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Commission Implementing Decision (EU) 2017/2287Show full title

Commission Implementing Decision (EU) 2017/2287 of 8 December 2017 specifying the forms to be used in relation to the import of mercury and of certain mixtures of mercury pursuant to Regulation (EU) 2017/852 of the European Parliament and of the Council on mercury (notified under document C(2017) 8190) (Text with EEA relevance)

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Changes over time for: FORM FOR CERTIFICATION OF THE SOURCE OF MERCURY, WHETHER IN PURE FORM OR IN MIXTURES, TO BE EXPORTED

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FORM FOR CERTIFICATION OF THE SOURCE OF MERCURY, WHETHER IN PURE FORM OR IN MIXTURES, TO BE EXPORTEDU.K.

Section A:U.K.Shipment information to be provided by the exporting country

(i)

Please indicate the intended total quantity of mercury whether in pure form or in mixtures to be shipped

(ii)

Please indicate the intended date(s) of shipment(s)

Section B:U.K.Shipping information

ImporterU.K.

Name of business:

Address:

Tel.:

Fax:

Email:

ExporterU.K.

Name of business:

Address:

Tel.:

Fax:

Email:

Section C:U.K.Certification

In accordance with Article 3(8) of the Minamata Convention on Mercury, my Government certify that the mercury included in the shipment described in this form is not from primary mercury mining

Please, provide supporting information on the source of the mercury to be exported

Signature of responsible government official and date:

  • Name

  • Title:

  • Signature

  • Date:

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