PNP Form 6-B4 - Special Permit To Purchase and Move Controlled Chemicals
PNP Form 6-B4 - Special Permit To Purchase and Move Controlled Chemicals
As of April 2016
Manufacturer
Dealer
Purchaser
DATE
CHIEF, PHILIPPINE NATIONAL POLICE
Camp Crame, Quezon City
Company Name:
Office Address:
Storage Facility/Warehouse Address:
Nature/Line of Business:
License No:
Purpose/use of controlled chemicals:
Request for authority to purchase and move the following controlled chemicals:
If this request is approved, I do hereby covenant and agree that I will safely keep and lawfully
dispose the above-described controlled chemicals and will faithfully comply with all laws, rules and
regulations which are now or hereafter maybe enforced.
RECOMMEND:
APPROVAL
DISAPPROVAL
APPROVED
DISAPPROVED