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Warrender, Ltd. End User Statement

The undersigned company

running the activity of:

declares the following goods supplied by the Italian company:

• Description of goods:

If the items are in a large number, they can be listed in an annex:

• Quantity:

• Value:

• Contract/Order number:

Date of signature:

Email:

Specific purposes for which the goods are to be used (If the goods are to be incorporated into another product, then that product and its use should also be described)

The above said goods are assigned exclusively for civil purposes and will not be used for:• Military or nuclear explosive applications, in civil nuclear activities facilities not covered by safeguard clause A.I.E.A. (International Agency for Atomic Energy) or in applications related to development and/or production of chemical weapons and weapons of mass destruction and missiles that can be used as such weapon carriers. The above mentioned material will be used in the following place:

The undersigned company undertakes not to sell, not to transfer, nor to divert during the shipment and neither to re-export to other countries, nor even in their own and declares that a statement of taking charge of goods, duly legalized, will be issued once goods are received. Said statement is issued exclusively on request of Italian licensing officers and will not mean acceptance of the conditions in which the goods are received. Company Stamp Legal Representative. SIgnature:

Date:

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Warrender, Ltd. End User Statement