CERN - Import/Export of Radioactive Goods (Class 7)


* Required fields

User
First name *
Last name *
Email *
Institut
Name *
Address *
Zip code City * *
Country *
Phone *
Fax
Web
RSO (Radiation Safety Officer) or Contact Person (if not Radioactive)
First name RSO  * 
Last name RSO *
Email RSO *
Phone RSO *
Mobile phone RSO
Fax RSO
Various
Emails to notify
(separated by a semicolon)
User comment
Certificate
Certificate / License: paper delivered by your national authorities, stating that you are authorised to import/export/work/handle radioactive material/source. If the document is not in french or english language, at least a very rough and short translation (french or english) must be provided (for the main points of interest). This has to be done once for the whole life of your licence/certificate.
Issue date
(DD/MM/YYYY)
Datepicker
Expiration date
(DD/MM/YYYY)
Datepicker
Licence/Certificate
Other file (short translation, ...)