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Form of the user statement The user statement is to include at least the following information:

(a) details of the exporter (including name, address, business name and, if available, company registration number);

(b) details of the user (including name, address, business name and, if available, company registration number);

(c) the country of final destination;

(d) a description of the goods, including, if available, the contract number or order number;

(e) if applicable, the quantity or value of the goods intended for export;

(f) the signature, name and title of the user;

(g) the national competent authority in the country of final destination;

(h) where required by national law or practice of a third country, an import authorisation or certification issued by the relevant national authorities (including the date, name, title and original signature of the authorising official);

(i) the date of issue of the user statement;

(j) if applicable, a unique identifying number or contract number relating to the user statement;

(k) a commitment that the products will be used only for civilian purposes; and,

(l) if appropriate, details of the relevant broker (including name, address, business name and, if available, company registration number).