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Formularmuster zu Endverbleibserklärungen – Ausfuhr nach Russland von Gütern des Anhangs II der Russland-Embargoverordnung (EU) Nr. 833/2014

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EUC for the export to Russia of items related to Annex II of Reg. (EU) No. 833/2014 Please use original, officially headed paper of end-user

END-USE CERTIFICATE (EUC)

FORPRESENTATIONTOTHE

E

XPORT

C

ONTROL

A

UTHORITIES OFTHE

F

EDERAL

R

EPUBLIC OF

G

ERMANY

Section A – Parties

Consignee (name, address, contact details and website in block letters)

End-user (name, address, contact details and website in block letters) if different from consignee

Supplier (name, address, contact details and website in block letters)

Section B – Items

Description of goods

Quantity/Weight

Value (EUR)

Section C – Final destination

Country and physical address

Section D – End-use

Intended end-use of goods (section B)

We (I) certify that the goods (section B) and any replica thereof will not be used, in their entirety or in part, in connection with

 any nuclear explosive activity,

 the development, production, handling, operation, maintenance, storage, detection, identification or dissemination of chemical, biological or radiological weapons or the development, production, maintenance or storage of missiles / other systems capable of delivering such weapons, or

 the development, production, handling, operation, maintenance or storage of cluster munitions or anti-personnel mines or

 human rights violations.

Yes  No  The end-user is part of armed forces or internal security forces.

Yes  No  The above-mentioned items and any replica thereof will be used for civil purposes only.

Yes  No 

(2)

EUC for the export to Russia of items related to Annex II of Reg. (EU) No. 833/2014

Section E – Declaration of commitment

In accordance with the regulations of the Federal Republic of Germany which state that granting of an export license is dependent on the presentation of an EUC, we (I) certify that

- we (I) are (am) the final end-user of the goods specified in section B and any replica thereof.

- we (I) will provide the Federal Office for Economic Affairs and Export Control (BAFA) of the Federal Republic of Germany with a delivery statement upon its request.

- the goods and any replica thereof will only be used for the purpose specified in section D.

________________________________

Place, Date _____________________________________

Original signature of end-user

________________________________

Company stamp/Official seal _____________________________________

Name and title of signer in block letters

Section F – Trader Statement

In accordance with the regulations of the Federal Republic of Germany which state that granting of an export license is dependent on the presentation of an EUC, we (I) certify that the

- goods specified in section B and any replica thereof will be delivered only to customers considered absolutely reliable.

- goods and any replica thereof will only be used for the purpose specified in section D.

- goods will only be delivered to a third person/company on condition that it accepts the commitments of the above declaration as binding for itself and on condition that it is known to be trustworthy and reliable in the observance of such commitments.

________________________________

Place, Date _____________________________________

Original signature of consignee

________________________________

Company stamp/Official seal _____________________________________

Name and title of signer in block letters

Section G – Additional declaration of commitment

In accordance with the regulations of the Federal Republic of Germany which state that granting of an export license is dependent on the presentation of an EUC, we (I) certify that

the items (section B) and any replica thereof (in case of technology also derived goods) are not intended, in their entirety or in part, for military uses or for a military end-user. Hence, the items will only be used for civil end-uses.

In addition we (I) certify,

- the items will not be used, in their entirety or in part, for projects pertaining deep water oil exploration and production, Arctic oil exploration and production, or shale oil projects in Russia.

- the items will not be transferred to any natural or legal person, entity or body in Crimea and/or Sevastopol without the prior consent of BAFA.

________________________________

Place, Date _____________________________________

Original signature of end-user

________________________________

Company stamp/Official seal _____________________________________

Name and title of signer in block letters

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