Post on 07-Sep-2018
Form Page 1
INSTRUCTIONS
IMPORTER/EXPORTER DEALER END-USER
Registration Form 1 Form 6 Form 9
Amendment Form 2 Form 7 Form 10
Renewal Form 3 Form 8 Form 11
Premises Form 5
Quarterly Returns
Form 4 Form 4 Form 4
Submission Copy of Environmental Protection Licence(EPL)- Central Environment Authority
List of Dealers
List of Dealers
Copy of Environmental Protection Licence(EPL) -Central Environment Authority
List of Dealers
Form Page 2
For Importers/Exporters
Importer need to apply for:-
If importer/exporter is end using the licence chemicals further
Importer/Exporter(form1) + Premises(form4) + End-user(form9)
If importer/exporter is dealing the licence chemicals further
Importer/Exporter(form1) + Premises(form4) + Dealer(form6)
If importer/Exporter need to amend the licence according to
new quantities in same licence period
They want to apply:-
If they end-using the licence chemicals further
Importer /Exporter amend(form2) + End-user amend(form10)
If they dealing the licence chemicals further
Importer / Exporter amend(form2) + Dealer amend(form7)
Every year should be renew all the licences:-
Importer/Exporter renew (form3) + Premises(form4) + End-
user renew(form11) or Dealer renew(form8)
Form Page 3
Every Licensed importer or exporter shall obtain clearance from the
Central Environmental Authority for the purpose of storage &
disposal(Environmental Protection Licence)
Need to submit copy of Business Registration Certificate & copy of
Environmental Protection Licence to the Precursor Control Authority
Need to submit List of Dealers or End-users hope to deal or end-use
to the Authority
Need to submit Quarterly Returns(Form 5) once a three months
according to the calendar months
If a same importer deals with different names; need to apply for all
dealer names as dealers
If a importer obtain a end-using facility with different name; want to
apply for both as a importer & as a end-user
Form Page 4
Schedule A
Form 1
Precursor Control Authority Tel 011 2868794
No.383, Kotte Road, Fax 011 2868791
Rajagiriya E-mail mail@nddcb.gov.lk
Application for obtaining a license under sec. 19 of the Conventions against Illicit Traffic
In Narcotic Drugs and Psychotropic Substance Act No. 1 of 2008
Name of the applicant : XYZ (Pvt)Ltd
Address of the applicant : No 0000, XYZ Rd,
Col-00
NIC No :
Business Reg. No./ N(Pvc)
Tele : : 00000000
Fax : : 00000000
E-mail : : xyz@sss.lk ‘
Part 1
Details of the Applicant
PV 0000
Form Page 5
Table II
Imp. Exp.
1. Acetone
HS Code : 2914.11
CAS No : 67-64-1
2. Anthranillic acid
HS Code : 2922.43
CAS No : 118-92-3
3. Ethyl ether
HS Code : 2909.11
CAS No : 60-29-7
4. Hydrocholic acid
HS Code : 2806.10
CAS No : 7647-01-0
5. Methyl ethyl ketone
HS Code : 2914.12
CAS No : 78-93.3
6. Phenylacetic acid
HS Code : 2916.34
CAS No : 103-82-2
7. Piperidine
HS Code : 2933.32
CAS No : 110-89.4
8. Sulphiric acid1
HS Code : 2807.00
CAS No: 7664-93-9
9. Toluene
HS Code : 2902.30
CAS No : 108-88-3
Part 2
Details of the precursor chemicals
Please indicate the precursor chemicals which are to be imported or exported for next year.
Table 1
Imp. Exp.
1. Acetic Anhydride
HS Code : 2915.24
CAS No. 108-24-7
2. N-Acetylanthranillic acid
HS Code : 292423
CAS No. 89-52-1
3. Ephedrine
HS Code : 2939.41
CAS No. 299-42-3
4. Ergometrine
HS Code : 2939.61
CAS No. 60-79-7
5. Ergotamine
HS Code : 2939.62
CAS No. 113-15-5
6. Isosafrole
HS Code : 2932.91
CAS No. 120-58-1
7. Lysergic acid
HS Code : 2939.63
CAS No. 82-58-6
8. 3,4-Methylenediosyphenyl
1-2 propanone
HS Code : 2932.92
CAS No. 4676-39-5
9. Norephedrine
HS Code : 2939.49
CAS No. 154-41-6
10.1-Pheny1-2-propanone
HS Code : 2914.31
CAS No. 103-79-7
11. Piperonal
HS Code : 2932.93
CAS No. 120-57-0
12. Potassium permanganate
HS Code : 2941.61
CAS No. 7722-64-7
√
13.Pseudoephedrine
HS Code : 2939.42
CAS No. 90-82-4
14.Safrole
HS Code : 2932.94
CAS No. 94-59-7
Form Page 6
Name of the
chemical
Trade Name
Probable
countries
which the
precursor
chemical
is to be
imported from
Transaction
company/
persons
whether for
trade or use,
if for usage
in which
industry it is
used
Necessary
Quantity
of precursor
chemical
for next year
remaining
quantity
at the stores
at present
Anticipated
quantity to be
imported
Potassium Permanganate
Condy's
Singapore
AB
Company
Use For
Purification
Industry
6,000kg
1,000kg
5,000kg
Name
of the
chemical
To whom
to be traded
for which
activity
to be
traded
Quantity
traded
Potassium Permanganate
CD
Company
Use For
Purification
Industry
6,000kg
Please provide details requested below, relevant to the precursor chemicals which are to be imported
for next year
Please provide details requested below by the Please provide details requested below by the
importers who import precursor chemicals importers who import precursor chemicals
for direct use for trade
Name of
the
chemical
The industries
which utilize
the precursor
chemicals and
address of the
Factory
Necessary
quantity
for next year
Potassium Permanganate
XYZ Lanka (Pvt) Ltd, No 0000, XYZ Rd, Col-00
6,000kg
Where are you
hope to buy
the chemicals
Shipment
quantity
Shipment q.
