Professional Documents
Culture Documents
General permit
Initial Application
Adhoc permit
Person within the Applicant's organization who has the overall responsibility for the transport of dangerous goods by air:
Name:
Job Title:
Address:
Phone:
Mobile
Fax:
Email:
Type of Operations:
Domestic
International
Training Services
Charter
Helicopter
Non-scheduled
Medical Evacuation
Others _________________________
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UN
Number
Hazard Class/Div
(subsidiary classes in
brackets)
Packing
Group
Packing
Instruction Used
(if applicable)
Quantity per
Package and
Number of
Packages
Emergency Response Information (including response procedures, the name and telephone number of 24-hour contact):
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Route:
Aircraft Type(s):
Port(s)/Country of Origin:
Port(s)/Country of Destination:
: ______________________________________________________
(Please Print Name)
(b) Date
: ______________________________________________________
(c) Signature
: ______________________________________________________
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