APPENDIX 5B
PRE-SHIPMENT INSPECTION CERTIFICATE

This pre-shipment inspection certificate is issued in terms of paragraph 2.32.2 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_________________________ Designation_________________________________ Address (office)____________________________________ E Mail Address______________________________ Phone Number______________________________

Name of the agency as per Appendix 5 -____________________ Address: __________________ Telephone Number _________________

E mail _______________________

Seal of PSIA

(APPENDIX 5B vide PN. NO. 104/2010, DT. 23/03/2012)