+
Remaining q.
Remaining
quantity
OR
Form 1 Page 7
Please provide details requested below relevant to the precursor chemicals which are to be exported for next year
Name of
the
chemical
Trade Name
Probable countries
which the precursor
chemical is to be
exported to
Transaction
Company/person
for which activity
to be exported
The quantity to
be exported
for next year
_
_
_
_
_
_
I hereby declare that all the information furnished in this application are true and correct
…………………………… …….……………….. ……………..………………. signature of applicant Date Company Stamp
For official use only
Date received -
Checked by -
Approved by -
Form 1 Page 8
Schedule A
Form 2
Precursor Control Authority Tel 011 2868794
No.383, Kotte Road, Fax 011 2868791
Rajagiriya E-mail mail@nddcb.gov.lk
Application for amendment to the license under sec.19 of the Conventions against Illicit Traffic
In Narcotic Drugs And Psychotropic Substance Act No. 1 of 2008.
Name of the applicant : XYZ (Pvt)Ltd
Address of the applicant : No 0000, XYZ Rd,
Col-00
NIC No :
Business Reg. No./ N(Pvc)
Tele : : 00000000
Fax : : 00000000
E-mail : : xyz@sss.lk
Part 1
Details of the Applicant
PV 0000
Form 1 Page 9
Table II
Imp. Exp.
1. Acetone
HS Code : 2914.11
CAS No : 67-64-1
2. Anthranillic acid
HS Code : 2922.43
CAS No : 118-92-3
3. Ethyl ether
HS Code : 2909.11
CAS No : 60-29-7
4. Hydrocholic acid
HS Code : 2806.10
CAS No : 7647-01-0
5. Methyl ethyl ketone
HS Code : 2914.12
CAS No : 78-93.3
6. Phenylacetic acid
HS Code : 2916.34
CAS No : 103-82-2
7. Piperidine
HS Code : 2933.32
CAS No : 110-89.4
8. Sulphiric acid1
HS Code : 2807.00
CAS No: 7664-93-9
9. Toluene
HS Code : 2902.30
CAS No : 108-88-3
Part 2
Details of the precursor chemicals
Please indicate the precursor chemicals which are to be imported or exported for next year.
Table 1
Imp. Exp.
1. Acetic Anhydride
HS Code : 2915.24
CAS No. 108-24-7
2. N-Acetylanthranillic acid
HS Code : 292423
CAS No. 89-52-1
3. Ephedrine
HS Code : 2939.41
CAS No. 299-42-3
4. Ergometrine
HS Code : 2939.61
CAS No. 60-79-7
5. Ergotamine
HS Code : 2939.62
CAS No. 113-15-5
6. Isosafrole
HS Code : 2932.91
CAS No. 120-58-1
7. Lysergic acid
HS Code : 2939.63
CAS No. 82-58-6
8. 3,4-Methylenediosyphenyl
1-2 propanone
HS Code : 2932.92
CAS No. 4676-39-5
9. Norephedrine
HS Code : 2939.49
CAS No. 154-41-6
10.1-Pheny1-2-propanone
HS Code : 2914.31
CAS No. 103-79-7
11. Piperonal
HS Code : 2932.93
CAS No. 120-57-0
12. Potassium permanganate
HS Code : 2941.61
CAS No. 7722-64-7
√
13.Pseudoephedrine
HS Code : 2939.42
CAS No. 90-82-4
14.Safrole
HS Code : 2932.94
CAS No. 94-59-7
Form 1 Page 10
Name of the
chemical
Trade Name
Probable
countries
which the
precursor
chemical
is to be
imported from
Transaction
company/
persons
whether for
trade or use,
if for usage
in which
industry it is
used
Necessary
Quantity
of precursor
chemical
for next year
remaining
quantity
at the stores
at present
Anticipated
quantity to be
imported
Potassium Permanganate
Condy's
Singapore
AB
Company
Use For
Purification
Industry
6,000kg
1,000kg
5,000kg
Name
of the
chemical
To whom
to be traded
for which
activity
to be
traded
Quantity
traded
Potassium Permanganate
CD
Company
Use For
Purification
Industry
6,000kg
Please provide details requested below, relevant to the precursor chemicals which are to be imported
for next year
Please provide details requested below by the Please provide details requested below by the
importers who import precursor chemicals importers who import precursor chemicals
for direct use for trade
Name of
the
chemical
The industries
which utilize
the precursor
chemicals and
address of the
Factory
Necessary
quantity
for next year
Potassium Permanganate
XYZ Lanka (Pvt) Ltd, No 0000, XYZ Rd, Col-00
6,000kg
Where are you
hope to buy
the chemicals
New
Shipment
quantity New Shipment q.
+
Remaining q.
Remaining
quantity
OR
Form 1 Page 11
Please provide details requested below relevant to the precursor chemicals which are to be exported for next year
Name of
the
chemical
Trade Name
Probable countries
which the precursor
chemical is to be
exported to
Transaction
Company/person
for which activity
to be exported
The quantity to
be exported
for next year
_
_
_
_
_
_
I hereby declare that all the information furnished in this application are true and correct
…………………………… …….……………….. ……………..………………. signature of applicant Date Company Stamp
For official use only
Date received -
Checked by -
Approved by -
Form 1 Page 12
Schedule A
Form 3
Precursor Control Authority Tel 011 2868794
No.383, Kotte Road, Fax 011 2868791
Rajagiriya E-mail mail@nddcb.gov.lk
Application for renewal of a license under sec. 19 of the Conventions against Illicit Traffic
In Narcotic Drugs And Psychotropic Substance Act No. 1 of 2008.
