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 by or on behalf of (name of designated government department, agency, office or military unit), are to remain the property of the government of (name of designated foreign country) and are not for resale, gift or other distribution.

Name and title of authorized official

Telephone and fax numbers

Signature and date (day/month/year)