Office....................................................................................................................................
Officer's name........................................................................................................................
Stamp....................................................................................................................................
Officer's Signature.................................................................................................................
ISRT CONVENTION CERTIFICATE OF GUARANTEE
The Republic of ....................................................................................................................
Office...................................................................................................................................
complete address and Member State).......................................................................................
hereby certifies that................................................................................................................
(surname, first name, or business name and complete address of the principal Guarantor
......................................for whom..........................................................................
(name and first name or business name) is declaring himself (itself) as Joint Surety up to maximum
amount of
..............................................................................................................
..............................................................................................................................................
(in figures and words)
obtained this day of ............................................................................(date), this certificate enabling him to
effect the Inter-State Road Transit through the States in question.
Done in ...........................................on..................................................................................
Office............................................Officer's name...................................................................
Stamp....................................................................................................................................
Officer's signature...................................................................................................................