Bijlage B Regeling vervoer gevaarlijke stoffen door de lucht BES: behorende bij artikel 19, eerste lid, van de Regeling vervoer gevaarlijke stoffen door de lucht BES

Regeling vervoer gevaarlijke stoffen door de lucht BES

1. This application is for: INITIAL AUTHORIZATION / RENEWAL 2. Full legal name of the operator/shipper/freight forwarder:1Delete what is not applicable 3. Operating/trading name (if different from above): 4. Name and position of the person with overall responsibility for the transport of dangerous goods by air for the company mentioned under 2.: 5. Contact information of the person mentioned under 4.: Date: Signature Treedt in werking om 00:00 uur in Bonaire, Sint Eustatius en Saba en om 06:00 uur in het Europese deel van Nederland.

• 1. Once completed the form must be returned to the Minister
• 2. Failure to complete this form in full may result in a delay in processing the application.
• 3. The issuing of this form does not in itself constitute an authorization to carry dangerous goods.
• (a) Address:
• (b) telephone number (office): telephone number (mobile):
• (c) facsimile number:
• (d) e-mail address:
• (a) telephone number: …..
• (b) facsimile number: …..
• (c) telex number / SITA code:
• (d) e-mail address: