Export License Questionnaire for Bosch thermal cameras Notice to purchaser and/or end user: 06 December 2017 The Bosch thermal camera products that you are purchasing require Bosch to collect information related to the transaction to ensure we are in compliance with United States (US) Government export control regulations. Depending on the details of the proposed transaciton, it may additionally require an export license from the US Department of Commerce. Determination of an export license is dependent upon several factors, including, frame rate, resolution, end use, end-user, and ultimate destination. In order for Bosch to make a determination on potential export restrictions and apply for an export license on your behalf, if necessary, all sections MUST be filled out thoroughly and completely. Date: Purchaser Name and Address: End user Name and Address (if different): Please provide the names of all non-US parties who will be involved in this transaction, including their roles/responsibilities: (Describe the flow of the transaction. Who will be the purchaser, intermediate consignee, ultimate consignee, end-user?) Please also provide the names of all non-US parties who will have access to the product, including their roles/responsibilities:
Export License Questionnaire for Bosch thermal cameras Notice to purchaser and/or end user: 06 December 2017 The Bosch thermal camera products that you are purchasing require Bosch to collect information related to the transaction to ensure we are in compliance with United States (US) Government export control regulations. Depending on the details of the proposed transaciton, it may additionally require an export license from the US Department of Commerce. Determination of an export license is dependent upon several factors, including, frame rate, resolution, end use, end-user, and ultimate destination. In order for Bosch to make a determination on potential export restrictions and apply for an export license on your behalf, if necessary, all sections MUST be filled out thoroughly and completely. Date: Purchaser Name and Address: End user Name and Address (if different): Please provide the names of all non-US parties who will be involved in this transaction, including their roles/responsibilities: (Describe the flow of the transaction. Who will be the purchaser, intermediate consignee, ultimate consignee, end-user?) Please also provide the names of all non-US parties who will have access to the product, including their roles/responsibilities:
Export_License_Special_enUS_39206759947.docx