Name of the applicant : XYZ (Pvt)Ltd
Address of the applicant : No 0000, XYZ Rd,
Col-00
NIC No :
Business Reg. No./ N(Pvc)
Tele : : 00000000
Fax : : 00000000
E-mail : : xyz@sss.lk
Part 1
Details of the Applicant
PV 0000
Form 1 Page 13
Table II
Imp. Exp.
1. Acetone
HS Code : 2914.11
CAS No : 67-64-1
2. Anthranillic acid
HS Code : 2922.43
CAS No : 118-92-3
3. Ethyl ether
HS Code : 2909.11
CAS No : 60-29-7
4. Hydrocholic acid
HS Code : 2806.10
CAS No : 7647-01-0
5. Methyl ethyl ketone
HS Code : 2914.12
CAS No : 78-93.3
6. Phenylacetic acid
HS Code : 2916.34
CAS No : 103-82-2
7. Piperidine
HS Code : 2933.32
CAS No : 110-89.4
8. Sulphiric acid1
HS Code : 2807.00
CAS No: 7664-93-9
9. Toluene
HS Code : 2902.30
CAS No : 108-88-3
Part 2
Details of the precursor chemicals
Please indicate the precursor chemicals which are to be imported or exported for next year.
Table 1
Imp. Exp.
1. Acetic Anhydride
HS Code : 2915.24
CAS No. 108-24-7
2. N-Acetylanthranillic acid
HS Code : 292423
CAS No. 89-52-1
3. Ephedrine
HS Code : 2939.41
CAS No. 299-42-3
4. Ergometrine
HS Code : 2939.61
CAS No. 60-79-7
5. Ergotamine
HS Code : 2939.62
CAS No. 113-15-5
6. Isosafrole
HS Code : 2932.91
CAS No. 120-58-1
7. Lysergic acid
HS Code : 2939.63
CAS No. 82-58-6
8. 3,4-Methylenediosyphenyl
1-2 propanone
HS Code : 2932.92
CAS No. 4676-39-5
9. Norephedrine
HS Code : 2939.49
CAS No. 154-41-6
10.1-Pheny1-2-propanone
HS Code : 2914.31
CAS No. 103-79-7
11. Piperonal
HS Code : 2932.93
CAS No. 120-57-0
12. Potassium permanganate
HS Code : 2941.61
CAS No. 7722-64-7
√
13.Pseudoephedrine
HS Code : 2939.42
CAS No. 90-82-4
14.Safrole
HS Code : 2932.94
CAS No. 94-59-7
Form 1 Page 14
Name of the
chemical
Trade Name
Probable
countries
which the
precursor
chemical
is to be
imported from
Transaction
company/
persons
whether for
trade or use,
if for usage
in which
industry it is
used
Necessary
Quantity
of precursor
chemical
for next year
remaining
quantity
at the stores
at present
Anticipated
quantity to be
imported
Potassium Permanganate
Condy's
Singapore
AB
Company
Use For
Purification
Industry
6,000kg
1,000kg
5,000kg
Name
of the
chemical
To whom
to be traded
for which
activity
to be
traded
Quantity
traded
Potassium Permanganate
CD
Company
Use For
Purification
Industry
6,000kg
Please provide details requested below, relevant to the precursor chemicals which are to be imported
for next year
Please provide details requested below by the Please provide details requested below by the
importers who import precursor chemicals importers who import precursor chemicals
for direct use for trade
Name of
the
chemical
The industries
which utilize
the precursor
chemicals and
address of the
Factory
Necessary
quantity
for next year
Potassium Permanganate
XYZ Lanka (Pvt) Ltd, No 0000, XYZ Rd, Col-00
6,000kg
Where are you
hope to buy
the chemicals
Renew
Shipment
quantity Renew Shipment q.
+
Remaining q.
Remaining
quantity
OR
Form 4 Page 15
Please provide details requested below relevant to the precursor chemicals which are to be exported for next year
Name of
the
chemical
Trade Name
Probable countries
which the precursor
chemical is to be
exported to
Transaction
Company/person
for which activity
to be exported
The quantity to
be exported
for next year
_
_
_
_
_
_
I hereby declare that all the information furnished in this application are true and correct
…………………………… …….……………….. ……………..………………. signature of applicant Date Company Stamp
For official use only
Date received -
Checked by -
Approved by -
Form 4 Page 16
Part 1
Details of the applicant and the premises
XYZ Lanka (Pvt) Ltd.
No.000,XYZ Rd,
Col-00
PV 0000
0000000
0000000
xyz@sss.lk
No.000,XYZ Rd, Col-00
Board of investments, Biyagama Export processing zone.
Transfer/ Lease
Schedule A
Form 4 (Regulation 9)
Precursor Control Authority Tel 011 2868794
No.383, Kotte
Road, Rajagiriya
Fax
011 2868791
mail@nddcb.gov.lk
Application for registration of the Premises of the license under sec. 19(b) of the Conventions
Against Illicit Traffic In Narcotic Drugs And Psychotropic Substance Act No. 1 of 2008.
