OPEN INDIVIDUAL EXPORT LICENCE (OIEL) UNDERTAKING TEMPLATE FOR VANTABLACK SAMPLES
Surrey NanoSystems Ltd (SNS) is exporting these goods under an Open Individual Export Licence (OIEL) and must obtain a written Consignee Undertaking that the items are not intended for re-export to a destination and sector not listed as permitted on the licence.
This undertaking needs to be received from the consigneebefore the first export. SNS is required by government regulations to retain the original (NOT A COPY) signed and dated undertaking. For this reason we will not normally despatch goods until the original document has been received by SNS.
- The undertaking must be completedby you as the consignee.
- It must be completed in English and on the consigneecompany / organisation headedpaper
- It must be dated and signed by the consignee, which if it consists of a company should be signed by a partner or principal officer of that company
- Please delete any text highlighted blue, these statements are for guidance only.
- Please amend, complete or sign where highlighted yellow .
Undertaking Template – Please copy to your company headed paper
[Consignee / end-user address]
[Date]
To Whom It May Concern:
We,(name and address of company or organisation), certify that the items shown below have been ordered by us from Surrey NanoSystems Ltd, Building 24, Euro Business Park, New Road, Newhaven, BN9 0DQ, United Kingdom.
The items to be supplied are as follows: (please delete any lines/items that are not included on your order)
1 (one) Vantablack sample on Aluminium 40 x 40 x 3 mm (Part No. 90-16-00119)
1 (one)Vantablack sample on Aluminium foil 100 x 100 mm (Part No. 90-17-00003)
1 (one)Vantablack sample on Aluminium foil 100 x 100 mm (Part No. 90-17-00003)
1 (one)Vantablack sample on creased (wrinkled) aluminium foil maximum size 100mm x 100 mm
And are for the purpose of evaluating the Vantablack coating only and will not be incorporated into any other product or system.
We also certify that the items above are for our own use and will not be re-exported.
We confirm that the items above will not be used for purposes associated with chemical, biological or nuclear weapons or missiles capable of delivering such weapons, nor will they be resold if we know or suspect that they are intended or likely to be used for such a purpose.
We confirm that the items above will not be re-exported or otherwise re-sold or transferred to a destination subject to UN, EU or OSCE embargo where that act would be in breach of the terms of that embargo (see note 1).
We confirm that the itemsabove or any replica of them, will not be used in any nuclear explosive activity (see note 2) or unsafeguarded nuclear fuel cycle (see note 3).
Signed……………………………………………
Name……………………………………………..
(BLOCK CAPITALS)
Status/title ……………………………………………..
Date………………………………………………
Notes:
1.An up-to-date list of applicable destinations subject to arms embargoes can be found here
2.Includes research on or development, design, manufacture, construction, testing or maintenance of any nuclear explosive device or components of subsystems of such a device.
3.Includes research on or development, design, manufacture, construction, operation or maintenance of any reactor, critical facility, conversion plant, fabrication plant, reprocessing plant, plant for the separation of isotopes of source or special fissionable material, or separate storage installation, where there is no obligation to accept IAEA safeguards at the relevant facility or installation, existing or future, when it contains any source or special fissionable material; or of any heavy water production plant where there is no obligation to accept IAEA safeguards on any nuclear material produced by or used in connection with any heavy water produced therefrom; or where any such obligation is not met.