Cold Store Name:
___
Contact Person and Telephone:
___
Exporter’s Name:
___
Importing Country:
___
Mode of Transport:
- [ ] Sea
- [ ] Air
- [ ] Road
Container Number(s) (Sea Freight):
___
ISPM 15 Registration Code(s) (as indicated on the mark, e.g. ZA-H20-HT):
___
Is the registration code(s) registered with DAFF-DIS for ISPM 15 compliance?
- [ ] Yes
- [ ] No
(Verify registration status on www.daff.gov.za)
Type and Quantity of Wood Packaging Material Used:
___
(e.g. 20 pallets, crates, dunnage, and boxes)
Is the wood packaging material free of bark and visible infestation?
- [ ] Yes
- [ ] No
I declare that the above consignment of wood packaging material has been marked with the IPPC-ISPM 15 mark and is free from bark and visible infestation.
Name: ___
Signature: ___
Date: ___