Name of the applicant :
Address of the applicant :
NIC No
Business Reg. No. / N(Pvc) No. :
Tel : :
Fax : :
E-mail : :
Address of the Premises :
From whom the premise is acquired :
Whether the premises was acquired : by a transfer / lease
Deed No. and date :
Name of the Notary :
Form 4 Page 17
Table II
Stored To be
Stored
1. Acetone
HS Code : 2914.11
CAS No : 67-64-1
2. Anthranillic acid
HS Code : 2922.43
CAS No : 118-92-3
3. Ethyl ether
HS Code : 2909.11
CAS No : 60-29-7
4. Hydrocholic acid
HS Code : 2806.10
CAS No : 7647-01-0
5. Methyl ethyl ketone
HS Code : 2914.12
CAS No : 78-93.3
6. Phenylacetic acid
HS Code : 2916.34
CAS No : 103-82-2
7. Piperidine
HS Code : 2933.32
CAS No : 110-89.4
8. Sulphiric acid1
HS Code : 2807.00
CAS No: 7664-93-9
9. Toluene
HS Code : 2902.30
CAS No : 108-88-3
Part 2
Details of the precursor chemicals
Please indicate the precursor chemicals which are being stored in the premises and which are to be
stored in the premises
Table 1
Stored To be
Stored
1. Acetic Anhydride
HS Code : 2915.24
CAS No. 108-24-7
2. N-Acetylanthranillic acid
HS Code : 292423
CAS No. 89-52-1
3. Ephedrine
HS Code : 2939.41
CAS No. 299-42-3
4. Ergometrine
HS Code : 2939.61
CAS No. 60-79-7
5. Ergotamine
HS Code : 2939.62
CAS No. 113-15-5
6. Isosafrole
HS Code : 2932.91
CAS No. 120-58-1
7. Lysergic acid
HS Code : 2939.63
CAS No. 82-58-6
8. 3,4-Methylenediosyphenyl
1-2 propanone
HS Code : 2932.92
CAS No. 4676-39-5
9. Norephedrine
HS Code : 2939.49
CAS No. 154-41-6
10.1-Pheny1-2-propanone
HS Code : 2914.31
CAS No. 103-79-7
11. Piperonal
HS Code : 2932.93
CAS No. 120-57-0
12. Potassium permanganate
HS Code : 2941.61
CAS No. 7722-64-7
√
13.Pseudoephedrine
HS Code : 2939.42
CAS No. 90-82-4
14.Safrole
HS Code : 2932.94
CAS No. 94-59-7
Form 1 Page 18
Yes
We use naturally ventilated, Semi-covered, open storage unit. The stores id kept as a separate building
away from the main building where production is carried out.
Yes
For disposal of these chemical wastes; a project is carried out with Holcim Geocycle.They take away
the chemical waste and dispose through thermal destruction.
The storage unit is kept locked at all times. This is opened only when chemicals are taken in or taken out.
The key is kept at the security office, and whoever takes the key has to state his/her name and sing. The
storage unit is manager by a separate personnel.
Are the prescribed methods being adopted for storage of the Precursor
Chemicals? If yes, please describe
Are the prescribed methods being adopted for disposal of the Precursor
Chemicals? If yes, please describe
Are the security measures being adopted to prevent unauthorized access to the premises or theft of
chemicals? If yes, please describe
I hereby declare that all the information furnished in this application is true and correct
…………………………… …………….….. ……………………….
signature of applicant Date Company Stamp
For official use only
Date received -
Checked by -
Approved by -
Form 1 Page 19
Schedule A
Form 5
Precursor Control Authority Tel 011 2868794
No.383, Kotte Road, Fax 011 2868791
Rajagiriya E-mail mail@nddcb.gov.lk
Quarterly returns under sec. 19(e) of the Conventions against Illicit Traffic
In Narcotic Drugs and Psychotropic Substance Act No. 1 of 2008.
Name of the applicant : XYZ (Pvt)Ltd
Address of the applicant : No 0000, XYZ Rd,
Col-00
NIC No :
Business Reg. No./ N(Pvc)
Tele : : 00000000
Fax : : 00000000
E-mail : : xyz@sss.lk
Part 1
Details of the Applicant
PV 0000
Form 1 Page 20
Table II
Imp. Exp.
1. Acetone
HS Code : 2914.11
CAS No : 67-64-1
2. Anthranillic acid
HS Code : 2922.43
CAS No : 118-92-3
3. Ethyl ether
HS Code : 2909.11
CAS No : 60-29-7
4. Hydrocholic acid
HS Code : 2806.10
CAS No : 7647-01-0
5. Methyl ethyl ketone
HS Code : 2914.12
CAS No : 78-93.3
6. Phenylacetic acid
HS Code : 2916.34
CAS No : 103-82-2
7. Piperidine
HS Code : 2933.32
CAS No : 110-89.4
8. Sulphiric acid1
HS Code : 2807.00
CAS No: 7664-93-9
9. Toluene
HS Code : 2902.30
CAS No : 108-88-3
Part 2
Details of the precursor chemicals
Please indicate the precursor chemicals which were imported or exported for last three months.
Table 1
Imp. Exp.
1. Acetic Anhydride
HS Code : 2915.24
CAS No. 108-24-7
2. N-Acetylanthranillic acid
HS Code : 292423
CAS No. 89-52-1
3. Ephedrine
HS Code : 2939.41
CAS No. 299-42-3
4. Ergometrine
HS Code : 2939.61
CAS No. 60-79-7
5. Ergotamine
HS Code : 2939.62
CAS No. 113-15-5
6. Isosafrole
HS Code : 2932.91
CAS No. 120-58-1
7. Lysergic acid
HS Code : 2939.63
CAS No. 82-58-6
8. 3,4-Methylenediosyphenyl
1-2 propanone
HS Code : 2932.92
CAS No. 4676-39-5
9. Norephedrine
HS Code : 2939.49
CAS No. 154-41-6
10.1-Pheny1-2-propanone
HS Code : 2914.31
CAS No. 103-79-7
11. Piperonal
HS Code : 2932.93
CAS No. 120-57-0
12. Potassium permanganate
HS Code : 2941.61
CAS No. 7722-64-7
√
13.Pseudoephedrine
HS Code : 2939.42
CAS No. 90-82-4
14.Safrole
HS Code : 2932.94
CAS No. 94-59-7
Form 1 Page 21
Name
of the
chemical
To whom was
traded
for which
activity
Quantity
traded
during last
three
months
Potassium Permanganate
CD
Company
Use For
Purification
Industry
3,000kg
Please provide details requested below, relevant to the precursor chemicals which were imported
for last three months.
