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Company Representative Australia Packing Declaration Annual LCL FCL.doc Date of Issue. / Last Revised 29 June 2009. MUST be issued by the packer or supplier of the goods and MUST include the company s name AND address FCL or LCL Boxes ANNUAL PACKING DECLARATION to be marked with an X in the appropriate place. PROHIBITED PACKAGING MATERIAL STATEMENT Prohibited packaging materials include straw bamboo peat hay chaff etc* Q1. Have prohibited packaging materials or bamboo products been used as packaging or dunnage in the consignment covered by this document A1. YES NO TIMBER PACKAGING/DUNNAGE STATEMENT Timber packaging/dunnage includes crates cases pallets skids and any other timber used as a shipping aid* Q2a* Has timber packaging/dunnage been used in consignments covered by this document A2a* ISPM 15 Statement Q2b. All timber packaging/dunnage used in the consignment has been treated and marked in compliance with ISPM15 compliant stamps A2b. BARK STATEMENT This is also applicable to ISPM 15 compliance packaging/dunnage. Bark is the external natural layer covering trees and branches. Q3 Is all timber packaging/dunnage used in this consignment free from bark A3. CLEANLINESS DECLARATION for FCL consignments only All containers packed by this business for. Importer s Business Name and covered by this document have been cleaned and are free from material of animal and/or plant origin and soil* Signed. MUST be issued by the packer or supplier of the goods and MUST include the company s name AND address FCL or LCL Boxes ANNUAL PACKING DECLARATION to be marked with an X in the appropriate place. PROHIBITED PACKAGING MATERIAL STATEMENT Prohibited packaging materials include straw bamboo peat hay chaff etc* Q1. PROHIBITED PACKAGING MATERIAL STATEMENT Prohibited packaging materials include straw bamboo peat hay chaff etc* Q1. Have prohibited packaging materials or bamboo products been used as packaging or dunnage in the consignment covered by this document A1. Have prohibited packaging materials or bamboo products been used as packaging or dunnage in the consignment covered by this document A1. YES NO TIMBER PACKAGING/DUNNAGE STATEMENT Timber packaging/dunnage includes crates cases pallets skids and any other timber used as a shipping aid* Q2a* Has timber packaging/dunnage been used in consignments covered by this document A2a* ISPM 15 Statement Q2b. YES NO TIMBER PACKAGING/DUNNAGE STATEMENT Timber packaging/dunnage includes crates cases pallets skids and any other timber used as a shipping aid* Q2a* Has timber packaging/dunnage been used in consignments covered by this document A2a* ISPM 15 Statement Q2b. All timber packaging/dunnage used in the consignment has been treated and marked in compliance with ISPM15 compliant stamps A2b. All timber packaging/dunnage used in the consignment has been treated and marked in compliance with ISPM15 compliant stamps A2b. BARK STATEMENT This is also applicable to ISPM 15 compliance packaging/dunnage. Bark is the external natural layer covering trees and branches.

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