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Member’s Branch Office Information

 Please complete one Branch Office Information form for EACH Branch Office in your company.
All information will be kept confidential, and is for CIFFA’s internal use only.

Form completed by:
E-Mail Address:
Date Form completed: 
Branch Office Address
Company Name: 
Branch Office Address: 
City: 
Province:
Postal Code: 
Branch Phone Number: 
Branch Toll-free Phone Number: 
Branch Fax Number: 
Branch Office's Key Contacts
Not Applicable:
Branch’s Airfreight Manager’s Name: 
Phone Number:
Fax Number: 
E-mail: 
Not Applicable:
Branch’s Oceanfreight Manager’s Name: 
Phone Number: 
Fax Number: 
E-mail: 
Not Applicable:
Branch’s Ground Transportation Manager’s Name: 
Phone Number: 
Fax Number: 
E-mail: 
Not Applicable:
Branch’s HR/Training Manager’s Name: 
Phone Number: 
Fax Number: 
E-mail: 
Dangerous Goods
This Branch Office is engaged in the offering, handling, or transportation of International Marine Dangerous Goods.  YES NO
This Branch Office has the following people trained on International Marine (IMO IMDG Code) Dangerous Goods.
Name: Training Expiry Date: 
Name: Training Expiry Date:
Name: Training Expiry Date: 
Name:  Training Expiry Date: 
Name:  Training Expiry Date: 
Name: Training Expiry Date: 
Name of company supplying this training:
This Branch Office is engaged in the offering, handling, or transportation of International Air Dangerous Goods.  YES NO
This Branch Office has the following people trained on International Air (IATA/ICAO DG Regulations) Dangerous Goods.
Name: Training Expiry Date: 
Name: Training Expiry Date:
Name: Training Expiry Date: 
Name:  Training Expiry Date: 
Name:  Training Expiry Date: 
Name: Training Expiry Date: 
Name of company supplying this training:
This Branch Office is engaged in the offering, handling, or transportation of Domestic Air/Road/Rail Dangerous Goods.   YES NO
This Branch Office has the following people trained on on Domestic Air/Road/Rail (Canadian TDG Regulations)  Dangerous Goods.
Name: Training Expiry Date: 
Name: Training Expiry Date:
Name: Training Expiry Date: 
Name:  Training Expiry Date: 
Name:  Training Expiry Date: 
Name: Training Expiry Date: 
Name of company supplying this training:


  



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