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1. DOCUMENT NUMBER ICCAT BLUEFIN TUNA RE-EXPORT CERTIFICATE 2. RE-EXPORT SECTION: RE-EXPORTING COUNTRY/ENTITY/FISHING ENTITY POINT OF RE-EXPORT 3. DESCRIPTION OF IMPORTED BLUEFIN TUNA Product Type Net Weight Flag CPC Date of import BCD F/FR RD/GG/DR/FL/OT (kg) No

4. DESCRIPTION OF BLUEFIN TUNA FOR RE-EXPORT Product Type Net Weight Corresponding BCD number F/FR RD/GG/DR/FL/OT (kg) F = Fresh, FR = Frozen, RD = Round, GG = Gilled & Gutted, DR = Dressed, FL = Fillet, OT = Others (Describe the type of product:) STATE OF DESTINATION: 5. RE EXPORTER STATEMENT: I certify that the above information is. complete, true and correct to the best of my knowledge and belief Name Address Signature Date 6. GOVERNMENT VALIDATION: I validate that the above information is complete, true and correct to the best of my knowledge and belief. Name & Title Signature Date Government Seal 7. IMPORT SECTION IMPORTER STATEMENT I certify that the above information is complete, true and correct to the best of my knowledge and belief. Importer Certification Name Address Signature Date Final Point of Import: City State/Province CPC NOTE: This form is to be completed in one of the official languages of ICCAT (English, French or Spanish). All other language versions of this form are provided for information purposes only.