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Remarks Name of the Permit Holder of the Registered Facility Signature of the Permit Holder and Company Chop Date Form S1-1A-c.DOC. For additional transfers Information for this chemical please use new Form S1-1A. Total number of Form S1-1A for this chemical submitted pages I the undersigned hereby declare to the best of my knowledge and belief that all information provided in this For official use only form and in any sheet attached to this form is true and correct. As of 4 June 2002 Please...

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5. Review any additional documentation or supporting materials that may be required to be submitted along with the form. Make sure you have gathered all the necessary documents, such as identification proofs, supporting letters, or any other required paperwork.
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The s1 1a form is a document used for reporting specific information to the appropriate authorities.

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