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Traffic Manual

II.8.2. Cargo manifest: TC12 authorization

Authorisation to use the simplification provided for in Article 128 quinquies, paragraph 5, letter c) of the AD (Article 18 of Appendix II to the Convention). See section II.3.3.4.

Authorization model TC12

1. Authorization holder (Authorization number)
Authorization to use the simplification provided for in Article 128 quinquies, paragraph 5, letter c) of the AD (Article 18 of Appendix II to the Convention)

2. Countries and ports of departure to which this authorization refers and the name(s) of the representative(s) of the shipping company

3. Countries and ports of destination to which this authorization refers and the name(s) of the representative(s) of the shipping company

4. Other information

5. Issuing authority


Seal

Name:

Date:

Address:

Country:

(Signature)