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End Use Cum End User Certificate in Case of Global Authorization For Intra Company Transfer (GAICT)

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..... a) Name of Exporter (b) Name of Consignee (c) Consignee s Address (d) Zip code______________Tele No __________________Email_______________Fax__________ (e) Nature of usual business of the consignee (e.g., distributor, manufacturer etc.)____________________ (f) Name ofEnd-User__________________________________________________________________ (g) End-User s Address Zip code_____ .....

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..... Type, Serial Number) (b) Quantity/Weight /Value 1 (c) Master Service Agreement / Contract Agreement Number Date of signature PART 3: DECLARATION a) The item(s) indicated in PART2 will be used as capital equipment/component/raw material /other use for (Intended End use) b) The item(s) indicated in PART2 are being processed or incorporated into .....

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..... hall be allowed only to the entities eligible under authorization for GAICT. e) I/we certify that I/we will provide DGFT, Government of India with delivery verification upon its request. f) Post shipment verification of the items at the end users site shall be allowed, if required by the Government of India, as may be applicable. g) I/we shall not myself/ourself, or through another, cause .....

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..... ignated party under UNSC individual/entities/groups. j) I/we also certify 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 certificate. Signature: (Signature of authorized signatory) Company stamp/Official seal__________________________ Name: .....

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