EUC_C1 for PMR-Decoders page 1 / 6
MUST BE PRINTED ON OFFICIAL LETTERHEAD OF THE END USER IN ENGLISH.
END-USE CERTIFICATE (EUC)
FOR PRESENTATION TO THE EXPORT CONTROL AUTHORITIES
OF THE FEDERAL REPUBLIC OF GERMANY
This EUC is not applicable for sniper rifles, pump-guns, pistols and revolvers.
Section A – Parties
The address stated in this End User Certificate in Section A – Parties - Consignee will be used for the delivery of
the software stated in Section B – Items (goods, software or technology).
This address is binding as a part of the Export License after approval by the German authority BAFA. Any
modification of the delivery address by the Purchaser at a later date must be authorized by the German authority
BAFA again. This may lead to delays in delivery.
1. CONSIGNEE
Name of consignee:
No:
Street:
Postal Code:
CITY:
Country:
Phone No:
Fax:
E-Mail:
Website:
Are you an agency of the
military? - please tick
Yes No
Are you an agency of the
police? - please tick
Yes
No
Please send us also your company details/company profile
Form_C1 for PMR-Decoders page 2 / 6
Section A – Parties
2. ENDUSER
Name of enduser:
Street:
No:
Postal Code:
CITY:
Country:
Phone No:
Fax:
E-Mail:
Website:
Are you an agency of the
military? - please tick
Yes No
Are you an agency of the
police? - please tick
Yes No
Please send us also your company details/company profile
Basis-data enduser
Please fill in your
Business details
Form_C1 for PMR-Decoders page 3 / 6
Section A – Parties
3. SUPPLIER
Name of supplier PROCITEC GmbH
Postal Code / CITY 75179 Pforzheim
Phone No: +49 7231 155 61-0
E-Mail: [email protected]
Section B – Items (goods, software or technology)
Description of the items (goods, software or technology):
Quantity:
Value (EUR) (for software only if available):
Description of the items (goods, software or technology):
Quantity:
Value (EUR) (for software only if available):
Description of the items (goods, software or technology):
Quantity:
Value (EUR) (for software only if available):
Description of the items (goods, software or technology):
Quantity:
Value (EUR) (for software only if available):
-please choose-
-please choose-
-please choose-
-please choose-
Form_C1 for PMR-Decoders page 4 / 6
Section C – Final destination
Name of final
destination:
Street:
No:
Postal Code:
CITY:
Country:
Phone No:
Fax:
E-Mail:
Website:
Section D – End-use
Intended end-use of items (Section B): Please write down your specific deliberated end-use!:
We (I) certify that the items (section B) and any replica thereof (in case of technology also goods derived from derived
goods of the items) will not be used, in their entirety or in part, in connection with
the development, production, handling, operation, maintenance, storage, detection, identification or dissemination of
chemical, biological, radiological or nuclear weapons / other explosive devices 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 (in case of technology also goods derived
from derived goods of the items) will be used for civil purposes only. Yes No
Form_C1 for PMR-Decoders page 5 / 6
Section E – Declaration of Commitment with regard to goods and software
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 items 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 items and any replica thereof will only be used for the purpose specified in section D.
- the items and any replica thereof will remain in country
or,
consistent with the issued authorization, will only be re-exported (e.g. after integration) to country:
- we (I) will neither re-export the items nor export any replica thereof to other third countries without the prior consent
of BAFA.
- we (I) certify not to re-export the items and any replica thereof to third countries without prior consent of the export
control authority of our (my) country.
- the items and any replica thereof will not be re-exported/exported or otherwise nationally or internationally re-sold
or transferred to a destination subject to UN, EU or OSCE embargo where that act would be in breach of the
terms of that embargo.
___________________________ ___________________________________________
Place, Date Original signature of the end user/government official
__________________________ ___________________________________________
Company stamp / official seal Name and title of signer in block letters
MUST BE PRINTED ON OFFICIAL LETTERHEAD OF THE END USER IN ENGLISH.
Country:
Country:
Form_C1 for PMR-Decoders page 6 / 6
Section F – Declaration of commitment with regard to technology
Only for technology transfer!
In accordance with the regulations of the Federal Republic of Germany 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 technology specified in section B.
- 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 technology will be treated strictly confidential.
- the technology and any replica thereof will only be used for the purpose specified in section D.
- we (I) shall neither pass on the technology or any replica thereof nor make knowledge available to parties other
than specified in section A.
We (I) further certify that goods derived from derived goods of the technology specified in section B will
- only be used for the purpose specified in section D.
- remain in country
or,
consistent with the issued authorization, will only be re-exported (e.g. after integration) to country:
We (I) further certify that
- we (I) will neither re-export the technology nor export the derived goods or any replica thereof without prior
consent of BAFA.
- we (I) will not re-export the technology nor export any replica thereof nor derived goods to third countries without
prior consent of the export control authority of our (my) country.
- the technology, the derived goods or any replica thereof will not be re-exported/exported or otherwise nationally
or internationally re-sold or transferred to a destination subject to UN, EU or OSCE embargo where that act
would be in breach of the terms of that embargo.
- the derived 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 the end user
__________________________ ___________________________________________
Company stamp / official seal Name and title of signer in block letters
Country:
Country: