+ANNEX III

ANNEX III

ANNEX III

DISSOSTICHUS RE-EXPORT DOCUMENTRE-EXPORT SECTIONRe-exporting Country:1. Description of FishSpecies: TOP Dissostichus eleginoides, TOA Dissostichus mawsoniType: WHO Whole: HAG Headed and gutted; HAT Headed and tailed; FLT Fillet; HGT Headed, gutted, tailed; OTH Other (specify)EXPORT SECTION — TRANSPORT DETAILSIf by sea/air:Container number(if more than one — attach list)If no container:Vessel name: ORFlight number; ANDBill of lading/airway bill number; ANDDate and place of issueIf ground transport:Truck registration number and nationality; ORRailway transport number; ANDDate and place of issue2. Re-Exporter Certification: I certify that the above information is complete, true and correct to the best of my knowledge and that the above product comes from product certified by the attached Dissostichus Catch Document(s)NameAddressSignatureDateExport Licence (if issued)3. Re-Export Government Authority Validation: I certify that the above information is complete, true and correct to the best of my knowledge.Name/TitleSignatureDateSeal (Stamp)4. IMPORT SECTIONName of ImporterAddressPoint of Unlading:CityState/ProvinceCountry(*) Report FAO Statistical Area/Sub-area/Division where catch was taken and indicate whether the catch was taken on the high seas or within an EEZ.

( 1 ) OJ C 337 E, 28.11.2000, p. 103.

( 2 ) Opinion delivered 28 February 2001 (not yet published in the Official Journal).

( 3 ) OJ L 252, 5.9.1981, p. 26.

( 4 ) OJ L 184, 17.7.1999, p. 23.

( 5 ) OJ L 389, 31.12.1992, p. 1.

1. Forbhreathnú

,

1.1 Tagairtí

1.2 Ceanglais aitheanta

1.3 Caighdeáin ghaolmhara

2. Ceanglais aitheanta

Ceanglais

3. Caighdeáin ghaolmhara

Caighdeáin