Attachment C

Customer’s Letterhead

Export License Applications – Hardware

Definitions & Instructions for End Use Questionnaire

End Use Questionnaire Purpose: In order to comply with United States export license regulations, AST Bearings requires that potential customers for all international sales complete this "End Use Questionnaire". The Name and Address on your Purchase Order must exactly match the address of the purchaser or consignee on your End Use Statement. Any information that is left blank, is filled out incompletely, or is completed incorrectly will delay the export license application and potentially delay shipment of goods.

1. Today’s Date: 2. Purchase Order Number:

3. List of Item(s) To Be Purchased - Specifically describe the item(s) to be purchased

Example: Radial Bearing, SR6ZZA3K58L01

Example: Spherical Plain Bearing, GEZ50ES

Example: Cylindrical Roller Bearing, NJ315

4. Country of Ultimate Destination – The foreign country outside the United States that is the end-user of the product.

5 a) Foreign End User - Please provide the full legal name and full address (street, city, country, etc.) of the Foreign End User company. The Foreign End User must be in the same country identified in Item 4. The Foreign End User is the entity outside the U.S. that will take final possession of the commodity regardless of who the foreign purchaser and foreign intermediate consignee(s) are. In some instances, the Foreign End User may be the same as the purchaser (Foreign Consignee) listed in Item 6. Post Office boxes or other general or imprecise addresses will not be accepted without a letter of explanation. Spell out any abbreviations, e.g. Ministry of Defense instead of MOD.

b) Foreign End-User’s Type of Business – Specifically describe the nature of the business Example: Manufacturer of servo components that support the aerospace and defense industry Example: Manufacturer of servo components that support the aerospace and defense industry

6 a) Foreign Consignee - Please provide the full legal name and full address (street, city, country, etc.) of the Foreign Consignee company. The Foreign Consignee is the purchasing entity outside the U.S. who will receive the shipment for storage, modification, or for incorporation into another end item, and for subsequent forwarding to the Foreign End User (Item 14). Post Office boxes or other general or imprecise addresses will not be accepted without a letter of explanation. Spell out any abbreviations, e.g. Ministry of Defense instead of MOD. The Foreign Consignee may also be the Foreign End User or, in some instances, the Foreign Consignee (purchaser) may be in a different country from that of the Foreign End User.

b) Foreign Consignee's Type of Business - Specifically describe the nature of the business. See examples in 5b.

7. Foreign Intermediate Consignee(s) -If there is no Foreign Intermediate Consignee, please indicate by writing "None". Foreign Intermediate Consignees are foreign entities involved in the transaction (e.g., foreign agents or representatives, foreign customs brokers, foreign freight forwarders, etc.) Please list all Foreign Intermediate Consignees and describe their role in the transaction. Post Office boxes or other general or imprecise addresses will not be accepted without a letter of explanation. Spell out any abbreviations, e.g. Ministry of Defense instead of MOD.

8. Shipment Route - Describe the route the purchased item(s) will take. Example: Company A will purchase [Name the Product] from AST Bearings and mount the product into Item 1. Item 1 will be delivered to Company B who will modify /install it into Item 2. Item 2 will be delivered to the End-User at Company C.

9 Specific End-Use Purpose, Program and End Item - Provide a full, detailed description of the application and how the product will be used within the application. If the application is defense-related, provide the name of the program. Example: Simply stating "For Use In Production Of Military Aircraft" or "For Resale" is not sufficient.

Name of Program, if applicable:
Detailed Description of the Specific Platform and/or Application:
Detailed Description of Function/Purpose Of This Part Within The Application:

10 U.S Freight Forwarder or Consignor - If you have a preferred U.S. Freight Forwarder or U.S Consignor, please list the name and address. If you have no preference, please indicate "No Preference" and AST Bearings will select its preferred U.S. Freight Forwarder for this shipment .

Print Name Title

Signature:

Company Name, address and phone number:

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