Application for Plastic Import Permit

Part A

Applicant & Product Details

Details of the importer and plastic products to be imported.

Legal Notice — Penalties Apply

The importation of plastic products into Fiji requires a valid Plastic Import Permit under the Environment Management Act 2005. Operating without a permit may attract penalties under the Act.

Applicant / Importer Details Required

Full Name of Applicant / Company*

Business Registration Number

Registered Business Address*

Email Address*

Telephone Number*

Fax Number

TIN (Tax Identification Number)

FIRCA Importer/Exporter Code

Authorised Contact Person Part B

Contact Person Name*

Position / Title

Contact Telephone

Contact Email

Plastic Product Details Part C

Product Description*

Plastic Resin Type

HS Tariff Code

Estimated Annual Quantity (tonnes)*

Country of Origin

Intended Use / End Use in Fiji*

Additional Products (if any)

Part D

Import Logistics & Environmental Commitment

Provide logistics details and your environmental commitments.

Import Logistics Part D

Port of Entry*

Proposed Import Period

Frequency of Shipments

Storage Location in Fiji

Waste Management Plan for Plastic Residues

Environmental Commitment Part E

Extended Producer Responsibility (EPR) Measures

Current or Previous Permits Held (if any)

Declaration

Declaration & Submission

As Owner / Authorised Person — I certify that:

The information provided is true, accurate and complete to the best of my knowledge;
I understand that providing false or misleading information may result in refusal and/or prosecution under the Environment Management Act 2005;
I agree to comply with all conditions attached to this permit if granted;
I will notify the Department of Environment of any changes to import quantities, product types, or business details.

Signature of Applicant

Full Name (Print)*

Date*

Signature of Witness

Witness Name*

Date*

Central Division — Suva

WPC Administrator, Dept. of Environment
Levels 1 & 2, Bali Tower, 318 Toorak Road
P.O Box 2109, Suva
📞 (679) 331 1699 | Fax: (679) 331 2879

Western Division — Lautoka

WPC Administrator, Dept. of Environment
Level 1, Peekay Building, Lautoka

📞 (679) 672 4140

Northern Division — Labasa

WPC Administrator, Dept. of Environment
Ground Floor, Local Timber Bldg
Nasekula Street, P.O. Box 485, Labasa
📞 (679) 881 8017 | Fax: (679) 881 8016

Application for Plastic Import Permit

Applicant & Product Details

Import Logistics & Environmental Commitment

Supporting Documents & Checklist

Declaration & Submission

As Owner / Authorised Person — I certify that: