END USE CUM END USER CERTIFICATE IN CASE OF EXPORT OF CHEMICALS

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..... ___________________________________________________ (c) Buyer's Address _________________________________________________ (d) Name of Consignee_________________________________________________________ (e) Consignee's Address _________________________________________________________ (f) Name of End-User _________________________________________________________ (g) End-User's Address __________ .....

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..... sent of the Government of India. Post shipment verification shall be allowed if required by the Government of India, as may be applicable. c) 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 (country of final destination) ________________ _______ .....

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..... __________________________ Telephone number: _________________________ ____________________________________________ Email: ____________________________ PART 4 - CERTIFICATION ON BEHALF OF THE RECEPIENT STATE1 As an authorised signatory for the government of the recipient state, I confirm that the chemical(s) described in Part 2, will be used by the entity named at 1(f) and that the chemical(s .....

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