Ph lc 24

MU VN BN NGH NGH XC NHN NG K

BN CAM KT BO V MI TRNG
(Km theo Thng t s 08/2006/TT-BYNMT ngy 08 thng 9 nm 2006
ca B Ti nguyn v Mi tng hng dn v nh gi mi trng chin lc,
nh gn tc ng mi trng v cam kt bo v mi trng)
.(l)
S:

V/v ngh xc nhn ng k

bn cam kt bo v mi trng
ca D n .............(2)..............

CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc
(a danh), ngy. . . . . thng. . . . . nm. . . . .

Knh gi: .................................(3)....................................

Chng ti l:.......(1)........, Ch D n:.........(2).............................................................
a im thc hin d n: .............................................................................................
a ch lin h:...
in thoi:.....................; Fax:.........................; E-mail:................................................
Xin gi n ................(3)................ nhng h s sau:
- Mt (01) bo co nghin cu kh thi (hoc bo co u t) ca D n;
- Ba (03) bn cam kt bo v mi trng ca D n bng ting Vit;
Chng ti xin m bo v trung thc ca cc s liu, ti liu trong cc vn bn
nu trn v cam kt rng, D n ca chng ti khng s dng cc loi ha cht, chng vi
sinh b cm theo quy nh ca Vit Nam v quy nh ca cc cng c quc t m Vit
Nam l thnh vin. Chng ti cng xin bo m rng cc tiu chun, quy chun, quy nh
c trch lc v s dng trong cc h s nu trn ca chng ti l ng s thc v ang
c hiu lc p dng.
Nu c g sai tri chng ti xin hon ton chu trch nhim trc php lut ca nc
Cng ha x hi ch ngha Vit Nam.
ngh..(3).. xem xt, ng k v cp giy xc nhn bn cam bo v mi
trng ca D n.
Ni nhn:
- Nh trn;
- Lu ......

............(4)...........
(K, ghi h tn, chc danh, ng du)

Ghi ch:
(1) Tn c quan, doanh nghip ch d n ;
(2) Tn y ca D n;
(3) C quan c thm quyn xc nhn ng k;
(4) Th trng c quan, doanh nghip ch d n ;