| Collector | Balslev, H. |
| Number | 9992 |
| Collected with | N. Sutjaritjai, V. Chamchumroon, W. & S. Eiserhardt, P. Sumanon, P. Panyadee, P. Kladwong & B. Pakinamhang |
| Country | Thailand |
| Subpart | Chiang Mai |
| County | |
| Locality | Jom Thong district. Doi Intanon National Park, Kew Mae Pan trail. Montane evergreen forest to 40 meters tall and trees to 1 m in diameter at breast height. Alpine meadow |
| Coordinates | 18° 33' 41.94'' N 98° 28' 35.38'' E |
| Minimum elevation (m) | 2314 |
| Maximum elevation (m) | 2314 |
| Start date | 2019/12/19 |
| End date | 2019/12/19 |
| Family | Oleaceae |
| Identification | Jasminum dispermum subsp. forrestianum (Kobuski) P.S.Green |
| Determined by | |
| Identification qualifier | |
| Field notes | Small tree, to 4 meters. |
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