APPENDIX 05B - PRE-SHIPMENT INSPECTION CERTIFICATE - Foreign Trade Procedure (RE - 2012) / 2009-14 (From 5-6-2012 to 31-3-2015)

1 [APPENDIX 05-B PRE-SHIPMENT INSPECTION CERTIFICATE This pre-shipment inspection certificate is issued in terms of paragraph 2.32.5 A of Handbook of Procedure (Vol.1) for import of shredded, unshredded, compressed and loose forms of metallic waste and scrap. I, hereby certify the details as below:- (1) I/We hereby certify that I have visually inspected the consignment and certify the following: (a) The import consignment is actually metallic scrap/seconds/defective as per the internationally accepted parameters for such a classification. (b) Details of Importer is as follows: (i) Name: _____________________________ (ii) Address: ____________________________ (iii) Importer Exporter Code No.______________________________ (iv) Telephone No. _________________________ (Mobile) __________________ (v) E-mail ______________________________ (c) Type of Scrap: Shredded/Unshredded (d) Details and quantity of Import Description of metallic scrap Quantity (in MTs) (e) (i) Country of Inspection ______________________________ (ii) Place of Inspection ______________________________ (iii) Date of Inspection ______________________________ (iv) Duration of inspection (in hours) ______________________________ (f) The following equipments have been used for inspecting the consignment. (i) _____________________________________________________________ (ii) _____________________________________________________________ (iii) _____________________________________________________________ (g) The consignment does not contain any type of arms, ammunition, mines, shells, cartridges, or any other explosive material in any form, either used or otherwise, and that the consignment was checked for radiation level and it does not have radiation levels (gamma and neutron) in excess of natural background. Following are the values of :- (i) Background radiation level at the place of examination ________________________ (ii) Maximum radiation level on the scrap______________________________________ (2) I/We hereby declare that the particulars and statements made in this certificate are true and correct and nothing has been concealed or held therefrom. Date ____________ Signature _________________________________ Name of the Inspecting Person/Inspector_________________________ Seal of PSIA Designation_________________________________ Address (office)____________________________________ E Mail Address______________________________ Phone Number______________________________ Name of the agency as per Appendix 5 -____________________ Address: __________________ Telephone Number _________________ E-mail _______________________] -------------------------------------------- Notes:- 1. Substituted vide Public Notice no.104 Dated 23/03/2012