(a) Strategic Goods Country of Origin: Yes No WMD Product Code: Non-WMD Reason: Military Yes No Non-military Description: Reason: Government Non-Government End-use Description: Quantity: Part No.: Brand: Model No.: For items that are Chemicals (if any), please provide the following: Chemical Name: Chemical Abstract Service (CAS) No.: Chemical Structure:
(a) Strategic Goods Product Code: Description: Quantity: Part No.: Brand: Model No.: For items that are Chemicals (if any), please provide the following: Chemical Name: Chemical Abstract Service (CAS) No.: Chemical Structure: Country of Origin: Yes No Reason: Yes No Reason: WMD Non-WMD Military Non-military Government Non-Government End-use Description:
sc-a-066-v9.docx