بلد الوجهة النهائية: ___________________ الحجم/الكمية: ________________ معلومات عن المنتج/التركيبة: ________________
Export information: Country of destination: _________________________ Volume / Quantity: ___________________ Product/Formulation information: _________________ Country of destination: _________________________ Volume / Quantity: ___________________ Product/Formulation information: _________________ Applied and planned administrative and other control measures to prevent illegal production (e.g. specific permit system, recording of production): ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Applied and planned administrative and other control measures to eliminate or reduce releases of the substances and other POPs (e.g. specific permit system): ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Other measures that will be taken during the exemption period to limit the risks to health and the environment: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________