Name of the
chemical
Trade Name
Countries
which the
precursor
chemical was
imported from
Transaction
company/
persons
whether for
trade or use,
if for usage
in which
industry it is
used
Imported
Quantity of
precursor
chemical
during last
three months
Used / traded
quantity
during last three
months
Remaining
quantity
Potassium Permanganate
Condy's
Singapore
AB
Company
Use For
Purification
Industry
5,000kg
3,000kg
2,000kg
Please provide details requested below by the Please provide details requested below by the
importers who import precursor chemicals importers who import precursor chemicals
for direct use for trade
Name of
the
chemical
The industries
which utilize
the precursor
chemicals and
address of the
Factory
Used quantity
during last
three months
Potassium Permanganate
XYZ Lanka (Pvt) Ltd, No 0000, XYZ Rd, Col-00
3,000kg
Where were
you buy the
chemicals
Shipment
quantity Shipment q.
-
Used q.
Used
quantity
OR
Form 1 Page 22
Please provide details requested below relevant to the precursor chemicals which were exported during
last three months.
Name of
the
chemical
Trade Name
Countries
which the
precursor chemical
was exported to
Transaction
Company /
person
For which
activity
was exported
The quantity
exported
for last
three
months
_ _ _ _ _ _
I hereby declare that all the information furnished in this application are true and correct
…………………………… …….……………….. ……………..………………. signature of applicant Date Company Stamp
Please attach herewith the photocopies of the receipts, invoices and bills pertaining to the transactions done in the last three months
For official use only
Date received -
Checked by -
Approved by -
Form 1 Page 23
For Dealers
Schedule A
Form 6
Precursor Control Authority Tel 011 2868794
No.383, Kotte Road, Fax 011 2868791
Rajagiriya E-mail mail@nddcb.gov.lk
Application for registration as a Dealer under the
Precursor Control Authority
Name of the applicant : XYZ (Pvt)Ltd
Address of the applicant : No 0000, XYZ Rd,
Col-00
NIC No :
Business Reg. No./ N(Pvc)
Tele : : 00000000
Fax : : 00000000
E-mail : : xyz@sss.lk
Part 1
Details of the Applicant
PV 0000
Form 1 Page 24
Part 2
Details of the precursor chemicals
Please indicate the precursor chemicals which are to be dealt next year.
Table 1 1. Acetic Anhydride
HS Code : 2915.24
CAS No. 108-24-7
2. N-Acetylanthranillic acid
HS Code : 292423
CAS No. 89-52-1
3. Ephedrine
HS Code : 2939.41
CAS No. 299-42-3
4. Ergometrine
HS Code : 2939.61
CAS No. 60-79-7
5. Ergotamine
HS Code : 2939.62
CAS No. 113-15-5
6. Isosafrole
HS Code : 2932.91
CAS No. 120-58-1
7. Lysergic acid
HS Code : 2939.63
CAS No. 82-58-6
8. 3,4-Methylenediosyphenyl
1-2 propanone
HS Code : 2932.92
CAS No. 4676-39-5
9. Norephedrine
HS Code : 2939.49
CAS No. 154-41-6
10.1-Pheny1-2-propanone
HS Code : 2914.31
CAS No. 103-79-7
11. Piperonal
HS Code : 2932.93
CAS No. 120-57-0
12. Potassium permanganate
HS Code : 2941.61
CAS No. 7722-64-7
√ 13.Pseudoephedrine
HS Code : 2939.42
CAS No. 90-82-4
14.Safrole
HS Code : 2932.94
CAS No. 94-59-7
Table II 1. Acetone
HS Code : 2914.11
CAS No : 67-64-1
2. Anthranillic acid
HS Code : 2922.43
CAS No : 118-92-3
3. Ethyl ether
HS Code : 2909.11
CAS No : 60-29-7
4. Hydrocholic acid
HS Code : 2806.10
CAS No : 7647-01-0
5. Methyl ethyl ketone
HS Code : 2914.12
CAS No : 78-93.3
6. Phenylacetic acid
HS Code : 2916.34
CAS No : 103-82-2
7. Piperidine
HS Code : 2933.32
CAS No : 110-89.4
8. Sulphiric acid1
HS Code : 2807.00
CAS No: 7664-93-9
9. Toluene
HS Code : 2902.30
CAS No : 108-88-3
Form 1 Page 25
Please provide details requested below relevant to the precursor chemicals which are to be dealt for next year.
Name
of the
chemical
Trade Name
From whom to be
purchased
(Name & address)
To whom
to be sold
(Name &
address)
for which
activity
The quantity
dealt
Potassium Permanganate
Condy's ABC Lanka (Pvt) Ltd, No 0000, ABC Rd, Col-00
EFG Lanka (Pvt) Ltd, No 0000, EFG Rd, Col-00
Use For
Purification
Industry
6,000kg
I hereby declare that all the information furnished in this application are true and correct
…………………………… …….……………….. ……………..………………. signature of applicant Date Company Stamp
Please attach herewith the photocopies of the receipts, invoices and bills pertaining to the transactions done in the last three months.
