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MSA S.E.

ASIA PTE LTD


35 Marsiling Industrial Estate Road 3; #04-01, Singapore 739257
Tel: (+65) 6350.4500 | Fax: (+65) 6350.4506
Website: www.MSAsafety.com/detection

End User Statement


Date: * 27/03/2020
Purchased By: * Bao Nghi Techniques Service Trading Company
(Company Name & Address) No. 6, N10 Street, Mega Ruby Khang Dien, District 9, Ho Chi Minh city, Viet Nam

Purchase Order Number/Request for


*
Quote Reference

End User Name (Ultimate Consignee) * PVGAS Service

Street Address: * Vung Tau City

City and Postal Code * Vung Tau City

Plant Country Location: * Vietnam

Project/Order Number (by End-user) *


Deadline for submit (by End-user) * 1/4/2020

Specific End / Product Use *


Nature of Business of End User * Oil and Gas
(Oil & Gas or Petrochemical or
Power or Others)

CUSTOMER STATEMENT REGARDING U.S. EXPORT COMPLIANCE


Customer understands that the products being purchased from General Monitors Inc., are subject to export controls
from the U.S. Export Administration Regulations (EAR), 15 CFR Parts 730-774, and the laws of the United States.

Customer warrants that the products will be used by the Customer in the form in which they are received, and that it
will be used in the country indicated by the Customer as the shipping address in its order.

Customer further warrants not to sell, transfer, export, or re-export the General Monitors products in violation of the
export laws of the United States. Specifically, Customer understands that such sale, transfer, or re-export may require
a license from the U.S Department of Commerce, and transfers to certain countries or entities are prohibited under
U.S. law.

We certify that all of the facts contained in this statement are true and correct to the best of our knowledge and we do
not know of any additional facts which are inconsistent with the above statement.

Name Nguyen Phuong Thao

Title Procurement Executive

Signature & Stamp

Commodities, technology and software are to be exported from the United States according to U.S. Export Laws.
Diversion contrary to U.S. Law is prohibited.

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