APPLICATION FOR EXPORT SERVICES – FARM MACHINERY

Please complete questions 1 to 3 in INK and BLOCK LETTERS, sign and date the form and enter the information requested overleaf.

1. / Your name
2. / Your full
Postal address
Postcode / Telephone No
3 / DECLARATION
I apply for a clearance certificate to export the used agricultural machinery listed overleaf.
I accept that:
If after investigation and inspection it is decided that a clearance certificate cannot be issued, norefund of the application fee will be made.
I enclose a Cheque, Postal Order or Money Order for the sum of
(cheque, postal order or money order should be crossed and made / £
payable to THE SCOTTISH EXECUTIVE)
Signature / Date

Please send the completed application forms to an Area Office relevant to your address:

SGRIPID
Central Area Office
Strathearn House
BroxdenBusinessPark
Lamberkine Drive
Perth, PH1 1RX
T:01738 602100
F:01738 602004
E:
/ SGRIPID
Inverurie Area Office
Thainstone Court
Inverurie
Grampian
AB51 5YA
T:01467 626222
F:01467 626226
E: / SGRIPID
Inverness Area Office
Longman House
28 Longman Road
Inverness
IV1 1SF
T:01463 234141
F:01463 714697
E:.

PARTICULARS OF CONSIGNMENT

1. / Name, Address and Telephone
Number of Exporter
2. / Name and Address of Importer
3. / Description of Machinery
4. / Serial Number(s) of Machinery
5. / Means of Conveyance (name of vessel)
6. / Port of Shipment
7. / Port of Entry
8. / Date of Despatch
9. / Address at which the Machinery may be inspected
10. / Address to which the clearance certificate should
be sent (if required)
11. / If disinfection has been carried out, supply the following details:
Name of Chemical used
Dosage
Method of Application
Date(s) of Application

*If it is necessary for you to continue on a separate sheet, please tick box

SASA/Typetemplates1