For official use only
Date received -
Checked by -
Approved by -
All quantity
hope to deal in
next year
Form 1 Page 26
Schedule A
Form 7
Precursor Control Authority Tel 011 2868794
No.383, Kotte Road, Fax 011 2868791
Rajagiriya E-mail mail@nddcb.gov.lk
Application for amendment to the registration as a Dealer
under the Precursor Control Authority
Name of the applicant : XYZ (Pvt)Ltd
Address of the applicant : No 0000, XYZ Rd,
Col-00
NIC No :
Business Reg. No./ N(Pvc)
Tele : : 00000000
Fax : : 00000000
E-mail : : xyz@sss.lk
Part 1
Details of the Applicant
PV 0000
Form 1 Page 27
Part 2
Details of the precursor chemicals
Please indicate the precursor chemicals which need to be included in the amendment.
Table 1 1. Acetic Anhydride
HS Code : 2915.24
CAS No. 108-24-7
2. N-Acetylanthranillic acid
HS Code : 292423
CAS No. 89-52-1
3. Ephedrine
HS Code : 2939.41
CAS No. 299-42-3
4. Ergometrine
HS Code : 2939.61
CAS No. 60-79-7
5. Ergotamine
HS Code : 2939.62
CAS No. 113-15-5
6. Isosafrole
HS Code : 2932.91
CAS No. 120-58-1
7. Lysergic acid
HS Code : 2939.63
CAS No. 82-58-6
8. 3,4-Methylenediosyphenyl
1-2 propanone
HS Code : 2932.92
CAS No. 4676-39-5
9. Norephedrine
HS Code : 2939.49
CAS No. 154-41-6
10.1-Pheny1-2-propanone
HS Code : 2914.31
CAS No. 103-79-7
11. Piperonal
HS Code : 2932.93
CAS No. 120-57-0
12. Potassium permanganate
HS Code : 2941.61
CAS No. 7722-64-7
√ 13.Pseudoephedrine
HS Code : 2939.42
CAS No. 90-82-4
14.Safrole
HS Code : 2932.94
CAS No. 94-59-7
Table II 1. Acetone
HS Code : 2914.11
CAS No : 67-64-1
2. Anthranillic acid
HS Code : 2922.43
CAS No : 118-92-3
3. Ethyl ether
HS Code : 2909.11
CAS No : 60-29-7
4. Hydrocholic acid
HS Code : 2806.10
CAS No : 7647-01-0
5. Methyl ethyl ketone
HS Code : 2914.12
CAS No : 78-93.3
6. Phenylacetic acid
HS Code : 2916.34
CAS No : 103-82-2
7. Piperidine
HS Code : 2933.32
CAS No : 110-89.4
8. Sulphiric acid1
HS Code : 2807.00
CAS No: 7664-93-9
9. Toluene
HS Code : 2902.30
CAS No : 108-88-3
Form 1 Page 28
Please provide details requested below relevant to the precursor chemicals which need to be included in the amendment
Name
of the
chemical
Trade Name
From whom to be
purchased
(Name & address)
To whom
to be sold
(Name &
address)
for which
activity
The quantity
of dealt
Potassium Permanganate
Condy's ABC Lanka (Pvt) Ltd, No 0000, ABC Rd, Col-00
EFG Lanka (Pvt) Ltd, No 0000, EFG Rd, Col-00
Use For
Purification
Industry
6,000kg
I hereby declare that all the information furnished in this application are true and correct
…………………………… …….……………….. ……………..………………. signature of applicant Date Company Stamp
Please attach herewith the photocopies of the receipts, invoices and bills pertaining to the transactions done in the last three months.
For official use only
Date received -
Checked by -
Approved by -
New quantity
hope to deal in
licence period
Form 1 Page 29
Schedule A
Form 8
Precursor Control Authority Tel 011 2868794
No.383, Kotte Road, Fax 011 2868791
Rajagiriya E-mail mail@nddcb.gov.lk
Application for renewal of the registration as a Dealer
Under the Precursor Control Authority
Name of the applicant : XYZ (Pvt)Ltd
Address of the applicant : No 0000, XYZ Rd,
Col-00
NIC No :
Business Reg. No./ N(Pvc)
Tele : : 00000000
Fax : : 00000000
E-mail : : xyz@sss.lk
Part 1
Details of the Applicant
PV 0000
Form 1 Page 30
Part 2
Details of the precursor chemicals
Please indicate the precursor chemicals which are to be dealt next year.
Table II 1. Acetone
HS Code : 2914.11
CAS No : 67-64-1
2. Anthranillic acid
HS Code : 2922.43
CAS No : 118-92-3
3. Ethyl ether
HS Code : 2909.11
CAS No : 60-29-7
4. Hydrocholic acid
HS Code : 2806.10
CAS No : 7647-01-0
5. Methyl ethyl ketone
HS Code : 2914.12
CAS No : 78-93.3
6. Phenylacetic acid
HS Code : 2916.34
CAS No : 103-82-2
7. Piperidine
HS Code : 2933.32
CAS No : 110-89.4
8. Sulphiric acid1
HS Code : 2807.00
CAS No: 7664-93-9
9. Toluene
HS Code : 2902.30
CAS No : 108-88-3
Table 1 1. Acetic Anhydride
HS Code : 2915.24
CAS No. 108-24-7
2. N-Acetylanthranillic acid
HS Code : 292423
CAS No. 89-52-1
3. Ephedrine
HS Code : 2939.41
CAS No. 299-42-3
4. Ergometrine
HS Code : 2939.61
CAS No. 60-79-7
5. Ergotamine
HS Code : 2939.62
CAS No. 113-15-5
6. Isosafrole
HS Code : 2932.91
CAS No. 120-58-1
7. Lysergic acid
HS Code : 2939.63
CAS No. 82-58-6
8. 3,4-Methylenediosyphenyl
1-2 propanone
HS Code : 2932.92
CAS No. 4676-39-5
9. Norephedrine
HS Code : 2939.49
CAS No. 154-41-6
10.1-Pheny1-2-propanone
HS Code : 2914.31
CAS No. 103-79-7
11. Piperonal
HS Code : 2932.93
CAS No. 120-57-0
12. Potassium permanganate
HS Code : 2941.61
CAS No. 7722-64-7
√ 13.Pseudoephedrine
HS Code : 2939.42
CAS No. 90-82-4
14.Safrole
HS Code : 2932.94
CAS No. 94-59-7
Form 9 Page 31
Please provide details requested below relevant to the precursor chemicals which are to be dealt next year.
