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Section C Annex C 2008 Final
Section C Annex C 2008 Final
Version 2008
Form C-2 Country Code:
Section: C
Initial Declaration of new Schedule 1
Page of n pages:
facilities Date (ccyy-mm-dd):
Version 2008
Form C-3 Country Code:
Section: C
Annual declaration of Schedule 1
Page of n pages:
chemicals and activities at Schedule 1 Date (ccyy-mm-dd):
facilities during the previous year
Version 2008
Form C-4 Country Code:
Section: C
Annual Declaration of projected
Page of n pages:
activities and anticipated production Date (ccyy-mm-dd):
Version 2008
Attachment I to C Forms Country Code:
Section: C
Declaration of the Single Small-Scale
Page of n pages:
Facility Date (ccyy-mm-dd):
Confid.
mark
(i) Narrative
(ii) Detailed diagrams
(iii) Inventory of the equipment
(iv) Volume in litres of largest reactor vessel
(v) Total volume in litres of all reactor vessels exceeding
a volume of 5 litres
Version 2008
Attachment II to C Forms Country Code:
Section: C
Declaration of other Schedule 1 facilities
Page of n pages:
Date (ccyy-mm-dd):
Facility code:
Name of the facility:
Name of the operator of the facility:
Building or structure number, if any:
Street address of facility:
Latitude, longitude/Precise location:
(i) Narrative
(ii) Detailed diagrams
(iii) Inventory of the equipment
Version 2008
Form CN-1 Country Code:
Section: C
Primary Notification of Schedule 1
Page of n pages:
Chemicals and Facilities: Advance Date (ccyy-mm-dd):
Notification of Planned Changes to the
Initial Declaration of Declared Facilities
Version 2008
Form CN-2 Country Code:
Section: C
Notifications for Transfers of Schedule 1
Page of n pages:
Chemicals: Notification of a Planned Date (ccyy-mm-dd):
Transfer to or from the Notifying State
Party
Confid.
mark
Version 2008
Attachment I to Form CN-2 Country Code:
Section: C
Detailed Notification of a Planned
Page of n pages:
Transfer of a Schedule 1 Chemical to or Date (ccyy-mm-dd):
from the Notifying State Party
Version 2008
Form 1.1 Country Code:
Section: C
Annual Declaration of Schedule 1
Page of n pages:
Chemicals at the SSSF as well as at Date (ccyy-mm-dd):
Other Schedule 1 Facilities during the
Previous Year
Facility code:
Version 2008
Form 1.1.1 Country Code:
Section: C
Annual Declaration of Schedule 1
Page of n pages:
Chemicals at the SSSF and Other Date (ccyy-mm-dd):
Schedule 1 Facilities: Name and
Quantity of Precursors Listed in
Schedule 1, 2 or 3 Used for the
Production of Schedule 1 Chemicals
Facility code:
Version 2008
Version 2008
Form 1.1.2 Country Code:
Section: C
Annual Declaration of Schedule 1
Page of n pages:
Chemicals at the SSSF: Transfer of Date (ccyy-mm-dd):
Schedule 1 Chemical to or from Other
Facilities within the State Party
Confid.
mark
Facility code:
Version 2008
Form 1.1.3 Country Code:
Section: C
Annual Declaration of Other Schedule 1
Page of n pages:
Facilities: Supply of Schedule 1Chemical Date (ccyy-mm-dd):
to Other Facilities within the State Party
Confid.
mark
Facility code:
Version 2008
Form 1.2 Country Code:
Section: C
Detailed Annual Declaration of
Page of n pages:
Transfers to or from the Declaring State Date (ccyy-mm-dd):
Party During the Previous Year
Confid.
mark
Version 2008
Form 1.2.1 Country Code:
Section: C
Detailed Annual Declaration of Each
Page of n pages:
Transfer of Schedule 1 Chemicals Date (ccyy-mm-dd):
Name of source:
Street address:
Recipient country (use country codes, see Appendix 1):
Name of recipient:
Street address:
Please specify purposes of transfer (use C01 to C06 of
Appendix 8 codes or specify):
Quantity transferred:
Date of transfer:
1 Paragraph 6 of Part VI of the Verification Annex requires the recipient to be declared but does not require the
source. However, many States Parties provide information on the source on a voluntary basis.
Version 2008
Form 1.3 Country Code:
Section: C
Declaration of Projected Activities and
Page of n pages:
Anticipated Production of Schedule 1 Date (ccyy-mm-dd):
Chemicals at the SSSF
Facility code:
Version 2008
Form 1.4 Country Code:
Section: C
Declaration of Projected Activities and
Page of n pages:
Anticipated Production of Schedule 1 Date (ccyy-mm-dd):
Chemicals at Other Schedule 1 Facilities
Facility code:
Version 2008
Version 2008