Foreign applicants are kindly requested to enclose a copy of their commercial register entry! Please send by fax to: attention to: CARBURA Swiss Organisation for the Compulsory Stockpiling of Oil Products Mr. Emanuell Gjergji / Mrs. Vreni Bernet Fax number: 044 / 217 41 10 info@carbura.ch Application Form for General Import Permit B or C Company: Street: P.O. Box: ZIP Code / City: Contact person: First / Last Name Phone: main number: direct number: Fax number: E-mail: Homepage: VAT number: BID = Business Identification Number Banking information Bank name, Zip Code, City: Clearing number.: Account number.: IBAN number.: Application for the import of the following petroleum product(s): Product name: Tariff number: Planned / likely import volumes per calendar year*: (Statistical) Key: liters / m³ / tons (please tick as appropriate) Intended purpose(s) of use: * Date: No application is needed for yearly imports of less than 20 kilogramms. A General Import Permit B (GIP B) allows for maximum annual imports of stockholding products of 3‘000 m3 or 2‘790 tons resp. Signature: D:\533561949.doc