End Use Cum End User Certificate In Case Of Export Of SCOEMT Category 1 Items

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..... IUPAC Name, CAS number &ITC(HS) code in Part 2(a) 3. Please indicate full details of end use under declaration in Part 3(a) 4. Strike out, if any entry is not applicable 5. Any additional sheet must be on the letterhead of the company and signed by the same person who signs this form 6. For SCOMET Categories, other than Category 1, EUC proforma Appendix-10J(i)and for Stock & Sale proforma Appendix 10J(iii)will apply PART 1: DETAILS OF THE ENTITIES (a) Name of Exporter (b) Name of Buyer (c) Buyer's Address (d) Name of Consignee (e) Consignee's Address (f) Name of End-User (g) End-User's Address (h) Specific Location where the items (goods, software, technology)1 will be finally used (if different from (g)) * *Remark .....

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..... e Government of India, to any party within (country of final destination) ________________ or outside it unless specifically exempted in the export authorization/policy; f) I/We also certify that the above items imported by us shall not be used to develop, acquire, manufacture, possess, transport, transfer or use, chemical, biological, nuclear weapons or for missiles capable of delivering such weapons and that the chemical(s) will only be used for purposes not prohibited under the Chemical Weapons Convention (CWC); g) It is also certified that all the facts contained in this certificate are true and correct to the best of my knowledge and belief and that I/we do not know of any additional facts that are inconsistent with this certificat .....

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..... ers only): _________________ Designation ______________ Government Department/Ministry stamp Name of Organization & Contact details (Tele / Fax No (with ISD code) and Email : ________ ************ Footnotes:- 1 for definition of software and technology refer to the glossary of SCOMET Appendix-III. Also refer to the general technology note and general software note and the general information security note of SCOMET Appendix-III 2 For Technology exports, value should be mentioned (if applicable) in Part 2 3 For list of states (countries) not party to the Chemical Weapons Convention(CWC), please refer to OPCW website (presently Egypt, North Korea (DPRK), and South Sudan have not signed to CWC. Israel has signed but not ratified to the .....

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