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          To be submitted in quadruplicate

Date of Receipt

        APPLICATION FOR TRANSFER OF QUOTA
           FOR RETAINED IMPORT OF CHLOROFLUOROCARBONS

       Part I   ( to be filled in by transferor)
         I, the undersigned, being authorized to sign on behalf of      

         Name of Company :_____________________________________________________________

         Address______________________________________________________________________

         Registration No.: ________________________  Tel.No._________________________________
                        (Ozone Layer Protection Ordinance)

hereby agree to make available to the company named in Part II below quota of a total weighted quantity of  _____________kilograms, which has been assigned to my company.

I have read and understood, and agree to abide by, the conditions of transfer contained in the reverse of this form.
I have also read and understood the warning and explanatory note overleaf.

         

        Signature: ____________________________________

        Name:_______________________________________

        Date:________________________________________                              _______________________
                                                                                                                                        (Company Chop)

         Part II  (To be filled by transferee)
         I, the undersigned, being authorized to sign on behalf of

         Name of Company:________________________________________________________________

         Address: _______________________________________________________________________

         Registration No.: ________________________  Tel. No.: __________________________________
         (Ozone Layer Protection Ordinance)

hereby agree to receive the above transfer of quota of a total weighted quantity of  __________kilograms from the company name in Part I above.

I have read and understood, and agree to abide by, the conditions of transfer contained in the reverse of this form.
I have also read and understood the warning and explanatory note overleaf.


         Signature: ______________________________

         Name:__________________________________                      ________________________________
                                                                                                                                (Company Chop)
         Date:___________________________________

         Part III   (for official use only)

         Transfer Ref. No. _____________________________

         The above transfer is
         accepted subject to
         the conditions 
         contained overleaf.
                                                                                                     ____________________________________
                                                                                                        for Director of Environmental Protection

         Date: _______________________________