Notification Form for Importation of Foods, etc.
Minister of Health, Labour and Welfare, Esq.
Name and address of importer (Or name of importing corporation and its address)(1)Notification Receipt
Number(3)Classification of Notification*1(2)NamePrior Notification / General Notification / Planned Import

Address(Telephone Number)(4)Code of Importer(6)Registration Numberof Importer
Responsible for FoodSanitation(5)Name and Code ofCountry of Production(7)Name, Address andCode of Manufacturer(8)Name, Address andCode of Manufacturing
Factory(9)Name, Address andCode of Shipper(10)Name, Address andCode of Packer(11)Name and Code ofPort of Loading(12)Date of Loading_______(Month)_______(Day)_______(Year)(13)Name and Code ofPort of Discharge(14)Date of Arrival_______(Month)_______(Day) ______(Year)(15)Name and Code ofWarehouse(16)Date of Storage_______(Month)_______(Day) ______(Year)(19)Date of Notification_______(Month)_______(Day) ______(Year)(17)Marks and Numbersof Cargo(20)Accident(18)Ship Name or Flight
Number of Aircraft(21)Name and Code ofSubmitter1(22)Classification ofCargo

Brief Explanation (if Yes)

Food / Food Additive /Apparatus /Container-Package/ Toy(23)Continuous
ImportFirst /Continue/Update(24)Item Code(25)Description of Article(26)Shipped Volume(Number of Units)(27)Shipped Volume(Weight )(28)Usage and its Code(29)Kind of Package andits Code(30)Registration Number 1(31)Registration Number 2(32)Registration Number 3kg

Yes/No(33)Sanitary Certificate
Number(34)If the cargo includes
processed food,describe its ingredientsand their codes.
If the cargo includes
apparatuses,
container/packages ortoys, describe the raw
materials and theircodes.
(35)If the cargo includes*2
food with additives,describe the names andcodes of additives.
*2
If the cargo includes
manufacturing agents inthe additives, describe
the names and codes ofadditives.
(Additives used as
flavoring agents areexcluded for either case.)(36)If the cargo includes
processed food,describe the method of
manufacturing orprocessing, and itscode.
(37)Remarks

Stamp for Receiving Notification

Notes:*1: Do not write here.
*2: When the article in the cargo includes food additives that are generally supplied in food or drink and regulated by the relevant statutes, describe thenames of the substances used. When the article includes manufacturing agents in the additives, excluding flavoring agents or food additives that aregenerally supplied in food or drink, write the names of the agents.
The seal of importer can be substituted by a signature of importer.

(22)Classificationof Cargo

Food / Food Additive /Apparatus /Container-Package/ Toy(23)Continuous
ImportFirst /Continue/
Update(24)Item Code(25)Description of Article(26)Shipped Volume(Number of Units)kg(27)Shipped Volume(Weight )(28)Usage and its Code(29)Kind ofand its CodePackage(30)Registration Number 1(31)Registration Number 2(32)Registration Number 3(33)Sanitary Certificate
Number(34)If the cargo
includes processed
food,describe its ingredientsand their codes.
If the cargo includes
apparatuses,container/packages ortoys, describe the raw
materials and theircodes.
(35)If the cargo includes
food with additives,
describe the names andcodes of additives.
If the cargo includes
manufacturing agents inthe additives, describe
the names and codes ofadditives.
(Additives used as
flavoring agents areexcluded for eithercase.)*2*2(36)If the cargo
includes processedfood,describe the method ofmanufacturing orprocessing, and its
code.
(37)Remarks

Stamp for Receiving Notification(22)Classificationof Cargo

Food / Food Additive /Apparatus /Container-Package/ Toy(23)Continuous
ImportFirst /
Continue/
Update(24)Item Code(25)Description of Article(26)Shipped Volume(Number of Units)(27)Shipped Volume(Weight )(28)Usage and its Code(29)Kind ofand its CodePackage(30)Registration Number 1(31)Registration Number 2(32)Registration Number 3kg(33)Sanitary Certificate
Number(34)If the cargo
includes processed
food,describe its ingredientsand their codes.
If the cargo includes
apparatuses,
container/packages ortoys, describe the raw
materials and theircodes.
(35)If the cargo includes
food with additives,describe the names andcodes of additives.
If the cargo includes
manufacturing agents inthe additives, describe
the names and codes ofadditives.
(Additives used as
flavoring agents areexcluded for eithercase.)*2*2(36)If the cargo
includes processed
food,describe the method of
manufacturing orprocessing, and its
code.
(37)Remarks

Stamp for Receiving Notification