Rotterdam Convention
on the Prior Informed Consent Procedure for Certain
Hazardous Chemicals and Pesticides in International Trade


FORM FOR IMPORT RESPONSE

Country:  


SECTION 1. IDENTITY OF CHEMICAL
1.1   Common name  

1.2  

CAS

    

1.3 Category           
  Pesticide
  Industrial
  Severely hazardous pesticide formulation

 





SECTION 2. INDICATION REGARDING PREVIOUS RESPONSE, IF ANY     
2.1 This is a first time import response for this chemical in the country.
2.2 This is a modification of a previous response.  
    Date of issue of the previous response:


SECTION 3. RESPONSE REGARDING FUTURE IMPORT
Final decision (Fill in section 4 below)       OR Interim response (Fill in section 5 below)
SECTION 4. FINAL DECISION, PURSUANT TO NATIONAL LEGISLATIVE OR ADMINISTRATIVE MEASURES
4.1 No consent to import    
  Is the import of the chemical from all sources simultaneously prohibited? Yes No
  Is domestic production of the chemical for domestic use simultaneously prohibited? Yes No
4.2 Consent to import    
4.3 Consent to import only subject to specified conditions    
  The specified conditions are:
   
  Are the conditions for import of the chemical the same for all sources of import? Yes No
  Are the conditions for domestic production of the chemical for domestic use the same as for all imports? Yes No
4.4 National legislative or administrative measure upon which the final decision is based
  Description of the national legislative or administrative measure:
   


SECTION 5. INTERIM RESPONSE
5.1 No consent to import    
  Is the import of the chemical from all sources simultaneously prohibited? Yes No
  Is domestic production of the chemical for domestic use simultaneously prohibited? Yes No
5.2 Consent to import    
5.3 Consent to import only subject to specified conditions    
  The specified conditions are:
   
  Are the conditions for import of the chemical the same for all sources of import? Yes No
  Are the conditions for domestic production of the chemical for domestic use the same as for all imports? Yes No
5.4 Indication of active consideration in order to reach a final decision
  Is a final decision under active consideration? Yes No
5.5 Information or assistance requested in order to reach a final decision
          The following additional information is requested from the Secretariat:
 
  The following additional information is requested from the country that notified the final regulatory action:
   
  The following assistance is requested from the Secretariat in evaluating the chemical:
   


  SECTION 6. RELEVANT ADDITIONAL INFORMATION, WHICH MAY INCLUDE:
  Is this chemical currently registered in the country? Yes No
  Is this chemical manufactured in the country? Yes No
  If yes to either one of these questions:    
  Is this intended for domestic use? Yes No
  Is this intended for export? Yes No
Other remarks


SECTION 7. DESIGNATED NATIONAL AUTHORITY
Institution   
Address   
Name of person in charge   
Position of person in charge   
Telephone   
Telefax   
E-mail address   



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