END USE CUM END USER CERTIFICATE IN CASE OF EXPORT OF SCOMET ITEMS

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....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 /Value1                 (c) Purchase order Number & Date of signature of contract___________________________________________________ PART 3: DECLARATION a) The item(s) indicated in PART 2 will be used as capital equipment/ component / raw material / other use for_______________________________ b) The item(s) indicated in PART 2 are being processed or incorporated int....

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....;                                                                                Date: ________________ (Signature of authorised signatory) Name: _____________________________________________                           ....

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....ng (name of the SCOMET item)____________________________ from (name and address of the exporter)_________________________________________/ through______________________________(name & address of the intermediary/consignee) against Purchase Order No/Contract No.________________ dated__________ as capital equipment/ component / raw material / other use (specify)_______________________________________ for the manufacture of (end product)____________________________which will be used 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 t....