ALLEGATO II
          SECURITY COUNCIL COMMITTEE ESTABLISHED PURSUANT TO
       RESOLUTION 864 (1993) CONCERNING THE SITUATION IN ANGOLA
                      AUTHORIZATION REQUEST FORM
                    for export of goods to Angola
TO BE COMPLETED BY THE SECRETARIAT
COMM. _______________________        Date ________________
Deadline for objections:
  For request
        TO BE COMPLETED IN FULL BY PROSPECTIVE EXPORTING
                  COUNTRY/INT'L/REGIONAL ORG.
REQUESTOR ___________________        Date ________________
(State or international/regional organization)
CERTIFYING SIGNATURE AND OFFICIAL SEAL OR STAMP
INFORMATION ABOUT THE EXPORTER
Name of exporter ____________________________________________________
Address of exporter _________________________________________________
                    _________________________________________________
Type of exporter
(e.g. private or public enterprise, individual merchant,
public authority, NGO, international/regional organization)
INFORMATION ABOUT THE GOODS (please use one form for each distinct
item)
Description _____________________________ Tariff number _____________
                                                 HS, CCT, SITC
Country of origin _________ Quantify __________ Quantity unit _______
                                                (e.g. pieces, tons,
                                                liters, barrels,
                                                bottles, containers)
INFORMATION ABOUT THE SHIPMENT
_____________________________________________________________________
| Approximate | Approximate  |            Mode and Rounte
|  Departure  | Arrival Date |
|     Date    |              |
|_____________|______________|_______________________________________
|             |              |
|             |              | By Sea________________________________
|             |              | Name of Vessel _______________________
|             |              | Registry _____________________________
|             |              | Call Sign of Vessel __________________
|             |              | Port of entry ________________________
|_____________|______________|_______________________________________
|             |              |
|             |              | By Air _______________________________
|             |              | Airline ______________________________
|             |              | Registry of Aircraft _________________
|             |              | Airport of Entry _____________________
|_____________|______________|_______________________________________
              |              |
              |              | By Land ______________________________
              |              | Type of transportation _______________
              |              | Entry point __________________________
|_____________|______________|_______________________________________
INFORMATION ABOUT THE IMPORTER
Name of importer ________________ Address of importer _______________
                 ________________                     _______________
Type of importer ________________                     _______________
(e.g. private or public enterprise, individual
merchant, public authority, NGO, international/regional organization)
INFORMATION ABOUT THE END-USER (if different from the__ importer)
Name of end-user ________________ Address of end-user _______________
                 ________________                     _______________
Type of end-user ________________                     _______________
(e.g. private or public enterprise, individual
merchant, public authority, NGO, international/regional organization)
End/use of goods ____________________________________________________
(if nont otherwise abvious)
NATURE OF ESSENTIAL HUMANITARIAN NEED
_____________________________________________________________________
_____________________________________________________________________
ANY ADDITIONAL INFORMATION
_____________________________________________________________________
_____________________________________________________________________