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INDUSTRIAL SECURITY MANUAL (ISM)

APPENDIX A-3 TO ANNEX 5-E
PRE-TRIP DECLARATION


_________________________________________________
(First Name, Surname of Courier)

_________________________________________________
(Name of Organization)

_________________________________________________
(Position in Organization)


Declaration

The Company Security Officer of the _________________________________ (Name of Organization)

has briefed me on the Escorting arrangements and handed to me the "NOTES TO THE ESCORT" concerning the handling and custody of PROTECTED C, CONFIDENTIAL or SECRET material to be escorted by me. I have read and understood their contents.

 

_________________________________________________
(Place and Date)

_________________________________________________
(Signature of Courier)


Witnessed by:

_________________________________________________
(Company Security Officer’s Signature)

TO BE RETAINED BY COMPANY SECURITY OFFICE