Name of
the
chemical
Trade Name
From whom to
be purchased
(Name & address)
To whom
to be sold
(Name &
address)
for which activity
The quantity
of dealt
Potassium Permanganate
Condy's ABC Lanka (Pvt) Ltd, No 0000, ABC Rd, Col-00
EFG Lanka (Pvt) Ltd, No 0000, EFG Rd, Col-00
Use For
Purification
Industry
6,000kg
I hereby declare that all the information furnished in this application are true and correct
…………………………… …….……………….. ……………..………………. signature of applicant Date Company Stamp
Please attach here the photocopies of the receipts, invoices and bills pertaining to the transactions done in the last three months.
For official use only
Date received -
Checked by -
Approved by -
Renew quantity
hope to deal in
next year
Form 9 Page 32
XYZ Lanka (Pvt)Ltd.
No.000,XYZ Rd,
Col-00.
PVC 0000
00000000
0000000
xyz@sss.lk
For End-users
Schedule A
Form 9 (Regulation 23)
Precursor Control Authority Tel 011 2868794
No.383, Kotte Road, Fax 011 2868791
Rajagiriya E-mail mail@nddcb.gov.lk
Application for registration as an End User
under the Precursor Control Authority
Part 1
Details of the applicant
Name of the applicant :
Address of the applicant :
NIC No :
Business Reg. No./ N(Pvc) No. :
Tel : :
Fax : :
E-mail : :
Form 9 Page 33
Part 2
Details of the precursor chemicals
Please indicate the precursor chemicals which are to be used for next year.
Table II 1. Acetone
HS Code : 2914.11
CAS No : 67-64-1
2. Anthranillic acid
HS Code : 2922.43
CAS No : 118-92-3
3. Ethyl ether
HS Code : 2909.11
CAS No : 60-29-7
4. Hydrocholic acid
HS Code : 2806.10
CAS No : 7647-01-0
5. Methyl ethyl ketone
HS Code : 2914.12
CAS No : 78-93.3
6. Phenylacetic acid
HS Code : 2916.34
CAS No : 103-82-2
7. Piperidine
HS Code : 2933.32
CAS No : 110-89.4
8. Sulphiric acid1
HS Code : 2807.00
CAS No: 7664-93-9
9. Toluene
HS Code : 2902.30
CAS No : 108-88-3
Table 1 1. Acetic Anhydride
HS Code : 2915.24
CAS No. 108-24-7
2. N-Acetylanthranillic acid
HS Code : 292423
CAS No. 89-52-1
3. Ephedrine
HS Code : 2939.41
CAS No. 299-42-3
4. Ergometrine
HS Code : 2939.61
CAS No. 60-79-7
5. Ergotamine
HS Code : 2939.62
CAS No. 113-15-5
6. Isosafrole
HS Code : 2932.91
CAS No. 120-58-1
7. Lysergic acid
HS Code : 2939.63
CAS No. 82-58-6
8. 3,4-Methylenediosyphenyl
1-2 propanone
HS Code : 2932.92
CAS No. 4676-39-5
9. Norephedrine
HS Code : 2939.49
CAS No. 154-41-6
10.1-Pheny1-2-propanone
HS Code : 2914.31
CAS No. 103-79-7
11. Piperonal
HS Code : 2932.93
CAS No. 120-57-0
12. Potassium permanganate
HS Code : 2941.61
CAS No. 7722-64-7
√
13.Pseudoephedrine
HS Code : 2939.42
CAS No. 90-82-4
14.Safrole
HS Code : 2932.94
CAS No. 94-59-7
Form 10 Page 34
Please provide details requested below relevant to the precursor chemicals which are to be used for next year.
Name
of the
chemical
Trade Name
From whom to be
purchased
(Name & address)
for which
activity
The expected
quantity to be
used for
next year
Potassium Permanganate
Condy's ABC Lanka (Pvt) Ltd, No 0000, ABC Rd, Col-00
Use For
Purification
Industry
6,000kg
I hereby declare that all the information furnished in this application are true and correct
…………………………… …………….. ……………………….
signature of applicant Date Company Stamp
For official use only
Date received -
Checked by -
Approved by -
All quantity
hope to used in
next year
Form 10 Page 35
XYZ Lanka (Pvt)Ltd.
No.000, XYZ Rd,
Col-00.
