CERTIFICATE OF END-USE ASSURANCE FOR DUAL-USE ITEMS AND TECHNOLOGY
1. Exporter
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Name:
Address:
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2. Consignee
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Name:
Address:
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3. End-User (if different to consignee)
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Name:
Address:
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4. Goods
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(a) Detailed description of goods
(b) Quantity (c) Value (€) |
5. End-Use
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Specific purpose for which the goods will be used
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6. Undertaking
We certify that: -
We are the end-user of the goods described in Section 3, which are to be supplied by the exporter named in Section 1;
We further certify that we shall use the goods for the purposes described in Section 5;
The goods will not be used for any purpose connected with chemical, biological or nuclear weapons, or missiles capable of delivering such weapons;
The goods will not be re-exported or otherwise re-sold or transferred if it is known or suspected that they are intended or likely to be used for such purposes;
The goods will not be diverted to another destination; and,
In the event of the goods being so re-exported, the export will be conducted in accordance with the regulations of the national licensing authority in ......... [insert name of country].
Signed:___________________________ Name in block letters_____________________
Position in end-user company:______________________________
Date:______________ Company Stamp/official seal
Last modified: 28/08/2002
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