SECTION 2:

APPLICANT'S INVOLVEMENT OR INTENDED INVOLVEMENT WITH CONTROLLED GOODS

Please complete this section to indicate your current involvement or intended involvement with controlled goods

Government Notice No. 22 of 3 February 2010

Yes

No

Government Notice No. 20 of 3 February 2010

Yes

No

Government Notice No. 21 of 3 February 2010

Yes

No

Government Notice No. 18 of 3 February 2010

Yes

No

Government Notice No. 19 of 3 February 2010

Yes

No

Please indicate if you are involved or intend to become involved in any of the following types of activity with regard to controlled goods:

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Do you have any additional information that you wish to bring to the Council's attention?

Yes

No

If Yes, please state below:

Please complete this subsection if you have missile technology and related items in your possession or custody or under your control, or if you have any facilities that are engaged in any activity with regard to missile technology and related items. Space is provided to list the details of two facilities. Please add further pages if you have more facilities that are involved.

2.4.1.1 Name of Facility (1)

2.4.2.1 Name of Facility (2)

2.4.1.2 Physical Address

2.4.2.2 Physical Address

Code

Code

Government Notice No. 22 of 3 February 2010?

Yes

No

Government Notice No. 22 of 3 February 2010?

Yes

No

Category 1, Items 1.B.1, 2.B.1, 2.B.2

Yes

No

Category 1, Items 1.B.1, 2.B.1, 2.B.2

Yes

No

Other Category 1 Items

Yes

No

Other Category 1 Items

Yes

No

Category 2, Items 19 and 20

Yes

No

Category 2, Items 19 and 20

Yes

No

Other Category 2 Items

Yes

No

Other Category 2 Items

Yes

No

Yes

No

If Yes, please state below:

Please complete this subsection if you have nuclear-related dual-use equipment, materials, software and related technology in your possession or custody or under your control, or if you have any facilities that are engaged in any activity with regard to nuclear-related dual-use equipment, materials, software and related technology. Space is provided to list the details of two facilities. Please add further pages if you have more facilities that are involved.

2.5.1.1 Name of Facility (1)

2.5.2.1 Name of Facility (2)

2.5.1.2 Physical Address

2.5.2.2 Physical Address

Code

Code

Government Notice No. 20 of 3 February 2010?

Yes

No

Government Notice No. 20 of 3 February 2010?

Yes

No

Government Notice No. 21 of 3 February 2010?

Yes

No

Government Notice No. 21 of 3 February 2010?

Yes

No

Items 2.B.1, 2.B.2, 2.C.9, 2.C.17, 2.E.1, 3.B.5, 3.E.1,   4.B.1, 4.B.2, 4.B.3, 4.E.1

Yes

No

Items 2.B.1, 2.B.2, 2.C.9, 2.C.17, 2.E.1, 3.B.5, 3.E.1,   4.B.1, 4.B.2, 4.B.3, 4.E.1

Yes

No

Other nuclear-related dual-use equipment, materials, software and related technology not listed above

Yes

No

Other nuclear-related dual-use equipment, materials, software and related technology not listed above

Yes

No

Yes

No

If Yes, please state below:

Please complete this subsection if you have chemical goods and technologies in your possession or custody or under your control or if you have any facilities that are engaged in any activity with regard to chemical goods and technologies. Space is provided to list the details of two facilities. Please add further pages if you have more facilities that are involved.

2.6.1.1 Name of Facility (1)

2.6.2.1 Name of Facility (2)

2.6.1.2 Physical Address

2.6.2.2 Physical Address

Code

Code

Government Notice No. 18 of 3 February 2010?

Yes

No

Government Notice No. 18 of 3 February 2010?

Yes

No

Annexure A chemicals or any facility that produces, acquires, consumes or stores Annexure A chemicals

Yes

No

Annexure A chemicals or any facility that produces, acquires, consumes or stores Annexure A chemicals

Yes

No

Annexure B chemicals or any facility that produces, processes or consumes Annexure B chemicals

Yes

No

Annexure B chemicals or any facility that produces, processes or consumes Annexure B chemicals

Yes

No

Annexure C chemicals or any facility that produces Annexure C chemicals

Yes

No

Annexure C chemicals or any facility that produces Annexure C chemicals

Yes

No

Annexure D chemicals

Yes

No

Annexure D chemicals

Yes

No

Annexure E chemicals

Yes

No

Annexure E chemicals

Yes

No

Annexure F chemicals

Yes

No

Annexure F chemicals

Yes

No

Any facility that produces discrete organic chemicals or their salts

Yes

No

Any facility that produces discrete organic chemicals or their salts

Yes

No

Yes

No

If Yes, please state below:

Please complete this subsection if you have biological goods and technologies in your possession or custody or under your control, or if you have any facilities that are engaged in any activity with regard to biological goods and technologies. Space is provided to list the details of two facilities. Please add further pages if you have more facilities that are involved.

2.7.1.1 Name of Facility (1)

2.7.2.1 Name of Facility (2)

2.7.1.2 Physical Address

2.7.2.2 Physical Address

Code

Code

Government Notice No. 19 of 3 February 2010?

Yes

No

Government Notice No. 19 of 3 February 2010?

Yes

No

Risk Group 2 (WHO or OIE Guidelines)

Yes

No

Risk Group 2 (WHO or OIE Guidelines)

Yes

No

Risk Group 3 (WHO or OIE Guidelines)

Yes

No

Risk Group 3 (WHO or OIE Guidelines)

Yes

No

Risk Group 4 (WHO or OIE Guidelines)

Yes

No

Risk Group 4 (WHO or OIE Guidelines)

Yes

No

Toxins

Yes

No

Toxins

Yes

No

Plant Pathogens

Yes

No

Plant Pathogens

Yes

No

Controlled Equipment

Yes

No

Controlled Equipment

Yes

No

Yes

No

If Yes, please state below: