Goods Imported by Designated Foreign Countries, Military Service Agencies and Institutions (Tariff Item No. 9810.00.00) Regulations (SOR/98-57)

I certify that the articles and materials described in this certificate or in invoice No. are being imported on behalf of (name of designated foreign country) by (name of designated military service agency or institution), for the personal use of or consumption by nationals of that country who are employed in defence establishments of that country in Canada.

Name and title of authorized official

Telephone and fax numbers

Signature and date (day/month/year)