CV.

BINAR USAHA SEMESTA

Jl. Nusantara Raya K No. 10. Phone/fax : +62 318682349 Surabaya 61253, Indonesia.
EMAIL : johansyaht@yahoo.com ; binaraviation@yahoo.com
Export Declaration of Usage Form
The below mentioned parts are either military or have dual usage: both commercial and military. Consequently, the US Department of
Commerce and US Department of State forbids companies to sell to certain denied countries, entities or persons. Furthermore, certain
end uses may require an Export License.

Buyer
Company Name: CV. BINARS USAHA SEMESTA Part Number: 537871

Address: Komplek Merpati blok F33 Manufacturer: -

Phone/fax : +62-31-8682349 Quantity: 40 each

Surabaya. 61253 – Indonesia. PO : BS-PO /034/2012

Order Date: February, 2 2012

1. Who is the end customer for the products being purchased?

Company Name: CV. BINAR USAHA SEMESTA
Addres : Komplek Merpati blok F33
Phone/fax : +62-31-8682349
Surabaya. 61253 – Indonesia.

2. What country is the final destination for the parts?

Shipping address : PT. TRASPATINDO ABADI
Jln.Mampang Prapatan XII NO.4
Jakarta, INDONESIA
Tel:+62-811225884
Attn: Ibu Ida

3. What does your Final End Customer company do?

Indonesia Air Force (IAF)
Jl. Raya Mabes TNI Cilangkap Jakarta Timur – Indonesia
Telp. (021) 84591243, 8459-1243
Fax : (021) 845-6085
Website : www.tni-au.mi.id

4. Is this application characterized as COMMERCIAL, INDUSTRIAL, MILITARY, or SPACE? Military .

5. WILL THIS ITEM BE USED IN THE DESIGN, DEVELOPMENT, PRODUCTION OR USE OF NUCLEAR, CHEMICAL, OR BIOLOGICAL
WEAPONS, OR BALLISTIC MISSILES? NO.

6. What is the end use application for the parts you are ordering? Be very specific (for example YOU MUST SPECIFY AIRCRAFT
TYPE and where on that aircraft these items will be utilized – stating “aircraft spares and maintenance” is insufficient. )
Blade Propeller Part for aircraft : C 130

By signing below, you are certifying that

 The above information is correct to the best of your knowledge, and that you understand that it is your obligation to comply
with any export restrictions that apply to this item.

Date : March 19, 2012

Company : CV. BINAR USAHA SEMESTA

Email : johansyaht@yahoo.com

CV. BINAR USAHA SEMESTA

 Jl. Nusantara Raya K No. 10. Phone/fax : +62 318682349 Surabaya 61253, Indonesia.
EMAIL : johansyaht@yahoo.com ; binaraviation@yahoo.com
Export Declaration of Usage Form
The below mentioned parts are either military or have dual usage: both commercial and military. Consequently, the US Department of
Commerce and US Department of State forbids companies to sell to certain denied countries, entities or persons. Furthermore, certain
end uses may require an Export License.

Buyer
Company Name: CV. BINARS USAHA SEMESTA Part Number: 7R8T1E  alt 40456-50

Address: Komplek Merpati blok F33 Manufacturer: -

Phone/fax : +62-31-8682349 Quantity: 16 each

Surabaya. 61253 – Indonesia. PO : BS-PO /034/2012

Order Date: February, 2 2012

7. Who is the end customer for the products being purchased?

Company Name: CV. BINAR USAHA SEMESTA
Addres : Komplek Merpati blok F33
Phone/fax : +62-31-8682349
Surabaya. 61253 – Indonesia.

8. What country is the final destination for the parts?

Shipping address : PT. TRASPATINDO ABADI
Jln.Mampang Prapatan XII NO.4
Jakarta, INDONESIA
Tel:+62-811225884
Attn: Ibu Ida

9. What does your Final End Customer company do?

Indonesia Air Force (IAF)
Jl. Raya Mabes TNI Cilangkap Jakarta Timur – Indonesia
Telp. (021) 84591243, 8459-1243
Fax : (021) 845-6085
Website : www.tni-au.mi.id

10. Is this application characterized as COMMERCIAL, INDUSTRIAL, MILITARY, or SPACE? Military .

11. WILL THIS ITEM BE USED IN THE DESIGN, DEVELOPMENT, PRODUCTION OR USE OF NUCLEAR, CHEMICAL, OR BIOLOGICAL
WEAPONS, OR BALLISTIC MISSILES? NO.

12. What is the end use application for the parts you are ordering? Be very specific (for example YOU MUST SPECIFY AIRCRAFT
TYPE and where on that aircraft these items will be utilized – stating “aircraft spares and maintenance” is insufficient. )
Blade Propeller Part for aircraft : C 130

By signing below, you are certifying that

 The above information is correct to the best of your knowledge, and that you understand that it is your obligation to comply
with any export restrictions that apply to this item.

Date : March 19, 2012

Company : CV. BINAR USAHA SEMESTA

Email : johansyaht@yahoo.com

CV. BINAR USAHA SEMESTA

Jl. Nusantara Raya K No. 10. Phone/fax : +62 318682349 Surabaya 61253, Indonesia.
 EMAIL : johansyaht@yahoo.com ; binaraviation@yahoo.com
Export Declaration of Usage Form
The below mentioned parts are either military or have dual usage: both commercial and military. Consequently, the US Department of
Commerce and US Department of State forbids companies to sell to certain denied countries, entities or persons. Furthermore, certain
end uses may require an Export License.

Buyer Part Number: 582857 NSN:1610-00-938- 9859

Company Name: CV. BINARS USAHA SEMESTA
546766 NSN: 1610-00-938-9859
Address: Komplek Merpati blok F33 Manufacturer: -
Phone/fax : +62-31-8682349 Quantity: 5 each
Surabaya. 61253 – Indonesia. PO : BS-PO /034/2012

Order Date: February, 2 2012

13. Who is the end customer for the products being purchased?
Company Name: CV. BINAR USAHA SEMESTA
Addres : Komplek Merpati blok F33
Phone/fax : +62-31-8682349
Surabaya. 61253 – Indonesia.

14. What country is the final destination for the parts?

Shipping address : PT. TRASPATINDO ABADI
Jln.Mampang Prapatan XII NO.4
Jakarta, INDONESIA
Tel:+62-811225884
Attn: Ibu Ida

15. What does your Final End Customer company do?

Indonesia Air Force (IAF)
Jl. Raya Mabes TNI Cilangkap Jakarta Timur – Indonesia
Telp. (021) 84591243, 8459-1243
Fax : (021) 845-6085
Website : www.tni-au.mi.id

16. Is this application characterized as COMMERCIAL, INDUSTRIAL, MILITARY, or SPACE? Military .

17. WILL THIS ITEM BE USED IN THE DESIGN, DEVELOPMENT, PRODUCTION OR USE OF NUCLEAR, CHEMICAL, OR BIOLOGICAL
WEAPONS, OR BALLISTIC MISSILES? NO.

18. What is the end use application for the parts you are ordering? Be very specific (for example YOU MUST SPECIFY AIRCRAFT
TYPE and where on that aircraft these items will be utilized – stating “aircraft spares and maintenance” is insufficient. )
Blade Propeller Part for aircraft : C 130

By signing below, you are certifying that

 The above information is correct to the best of your knowledge, and that you understand that it is your obligation to comply
with any export restrictions that apply to this item.

Date : March 19, 2012

Company : CV. BINAR USAHA SEMESTA

Email : johansyaht@yahoo.com