ANNEXFormat for the submission of data and information under Article 12 of Regulation (EC) No 850/2004 on persistent organic pollutants
B.Triannual report on the application of Regulation (EC) No 850/2004 (Articles 12(1) and 12(3)).
Section I:General information
1.Member State:
2.Name and title of contact officer:
3.Full name of the institution:
4.Mailing address:
5.Telephone number:
6.Fax number:
7.E-mail address:
8.Date of the report (dd/month/yyyy):