APPENDIX 36
END USE CUM END USER CERTIFICATE IN CASE OF EXPORT OF SCOMET ITEMS
I /We (name of the end user)_______________________________________________________________ Certify that we are importing (name of the SCOMET item)________________________________________
From (name and address of the exporter) ____________________________________________________ Against our purchase order No _____________date___________________________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 that the items detailed in the referenced purchase order will 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 , ore derivatives thereof to be re-transferred / sold without the knowledge / consent of the Government of India, to any party within (name of the country)___________________________________/ or outside it.
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 .
Place:
___________________________________
Signature of end-user / authorised signatory
of the end-user with stamp and seal
Date:
Name :____________________________
Designation: _______________________
Address & e-mail: ___________________
CERTIFICATION ON BEHALF OF THE RECEPIENT STATE
(For Schedule 3 Chemicals of CWC , viz . Category 1 C of SCOMET list)
(To be filled for transfers of Schedule 3 Chemicals to states not party to the Convention)
It is hereby certified that the transferred Chemical referred to above will be used only for purposes not prohibited / disallowed under the Chemical Weapons Convention and shall not be transferred to any other person or re-exported from the recipient country.
Name of the chemical (IUPAC nomenclature)
| Quantity |
Signature:__________________________
Name:_____________________________
Position:___________________________
Organisation / State:_________________
Address:____________________________
IMPORT CERTIFICATE TO BE ACCOMPANIED WITH END-USE CUM END-USER CERTIFICATE
(To be filled when the import is by a third party)
I /We (name of the end user ) ______________________________________________________________ Certify that we are importing (name of the SCOMET item ) _______________________________________ From (name and address of the exporter) ____________________________________________________ Against our purchase order No ________________________date_____________ as capital equipment and which will be transferred to :___________in ________________ (country ) For the manufacture of (end product)_______________________________________________________ which will be used for (state specific use ) __________________________________________________ (the end use cum end user certificate from the ultimate end user is also enclosed) as component and will be used for assembling of another equipment ___________________________ and will be transferred to ______________________________in _________________________(country ) for the manufacture of (end product) ________________________________________________________ which will be used for ( state specific use ) ___________________________________________________ (the end use cum end user certificate from the ultimate end user is also enclosed )____________________ will be used as raw material for the manufacture of (end product ) _____________________________ and will be transferred to ___________________________________in ____________________(country ) which will be used for ( state specific use ) ___________________________________________________ ( the end use cum end user certificate from the ultimate end user is also enclosed ) which will be used for purposes other than the above ( specify ).
[DELETED-
(NB : export of 1C Chemicals shall be allowed only when buyer and end-user are in the same country)
]
(Above NB: has been deleted vide
PN. No. 19/2005, DT. 09/06/2005)
I/We further certify that that the items detailed in the referenced purchase order will 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 , ore derivatives thereof to be re-transferred / sold without the knowledge / consent of the Government of India, to any party within (name of the country )____________________________________/ or outside it.
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 and am also enclosing the end use cum end user certificate
Place:
Signature of end-user / authorised signatory
of the end-user with stamp and seal
Date:
Name :____________________________
Designation:_______________________
Address & E-mail:___________________
CERTIFICATION ON BEHALF OF THE RECEPIENT STATE
( For Schedule 3 Chemicals of CWC , viz . Category 1 C of SCOMET list)
( To be filled for transfers of Schedule 3 Chemicals to states not party to the Convention )
It is hereby certified that the transferred Chemical referred to above will be used only for purposes not prohibited / disallowed under the Chemical Weapons Convention and shall not be transferred to any other person or re-exported from the recipient country.
Name of the chemical (IUPAC nomenclature)
| Quantity |
Signature:_________________________
Name:____________________________
Position:__________________________
Organisation / State:________________
Address:__________________________
Presented by eximkey.com