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Anexo IV 14

END-USER UNDERTAKING

EXPORT/ EXPEDITION OF DEFENSE EQUIPMENT AND DUAL USE GOODS

A. Parties

1. Exporter

2. Exporter’s address

3. Name of consignee

4a. Consignee’s address

4b. Country of destination

5. Name of end-user

6a. End-user’s address

6b. Country of destination

¿ Is end-user the armed forces or internal security forces of its country?

Specific location where goods will be used or based (if known and if different from (6))

YES

B. Goods

9ª. Quantity of goods

10. Description of the goods

(for consumable goods, include length of time supplies are expected to last)

(If you need to use continuation sheets, each must carry the exporter’s reference, and must be signed and dated by the same person who

signs this form.)

9b. Final Use (detailed description of the main item or items)

11. Purpose of the goods

Civil

Military

12. Please set out the specific purposes for which the goods are to be used

C.2 Consignee undertaking

C.1 End-user undertaking

(to be completed if Section C is not signed)

We - the person or body named at A (3) - certify that we are the importer/consignee of the goods described

We - the person or body named at

in Section B. We further certify that the goods are intended for stock to be held against future orders and

A(5) - certify that we are the end-user

EITHER (delete one out of (i) and (ii))

of the goods described in Section B,

which are to be supplied by the

i. they will not be re-exported, sold for export or otherwise transferred from the country where

exporter named in A(1) and:

we are based, namely ……………………………………………………………………., OR

ii. They are likely to be transferred to the following countries:

…………………………………………………………………………………………………………

and

We further certify that we shall use the goods for the purposes described in Sections 9b and 11; and that the goods will not be used for any

purpose connected with chemical, biological or nuclear weapons, or missiles capable of delivering such weapons; that they will not be re-exported or

otherwise re-sold or transferred if it is known or suspected that they are intended or likely to be used for such purposes; and that the goods, or any

replica of them, will not be retransferred without prior consent in writing of the Spanish Authorities. We also certify that the goods or any replica of

them will not be used in any nuclear explosive activity or unsafeguarded nuclear fuel cycle activity.

13. Signature of official of end-user

Date

(In case of Defence goods or chemical products of list 3 to non-participating States of the Chemical

Weapons Convention, a VISA by the Ministry, Department, Embassy or Consulate is binding).

14. Validity note and date (in its case) (EUCa).

Name and title of signatory (in capitals)

Seal

This sheet is a model; any document redacted in this way may be perfectly valid.

Anexo Iv 14 - End User Undertaking Export/expedition Of Defence Equipment And Dual Use Goods - Spain Ministry Of Economy, Industry And Competitiveness

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