role: ______________________________
3.2 Additional escorts (names/roles): __________________________
3.3 Host custodian/institution abroad: ________________________
3.4 Written invitation received? Yes [ ] No [ ]
If yes, attach copy.
4) PERMITS AND LEGAL CLEARANCE CHECKLIST (MANDATORY)
Tick all that apply and attach documents.
4.1 Home Country (Departure) Permissions
Internal Board approval [ ]
Sangha advisory approval (if required) [ ]
Cultural / religious authority permit [ ]
Export / temporary export permit [ ]
Insurance approval [ ]
4.2 Host Country (Destination) Permissions
Official invitation from host institution [ ]
Import / temporary admission permit [ ]
Customs clearance plan [ ]
Confirmation relic will not be seized or tested without consent [ ]
4.3 Transport and Insurance
Approved transport method (no handover) [ ]
Courier / airline agreement reviewed [ ]
Full insurance coverage (travel + stay) [ ]
Emergency contact plan prepared [ ]
5) TRAVEL RISK ASSESSMENT (C/F)
Tick LOW / MEDIUM / HIGH and explain briefly.
5.1 Legal Risk
Risk level: Low [ ] Medium [ ] High [ ]
Notes: _______________________________________________________
5.2 Security Risk (Theft / Seizure / Protest)
Risk level: Low [ ] Medium [ ] High [ ]
Notes: _______________________________________________________
5.3 Political / Media Risk
Risk level: Low [ ] Medium [ ] High [ ]
Notes: _______________________________________________________
5.4 Custodial Integrity Risk
Risk level: Low [ ] Medium [ ] High [ ]
Notes: _______________________________________________________
5.5 Reputational / Conflict Risk (HGT)
Risk level: Low [ ] Medium [ ] High [ ]
Notes: _______________________________________________________
6) RISK MITIGATION MEASURES
Tick all that apply:
Continuous physical custody by HSWAGATA [ ]
No relic separation from custodian [ ]
Written no-testing / no-replication clause [ ]
No unscheduled media exposure [ ]
Secure storage confirmed at destination [ ]
Exit and return plan fixed in writing [ ]
7) DECISION THRESHOLD (MANDATORY)
If any risk in Section 5 is HIGH, then:
Travel must NOT proceed without Board + Legal + Sangha review [ ]
Additional safeguards added [ ]
Request postponed or declined [ ]
8) Final Decision Record
Decision (tick):
Approved [ ] Approved with conditions [ ] Postponed [ ] Rejected [ ]
Conditions (if any, must be written):
Approving authority (tick):
Board [ ] Sangha Advisory [ ] Joint [ ]
Decision date: ____ / ____ / ______
9) Travel Logging (After Approval)
Departure logged (date/time): ______________________________
Arrival confirmed (date/time): ______________________________
Daily custody check recorded [ ]
Return confirmed and inventory reconciled [ ]
10) Closure
10.1 Date relic returned (if applicable): ____ / ____ / ______
10.2 Condition on return verified? Yes [ ] No [ ]
10.3 Incident during travel? Yes [ ] No [ ]
If yes, link to incident report: _______________________________
11) Sign-Off
Prepared by: ________________________ Signature: ____________
Reviewed by (Compliance/Security): __________________ Signature: ____________
Approved by: ________________________ Signature: ____________
Date: ____ / ____ / ______