PVC 0000
00000000
0000000
xyz@sss.lk
Schedule A Form 10 (Regulation 27)
Precursor Control Authority Tel 011 2868794
No.383, Kotte Road, Fax 011 2868791
Rajagiriya E-mail mail@nddcb.gov.lk
Application for amendment to the registration as an End User
under the Precursor Control Authority
Part 1
Details of the applicant
Name of the applicant :
Address of the applicant :
NIC No :
Business Reg. No./ N(Pvc) No. :
Tel : :
Fax : :
E-mail : :
Form 10 Page 36
Table II 1. Acetone
HS Code : 2914.11
CAS No : 67-64-1
2. Anthranillic acid
HS Code : 2922.43
CAS No : 118-92-3
3. Ethyl ether
HS Code : 2909.11
CAS No : 60-29-7
4. Hydrocholic acid
HS Code : 2806.10
CAS No : 7647-01-0
5. Methyl ethyl ketone
HS Code : 2914.12
CAS No : 78-93.3
6. Phenylacetic acid
HS Code : 2916.34
CAS No : 103-82-2
7. Piperidine
HS Code : 2933.32
CAS No : 110-89.4
8. Sulphiric acid1
HS Code : 2807.00
CAS No: 7664-93-9
9. Toluene
HS Code : 2902.30
CAS No : 108-88-3
Part 2
Details of the precursor chemicals
Please indicate the precursor chemicals which need to be included in the amendment
Table 1 1. Acetic Anhydride
HS Code : 2915.24
CAS No. 108-24-7
2. N-Acetylanthranillic acid
HS Code : 292423
CAS No. 89-52-1
3. Ephedrine
HS Code : 2939.41
CAS No. 299-42-3
4. Ergometrine
HS Code : 2939.61
CAS No. 60-79-7
5. Ergotamine
HS Code : 2939.62
CAS No. 113-15-5
6. Isosafrole
HS Code : 2932.91
CAS No. 120-58-1
7. Lysergic acid
HS Code : 2939.63
CAS No. 82-58-6
8. 3,4-Methylenediosyphenyl
1-2 propanone
HS Code : 2932.92
CAS No. 4676-39-5
9. Norephedrine
HS Code : 2939.49
CAS No. 154-41-6
10.1-Pheny1-2-propanone
HS Code : 2914.31
CAS No. 103-79-7
11. Piperonal
HS Code : 2932.93
CAS No. 120-57-0
12. Potassium permanganate
HS Code : 2941.61
CAS No. 7722-64-7
√
13.Pseudoephedrine
HS Code : 2939.42
CAS No. 90-82-4
14.Safrole
HS Code : 2932.94
CAS No. 94-59-7
Form 11 Page 37
Please provide details requested below relevant to the precursor chemicals which need to be included in the amendment
Name
of the
chemical
Trade Name
From whom to be
purchased
(Name & address)
for which
activity
The expected
quantity to be
used for
current year
Potassium Permanganate
Condy's ABC Lanka (Pvt) Ltd, No 0000, ABC Rd, Col-00
Use For
Purification
Industry
6,000kg
I hereby declare that all the information furnished in this application are true and correct
…………………………… …………….. ……………………….
signature of applicant Date Company Stamp
For official use only
Date received -
Checked by -
Approved by -
New quantity
hope to used in
licence period
Form 11 Page 38
XYZ Lanka (Pvt)Ltd.
No.000, XYZ Rd,
Col-00.
PVC 0000
00000000
0000000
xyz@sss.lk
Schedule A Form11 (Regulation 28)
Precursor Control Authority Tel 011 2868794
No.383, Kotte Road, Fax 011 2868791
Rajagiriya E-mail mail@nddcb.gov.lk
Application for renewal of the registration as an End User
under the Precursor control Authority
Part 1
Details of the applicant
Name of the applicant :
Address of the applicant :
NIC No :
Business Reg. No./ N(Pvc) No. :
Tel : :
Fax : :
E-mail : :
Form 11 Page 39
Table II 1. Acetone
HS Code : 2914.11
CAS No : 67-64-1
2. Anthranillic acid
HS Code : 2922.43
CAS No : 118-92-3
3. Ethyl ether
HS Code : 2909.11
CAS No : 60-29-7
4. Hydrocholic acid
HS Code : 2806.10
CAS No : 7647-01-0
5. Methyl ethyl ketone
HS Code : 2914.12
CAS No : 78-93.3
6. Phenylacetic acid
HS Code : 2916.34
CAS No : 103-82-2
7. Piperidine
HS Code : 2933.32
CAS No : 110-89.4
8. Sulphiric acid1
HS Code : 2807.00
CAS No: 7664-93-9
9. Toluene
HS Code : 2902.30
CAS No : 108-88-3
Part 2
Details of the precursor chemicals
Please indicate the precursor chemicals which are to be used for next year.
Table 1 1. Acetic Anhydride
HS Code : 2915.24
CAS No. 108-24-7
2. N-Acetylanthranillic acid
HS Code : 292423
CAS No. 89-52-1
3. Ephedrine
HS Code : 2939.41
CAS No. 299-42-3
4. Ergometrine
HS Code : 2939.61
CAS No. 60-79-7
5. Ergotamine
HS Code : 2939.62
CAS No. 113-15-5
6. Isosafrole
HS Code : 2932.91
CAS No. 120-58-1
7. Lysergic acid
HS Code : 2939.63
CAS No. 82-58-6
8. 3,4-Methylenediosyphenyl
1-2 propanone
HS Code : 2932.92
CAS No. 4676-39-5
9. Norephedrine
HS Code : 2939.49
CAS No. 154-41-6
10.1-Pheny1-2-propanone
HS Code : 2914.31
CAS No. 103-79-7
11. Piperonal
HS Code : 2932.93
CAS No. 120-57-0
12. Potassium permanganate
HS Code : 2941.61
CAS No. 7722-64-7
√
13.Pseudoephedrine
HS Code : 2939.42
CAS No. 90-82-4
14.Safrole
HS Code : 2932.94
CAS No. 94-59-7
Form 9 Page 40
Please provide details requested below relevant to the precursor chemicals which are to be used for next year.
Name of
the
chemical
Trade Name
From whom
to be purchased
(Name &
Address)
for which
activity
The expected
quantity
to be used
for next year
Potassium Permanganate
Condy's ABC Lanka (Pvt) Ltd, No 0000, ABC Rd, Col-00
Use For
Purification
Industry
6,000kg
I hereby declare that all the information furnished in this application are true and correct
For official use only
Date received -
Checked by -
Approved by -
…………………………… …………….. ……………………….
signature of applicant Date Company Stamp
Renew quantity
hope to used in
next year
Form 9 Page 41