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End Use Cum End User Certificate For Export Of Scomet Items For Stock & Sale Purpose

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..... n of supply e.g. foreign buyer / consignee / end user / intermediary, if any on the letterhead of the respective entity, duly signed in ink by authorised signatory] Note :[Please read carefully] 1. Stock and Sale is not permitted for SCOMET Category 0, Category 3A4001, Category 6 and transfer of technology in any category 2. Please indicate full details of end use under declaration .....

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..... d / sold without the consent of the Government of India, unless specifically exempted in the export authorization/policy. PART 2: ITEMS Description of the item(s) (e.g. Name of Model, Class, Type, Serial Number for goods or Purity/Concentration, IUPAC Name CAS number for chemicals) Quantity/Weight SCOMET Category and sub category .....

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..... ent of India, as may be applicable. d) The stockist shall not himself, or through another, cause the items, or replicas, or derivatives thereof to be retransferred / sold without the consent of the Government of India, to any party within (country of the stockiest entity) ________________ or outside it unless specifically exempted in the export authorization/policy. e) I/We further certify t .....

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..... hat I/we do not know of any additional facts that are inconsistent with this certificate. PART 4: SPECIFIC DETAILS OF AUTHORIZED SIGNATORY (mandatory): a. Name (in capital letters only): _____________________________ b. Designation: ______________ c. Complete office address (with room No. area, city, district, state, country) : _______ d. Pin/Zip/Postal Code : ___________ e. .....

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