Schedule 2
FORMS
FORM 1
(Regulation 4)
SAINT LUCIA
Saint Lucia National Ozone Unit
APPLICATION FOR REGISTRATION
AS AN IMPORTER/EXPORTER OF OZONE DEPLETING SUBSTANCES (ODS) or NON-ODS
| Name of Applicant: |
| Name of Enterprise, where applicable: |
| Street Address of Applicant / Enterprise: |
| Mailing Address of Applicant / Enterprise: |
| Telephone number : |
| Facsimile number: |
| Email: |
| of hereby applies for registration |
| (applicant's name) (enterprise name where applicable) |
| as an importer/exporter of the following types of ODSs / Non-ODSs: |
| HCFCs | | Types: HS Code |
|
| Non-ODS | | Types: HS Code |
|
| Other | | Types: HS Code |
| | |
| Signature of Applicant | Date |
FORM 2
(Regulation 5)
SAINT LUCIA
Saint Lucia National Ozone Unit
CERTIFICATE OF REGISTRATION
TO IMPORT/EXPORT OZONE DEPLETING SUBSTANCES (ODS) / NON-ODS
| Importer/Exporter number: |
| Certificate number: |
| This is to certify that |
| (importer's/exporter's name) |
| of |
| (enterprise name) |
| Is a registered Importer/Exporter of the following types of ODSs / Non-ODSs: |
| HCFCs | | Types: HS Code |
|
| Non-ODS | | Types: HS Code |
|
| Other | | Types: HS Code |
| |
| National Ozone Officer |
| Signature |
| |
| Date |
| (Official Stamp of National Ozone Unit) |
| Copy: Ministry responsible for commerce, |
FORM 3
(Regulation 6)
SAINT LUCIA
APPLICATION FOR IMPORT/EXPORT LICENCE FOR
OZONE DEPLETING SUBSTANCES (ODS) / NON-ODS
| Registered Importer/Exporter number: |
| Importer/Exporter: |
| (registered importer's/exporter's name) |
| Of: |
| (enterprise name) |
| Date: |
| Sir, |
| As a registered Importer of ODSs, with an annual quota of |
| ODP kg., (where applicable), I hereby apply for a licence to import the following ODS/Non-ODS: |
Name of
ODS /
Non-ODS | HS Code | Annual Quota where applicable | Amount Imported for Current | Amount to be Imported | Country of Export |
| Kg. | ODP Kg. | | Kg. | ODP | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| Estimated Date of Arrival/Departure : |
| |
| (Signature of importer) |
| As a registered exporter, I hereby apply for a licence to export the following ODS: |
| Name of ODS or Non-ODS | HS Code | Amount to be exported | Country of export |
| | | |
| | | |
| | | |
| | | |
| | | |
| |
| (Signature of exporter) |
| National Ozone Officer: |
| (Signature) |
| Date: |
| Copy : | Ministry responsible for the environment. |
| | Customs and Excise Department. |
FORM 4
(Regulation 7)
SAINT LUCIA
LICENCE TO IMPORT/EXPORT OZONE DEPLETING SUBSTANCES (ODS) / NON-ODS
| Year |
| Licence number: |
| This is to certify that: |
| (importer's/exporter's name) |
| Importer/Exporter: |
| of: |
| (enterprise name and address) |
| is granted a licence to import* the following ODS: |
Name of
ODS /
Non-ODS | HS Code | Annual Quota | Amount Imported for Current | Amount to be Imported | Country of Export |
| Kg. | ODP Kg. | | Kg. | ODP | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| Estimated Date of Arrival: |
| Importing Year: |
| Cumulative Import to date, for importing year: |
| Quantity of Current Import: |
| Balance for importing year: |
| Is granted a licence to export the following ODS: |
| Name of ODS / Non-ODS | HS Code | Amount to be exported | Country of export |
| | | |
| National Ozone Officer : | |
| Date: | |
| * A licence is required per import/export. |
| Copy : | Ministry responsible for the environment. |
| | Customs and Excise Department. |
FORM 5
(Regulation 9)
SAINT LUCIA
Customs and Excise Department
ORDER FOR RETROFIT
| Name of person importing: |
| Address of person importing: |
| Telephone number: |
| Equipment/Goods Imported: |
| Date of Entry into St. Lucia: |
| is hereby ordered to retrofit the equipment/goods |
| (name of person importing) described above, by a Licensed Retrofitter as guided by the National Ozone Unit, no later than . |
| (date) |
| |
| Comptroller,
Customs and Excise Department. |
| |
| Date |
| Copy: Ministry responsible for the environment. |
FORM 6
(Regulation 10)
SAINT LUCIA
Saint Lucia National Ozone Unit
APPLICATION FOR RETROFIT LICENCE
| Name of Applicant: |
| Street Address of Applicant: |
| Mailing Address of Applicant: |
| Telephone number: |
| of a qualified retrofitter, hereby |
| (applicant's name) (address of applicant) |
| applies for a license to retrofit equipment using ozone depleting substances, to an ozone friendly refrigerant, under the guidance of the National Ozone Unit. |
| |
| Signature of retrofitter |
| Date |
| For Official Use Only |
| DECISION |
| Approved | | |
|
| Not Approved | | |
| Reason : |
| Date : |
| Copy: Customs and Excise Department. |
FORM 7
(Regulation 11)
SAINT LUCIA
Saint Lucia National Ozone Unit
RETROFITTER LICENCE
| Licence number : |
| This is to certify that, |
| (retrofitter's name) |
| of |
| (address) |
| is a qualified retrofitter. |
| This licence is valid until : |
| (date) |
| |
| National Ozone Officer |
| |
| Signature |
| |
| Date |
| (Official Stamp of National Ozone Unit) |
| Copy: | Ministry responsible for commerce. |
| Customs & Excise Department. |