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(letterhead of the end-user in the country of destination) Statement of End-Use (ES) for specific military goods In accordance with the regulations of the Swiss Confederation which state that granting of an individual export licence is normally dependent on the presentation of an end-use certificate, we (I) certify that the goods supplied by Name of the supplier Description of the goods Quantity/Weight Value (CHF) are intended for consumption/will remain in (country of final destination) and will only be used for or are intended for the production/repair of which is in (country of production/repair) and belongs to and will finally remain in (country of final destination) We (I) certify, - that the goods will be used only for the purpose stated and not be used in any nuclear explosive activity or unsafeguarded nuclear fuel-cycle activity or for the design, development, production, storage or use of nuclear, chemical and biological weapons or their delivery systems and for facilities engaged in such activities; - that we (I) will not re-export, sell, lease out, let, lend or donate the goods, whether in whole or in part, to any third country without the prior written consent of the State Secretariat for Economic Affairs SECO of the Swiss Confederation; - however, no consent is necessary for the reexport to the following countries: Argentina, Australia, Austria, Belgium, Bulgaria, Canada, Czech Republic, Denmark, Finland, France, Germany, Greece, Great Britain, Hungary, Ireland, Italy, Japan, Luxemburg, Netherlands, New Zealand, Norway, Poland, Portugal, Republic of Korea, Spain, Sweden, Turkey, Ukraine, United States of America. Place and date: Original signature of the end-user or government official (Name and title of signer in block letters) Company stamp or official seal: Address of the end-user: