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Standing Diplomatic Clearance requested by (Member State)
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Requesting authority
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National Coordinator of requesting Member State:
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Name
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Phone
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Mobile
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E-mail
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Mode of transport (Road / Rail / Inland Waterways/ Air / Sea / several modes – please specify):
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General remarks
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A.Size limitations
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Maximum amount of vehicles allowed for any individual military transport operation by road under this standing permission
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Vehicles:
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Maximum amount of trains allowed for any individual military transport operation under this standing permission
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Trains:
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Maximum amount of inland waterways vessels allowed for any individual military transport operation by inland waterways or sea under this standing permission
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Vessels:
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Maximum amount of seagoing ships allowed for any individual military transport operation by inland waterways or sea under this standing permission
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Ships:
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Maximum amount of aircraft allowed for any individual military transport operation by inland waterways or sea under this standing permission
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Aircraft:
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B.Specific rules for military transport operations by Sea
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Situation
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YES / NO
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Remarks
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Sea military transport operation conducted by government ships of the requesting Member State
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Sea military transport operation conducted by civil registered ships when used exclusively for military purposes for the requesting Member State
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Sea military transport operation conducted by ships exclusively crewed by:
·nationals from flagstate of the ships
·nationals of the requesting Member State
·EU nationals
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Sea military transport operations including nuclear powered vessels
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Sea military transport operations conducted with unmanned vessels
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Receiving Member State Approval
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Approval status
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References / Sub-approvals
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National Coordinator of Receiving Member State
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Name
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Phone
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Mobile
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E-mail
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Remarks
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Requesting Member State
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Requesting authority
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National Coordinator of Requesting Member State
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Name
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Phone
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Mobile
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E-mail
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Operator of Transport (armed forces / civil contractor on behalf of armed forces – specify company name if applicable)
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Receiving Member State(s) (in order of route sequence from point of departure to destination)
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Type of request
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□ Notification (add ref. of standing permission)
□ Ad hoc movement request
□ Modification request
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Mode of transport (multiple possible)
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□ Road
□ Rail
□ Inland Waterways
□ Air
□ Sea
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General remarks
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General information
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Movement Identification Number (MIN)
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Callsign(s)
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ROUTE INFORMATION (for each receiving Member State)
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Transited receiving Member State (1)
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Point of Departure and Final destination
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Planned Date and Time of Entry
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Point of Entry
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Planned Date and Time of Exit
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Point of Exit
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Route description
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Transited receiving Member State (2)
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Point of Departure and Final destination
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Planned Date and Time of Entry
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Point of Entry
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Planned Date and Time of Exit
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Point of Exit
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Route description
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PERSONNEL AND MILITARY TRANSPORT OPERATION INFORMATION
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Total number of Personnel
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Deployed unit/convoy/fleet contact information (name, mobile phone)
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Escort requested
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Host-Nation-Support requested (please specify)
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Traffic Arrangements Requested (including safety measures) (Yes/No – please specify)
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For road transport
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Total number of vehicles
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Largest dimensions of biggest vehicle in convoy (weight (kg), width (cm), height (cm), length (cm))
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For rail transport
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[Total train length]
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For inland waterways transport
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Total number of vessels
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For maritime transport
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Number of ships (including name and pennant number)
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Type of ship
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Draught/displacement
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Length/breadth in meters and propulsion
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Subunits
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Frequencies
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Commanding Officer (rank, name, seniority)
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Senior Officer embarked (rank, name)
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ISTAR and EW equipment (type, intent to use, location and timeframe of use)
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For air transport
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Number and type of aircraft
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Armament (type, number, total mass)
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ISTAR and EW equipment (type, intent to use, location and timeframe of use)
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VIP (title/rank, name)
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DANGEROUS GOODS LIST (IF APPLICABLE)
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Compliant with
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□ ADR
□ AND
□ RID
□ IMDG Code
□ ICAO-TI / IATA DGR
□ NATO AMovP-6 SRDs 2, 3, 5 (including applicable National Deviations)
□ National legislation of [requesting Member State]
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Total net quantity of Class 1 (if applicable)
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Combat loaded tactical vehicles (if yes, number and brief description)
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Explosives (Class1) other than 1.4S, which needs security measures e.g. during a rest overnight (provided by the receiving Member State)
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Specifying for every category of items
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Category of items
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UN Number
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Proper shipping name
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Class or classification code (as appropriate)
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Packing Group (if applicable)
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Total quantity (volume, gross mass or net mass (kg), as appropriate)
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Quantity and type of packages (if applicable)
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Net quantity per package
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NEQ (Class 1) (per package (kg)
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Total NEQ (Class 1) (kg)
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Packing instructions
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Tunnel restriction code (for road transport)
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Remarks
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ABNORMAL CARGO (IF APPLICABLE)
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FOR ROAD AND RAIL TRANSPORT
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For each vehicle/transport unit transporting abnormal cargo
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Vehicle Class/Type
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Registration Number(s)
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Description (including name and type of load)
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Vehicle Dimensions (length (cm), width (cm), height (cm), overlap (cm), weight (kg)): unloaded
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Load Weight and Dimensions (t; cm)
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Vehicle Dimensions (length (cm), width (cm), height (cm), overlap (cm), weight (kg)): loaded
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Axle Load (t per axle)
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Axle Spacing (cm)
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Turning Radius (cm)
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Critical infrastructure assessment
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Bridges (yes/no – specify)
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Tunnels (yes/no – specify)
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Overhead lines (yes/no – specify)
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Other obstacles (yes/no – specify)
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Engineering support required (yes/no – specify)
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FOR RAIL TRANSPORT ONLY
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Date of ad hoc request pursuant to Article 48 of Directive (EU) 2012/34/EU
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Reference number of ad hoc train path request
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Information to be provided by the infrastructure manger(s) pursuant to Article 23 of Directive (EU) 2016/797 (Yes/No)
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Tests on the technical compatibility of the vehicle with the network as referred to in Article 23 of Directive (EU) 2016/797 (Yes/No)
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Are all vehicles in this transport authorised for the full area of use?
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Receiving Member State Approval
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Approval status
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References / Sub-approvals
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National Coordinator of Receiving Member State
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Name
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Phone
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Mobile
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E-mail
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Remarks
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