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    RLS Questionnaire On Export Controls

    Uploaded by

    Muhsen Khan
    This document is an export compliance form requesting information about items being exported. It asks for the item description, country of origin, customs tariff number, whether an end-use certificate is required, if the items are subject to the respondent's national export laws and categories, if they are subject to US export restrictions and categories, and if they are subject to restrictions of third countries. The respondent needs to sign and date the completed form.

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    RLS Questionnaire On Export Controls

    Uploaded by

    Muhsen Khan
    100 views1 page
    This document is an export compliance form requesting information about items being exported. It asks for the item description, country of origin, customs tariff number, whether an end-use certificate is required, if the items are subject to the respondent's national export laws and categories, if they are subject to US export restrictions and categories, and if they are subject to restrictions of third countries. The respondent needs to sign and date the completed form.

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    Original Title

    RLS Questionnaire on Export Controls

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    This document is an export compliance form requesting information about items being exported. It asks for the item description, country of origin, customs tariff number, whether an end-use certificate is required, if the items are subject to the respondent's national export laws and categories, if they are subject to US export restrictions and categories, and if they are subject to restrictions of third countries. The respondent needs to sign and date the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    100 views1 page

    RLS Questionnaire On Export Controls

    Uploaded by

    Muhsen Khan
    This document is an export compliance form requesting information about items being exported. It asks for the item description, country of origin, customs tariff number, whether an end-use certificate is required, if the items are subject to the respondent's national export laws and categories, if they are subject to US export restrictions and categories, and if they are subject to restrictions of third countries. The respondent needs to sign and date the completed form.

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    Questionnaire on Export-Controls

    Export Compliance Form

    Order No…………………………………….dated…………..……………

    You are requested to answer the following questions carefully for each single delivery item:

    1) Description / Part-/Ident-No. of the delivery item(s):

    2) Country of Origin:

    3) Harmonized Tariff System / Customs Tariff Number: …………………………………


    4) Do you require an Enduse Certificate? Yes �
    5) Are the goods or parts thereof subject to your national Export Law? Yes �
    (US suppliers please continue with question no. 6)
    If yes, as
    Military Good Munitions List Cat.: ……………………..

    Dual-Use Good Dual-Use List No: …..…………………..

    6) Are the goods or parts thereof subject to US Export Restrictions? Yes �


    If yes, as
    Military Good US Munitions List Cat.: ……………………..

    Dual-Use Good Commerce Control List ECCN-No.: ………………

    I/we declare that

    � the goods contain incorporated US-goods. This US-origin content is not listed
    in the Commerce Control List (CCL)
    � the value of the US-origin content is less than
    � 10 % of the goods value
    � 25 % of the goods value

    7) Are the goods subject to export restrictions of third countries? Yes �

    If yes, please specify ……………………………………………………


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

    ………………………….. ………………………………………………
    Date Signature/Stamp

    Version 26.04.10

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