Company Certification The applicant company ("Company") hereby requests authorization for the Company to submit export license applications, reexport authorization requests, notification requests, classification requests and multipurpose reporting requirements to the Bureau of Industry and Security (BIS) using the Internet. The company understands that an electronic submission has the same legal force and effect as a written submission. The company recognizes that in order to apply for export licenses (as opposed to reexport authorizations, notifications or classification requests), the Company must be subject to the jurisdiction of the United States. The Company further understands that each individual authorized to submit requests via the Internet on behalf of the Company will be assigned a Personal Identification Number (PIN) for his or her exclusive use. I also understand that a company identification number will be assigned to the Company for use by all persons authorized to submit electronically for the Company. On behalf of the Company, I have read and understand Section 748.7 of the Export Administration Regulations (EAR). The Company agrees that each submission made via the Internet shall constitute a certification that:
The Company hereby certifies that the individuals listed below are authorized by the Company to act for the Company to submit export licenses, reexport authorizations, notification requests and classification requests via the Internet. Company Name: _____________________________ Address: _____________________________ City, State, & Zip/Postal Code: _____________________________ Country: _____________________________ Telephone and Facsimile Number: _____________________________ Company ID No. (if known): _____________________________
Corporate Officer's Certification: I am an officer of the Company and have the power to bind the Company herein. Signature _____________________________ Print/Type Name and Title _____________________________
PIN Holder Certification: I certify that:
|