Appendix – IV(a)
END USE CUM END USER CERTIFICATE (EUC)
Indian Exporter
(Name, Address, Registered Office, Telephone/Fax Number) :
Indian Manufacturer
(Name, Address, Registered Office, Telephone/Fax Number) :
Importer
(Name, Address, Registered Office, Telephone/Fax Number) :
End User
(Name, Address, Registered Office, Telephone/Fax Number) :
Contract/Purchase Order Number with Date
Mode and Port of shipment
S.No. / Description of the Items Exported / Classification in Indian Export Regulations / Quantity / Total Price- It is hereby certified that the item(s) imported will be used by the undersigned for the following purpose(s) only ______.
- It is hereby declared/certified that :
(a)The item(s) imported will not be used for purposes other than those declared in EUC.
(b)The item(s) would not be subsequently transferred (re-exported) without the prior authorization of the original exporting Government.
(c)The item(s) will not be diverted, sold or transferred to any third party whatsoever, except as indicated in EUC.
(d)If required, verification/certification that the possession of the item(s) has occurred would be provided.
(e)The item(s) imported by us shall not be used for any purpose that relates to development of weapons of mass destruction and their delivery system.
Signature of End User ______
(with English Translation)
Designation ______
Ministry of ______
Government of ______
Official Stamp ______
(with English Translation)
Date ______
Place ______
Appendix – IV(b)
END USE CUM END USER CERTIFICATE (EUC)
Indian Exporter (Individuals/organizations/institutions)
(Name, Address, Registered Office, Telephone/Fax Number) :
Indian sponsoring (organization/institution)
(Name, Address, Registered Office, Telephone/Fax Number) :
Importer (Individuals/organizations/institutions)
(Name, Address, Registered Office, Telephone/Fax Number) :
End User
(Name, Address, Registered Office, Telephone/Fax Number) :
Contract/Purchase Order Number/details of agreement with Date :
Mode of Export :
S.No. / Description of Technology/know-how to be Exported/shared* / Classification in Indian Export Regulations / Total value involved* Detail/complete level of technology/know-how to be exported/shared is to be specified. If required detail write-up in additional sheet along with relevant/supporting document need to be furnished along with application.
- It is hereby certified that the technology/know-howimported will be used by the undersigned for the following purpose(s) only ______.
- It is hereby declared/certified that :
(a)The technology/know-how transferred will not be used for purposes other than those declared in EUC.
(b)The technology/know-howwould not be subsequently transferred (re-exported) without the prior authorization of the original exporting Government.
(c)The technology/know-howwill not be diverted, sold or transferred to any third party whatsoever, except as indicated in EUC.
(d)If required, verification/certification that the possession of the technology/know-how has occurred would be provided.
(e)The technology/know-how imported by us shall not be used for any purpose that relates to development of weapons of mass destruction and their delivery system.
Signature of End User ______
(with English Translation)
Designation ______
Ministry of ______
Government of ______
Official Stamp ______
(with English Translation)
Date ______
Place ______