PACKAGING WASTE COMPLIANCE APPLICATION FORM

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1 PACKAGING WASTE COMPLIANCE APPLICATION FORM Section A Company Information Full legal company name First compliance year of registration with DHL 1 Trading name if different from the above Registered company address, town, county and postcode (as on Companies House) Registered address telephone Registered address fax Registered address (if applicable) Company registration number VAT number SIC (standard industrial classification) code Your SIC code can be found by visiting Are you registering as a Group of Companies? Yes If yes, you also need to complete the subsidiary registration section with all subsidiaries details that will be included in this registration. Are you registering as: Sole trader Partnership Individual company What is your company subtype? Holding company (group registration) Subsidiary N/A Partner 1: Contact name and title Contact telephone Partner 2: Contact name and title Contact telephone

2 Company turnover (in m) (as per latest set of accounts) If your turnover is between 2 5 million the small producer allocation method is available to you. 2 Nature of business (e.g. foodservice wholesaler, glass container manufacturer) Are the following applicable to your business? Licensor/franchisor/pub operation business Small producer (contact DHL if you are unsure) Manufacturing (produce raw materials for packaging manufacture) Conversion (convert raw materials into packaging) Packing/filling (put goods in packaging or packaging around goods) Selling (supply packaging to the end user) Importing (import packaged goods and/or packaging from outside the UK includes pallets and crates) Service provider (supply packaging by hiring out or lending) Main packaging activity (Tick 1 only) Other activities performed Consumer Information Obligations The Consumer Information Obligations (CIO) require businesses whose main activity is selling to provide customers with information about the return, collection, reuse, recycling and recovery of the packaging supplied to them. Please explain below how you are currently meeting your CIOs. (Contact DHL if you require more information) Have you registered under the packaging waste regulations before? Yes No If yes, please provide the following Compliance scheme used for previous registration NPWD (National Packaging Waste Database) code, if known Your NPWD code can be found at: Are you using, or would you like to use DHL Envirosolutions data calculation service? Yes No

3 Section B Contact information 3 Primary contact For DHL and the Agency Secondary contact For DHL and the Agency

4 Invoice contact For DHL with regards to all invoicing issues 4 of site to be used for agency audits tick one only Registered office address Primary contact address Secondary contact address Section C Subsidiary Companies Number of subsidiaries included in this agreement If there is more than one subsidiary company please use the additional subsidiary form and photocopy as necessary. It is a legal requirement to declare all subsidiary companies, that are Producers under the regulations, in a group registration (i.e. companies that handle packaging). The Agency will ask for individual company data for compliance monitoring activities. All details must be completed for your registration under the regulations. Subsidiary 1 Company name Contact name Contact telephone number Contact address Registered address Company registration number SIC code Company turnover (in m)

5 Main packaging activity (packaging manufacture, converter, packer/filler, seller, importer or service provider) 5 Business description Section D Agreement Please indicate if you wish to sign up to a minimum term of three years with DHL Packaging Compliance All Packaging Compliance documentation must be signed by an authorised signatory. This must be a Director, a Partner or the Company Secretary. I hearby declare that the information on this form is correct and that I have read the terms and conditions and that I agree to abide by the rules laid down by them. Duly authorised to sign for and on behalf of the Customer... Date of Signature... Print name and job title... Please return two copies of this completed form to the address below and keep a copy for yourself. Please send your completed application to: DHL Packaging Compliance, DHL Lutterworth ISC, Unit 3310, Hunter Boulevard, Magna Park, Lutterworth, LE17 4XN... Date of Signature... Signed on behalf of Exel Europe Limited (trading as DHL Envirosolutions) Print name and title...