Annex 9 – Movement Document

The document is a picture of a bilingual movement document. It looks like a form. The movement document has three parts: part A, part B and part C. Each part includes multiple fields, which differ in each part.



A. Exporter/foreign exporter























 

Importer/foreign receiver






















 

Material

Prov. codeShipping nameClass/Sub. class(es)UN No.
Packing/risk gr.Quantity shippedUnits L or kgPackagingLSPG Code
No.Int.-ext. Codes
Notice No.Notice Line No.ShipmentOfD or R code
C codeBasel Annex VIII or OECD CodeH codeY codeNational code in country ofCustoms code(s)
ExportImport

Attached
As follows

 

Exporter/foreign exporter certification: I certify that the information contained in Part A is correct and complete.


______________________________
Name of authorized person


______________________________
Signature     






A.M.    P.M.


B. Carrier















Registration No.   Prov.

Registration No.   Prov.

 

exporter/foreign exporterCarrier Certification: I certify that I have received waste or recyclable material from the exporter/foreign exporter for delivery to the importer/foreign importer as set out in Part A and that the information contained in Part B is complete and correct.


______________________________
Name of authorized person



 

 

______________________________
Signature     

 

C. Importer/ foreign receiver



Yes
No, complete the box below

 




















A.M.    P.M.



Quantity receivedUnits
L or kg
CommentsHandling CodeShipmentDecont.
AcceptedRefusedPack.Veh.



Importer / foreign exporter certification: I certify that the information contained in Part C is correct and complete.


______________________________
Name of authorized person


______________________________
Signature     


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