TMI BlogEND USE CUM END USER CERTIFICATE IN CASE OF EXPORT OF SCOMET ITEMSX X X X Extracts X X X X X X X X Extracts X X X X ..... ________ (g) End-User s Address ________________________________________________ (h) Specific Location where the items will be used (if different from (g))__________________________________________ PART 2: ITEMS (goods, software, technology) (a) Description of the item(s) (e.g. Name of Model, Class, Type, Serial Number) (b) Quantity/Weight /Value 1 (c) Purchase order Number Date of signature of contract___________________________________________________ PART 3: DECLARATION a) The item(s) indicated i ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... rect 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: _____________________________ Date: ________________ (Signature of authorised signatory) Name: _____________________________________________ Designation: ______________ Address: ____________________________________________ ____________________________________________ Email: ____________________________________________ Telephone number: _______________________________________ [To be submitted by all entities in the cha ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... d for (state specific use)*____________________________________________________________. (* if more than one use then enclose self certified list) I/we further certify that the items detailed in the referenced purchase order shall not be used for any purpose other than the purpose (s) stated above and that such use shall not be changed nor the items modified or replicated without the prior consent of the Government of India. And further, if required, post installation verification shall be allowed. The end-user shall not himself, or through another, cause the items, or replicas, or derivatives thereof to be re-transferred / sold without the consent of the Government of India, to any party within (name of the country)____________ ..... X X X X Extracts X X X X X X X X Extracts X X X X
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