Pre-registration Certificate

							          Company’s logo

                                  Pre-registration Certificate

                                                                            Certificate number : ............

In compliance with the article 8 of the Regulation (EC) 1907/2006 of 18th
December 2006 (L 396/30.12.2006) concerning the registration, evaluation,
authorization and restriction of Chemicals (REACH) the non-EU

                                         ...............................................,

having        its principal place of business at ………………………..(e.g. China)                                   has
appointed ...............................................

having its principal place of business at ..............................................................
(EU country), as its Only Representative for REACH compliance of the
following substance :



 Substance name



 Cas No                                                              EC No

                                                                     Registration
 Pre-registration                                                    Deadline
 No
In capacity of the appointed Only representative, the ……………........................
(name of the company) is identified under the Universal Unique Identifier
code (UUID) :

This certificate is not valid unless accompanied by an annex bearing same
certificate number.
This certificate alone should not be used to carry out any kind of import
formalities.

Signature (The Only Representative) :

Date :
Attached : Annex (page 1)
Information about Company ( address, tel, e-mail, etc)                                              page   1/2
         Company’s logo

                  Annex to Certificate Νο. .............

This annex has been issued in agreement to the contract signed between
the below given non-EU entity and the ………………………… (name of the company)
in capacity of appointed Only Representative.
This annex will be valid for three months from its date of issue and its use is
restricted to the transactions associated with the below specified contract
number.
Contract information

 Contract No
 Name of Substance
 Pre-registration No                              CΑS No
 Tonnage allocated for                            EC No
 each transaction
 Uses of Substance                                Classification

Importer Information / Downstream User

                  Company name
 Importer in EU Address
 / Downstream     Contact person                           Telephone
 User             E-mail                                   Fax
 Annual Tonnage Applied

Exporter Information / Non EU Entity

                       Company name
 Non EU Entity         Address
                       Contact person                      Telephone
                       E-mail                              Fax
This annex is valid only if attached to the Pre-registration Certificate to
which it applies.

Signature (The Only Representative) :

Date :

Information about Company ( address, tel, e-mail, etc)                 page   2/2