Download Certification by End-user: We certify that we are the end

Certification by End-user:
We certify that we are the end-user of the equipment detailed above. We certify that the equipment will not
be used in any activities related to the development or production of nuclear, chemical, or biological
weapons, or in the development of missile systems. Except with the express prior written authorization of the
Government of New Zealand we will not re-export, re-sell, or otherwise dispose of the equipment or any part
of the equipment.
Signed
Date
………………………………………….
………………………………….
Name
Designation
…………………………………………
………………………………….
Department / Organisation
Seal
………………………………………….
I/We certify that the main activity of the company (end-user):……………………………………..
is………………………………………………………………..as indicated on the application form.
Signed
Date
………………………………………….
………………………………….
Name
…………………………………………
Designation
………………………………….
Department / Organisation
………………………………………….
Witness
………………………………………….
Witness name
Witness designation
………………………………………….
………………………………….
Department / Organisation
…………………………………………
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