Partially Filled Self Declaration Export Control - Final

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Export control declaration

In accordance with Union customs code, regulation (EU) No. 952/2013 we hereby kindly ask you

to share following indications as part of the necessary export control obligation.

Company name & address: Alshoala Engineering Company, Al Seyahia, Tripoli, Libya

Contact person with name, telephone, e-mail:


Igor Grujic, +381608170373, igor@alshoala.net

Members of the board:

1. Dr. Abdulwahab Hamid, Tripoli, Libya

2. Abdusalam Ali Aboazoum, Tripoli, Libya

3.

4.

5.

Kindly note down & share all members of the board if more than 5.

Shareholders:

1. Dr. Abdulwahab Hamid, Tripoli, Libya

2. Abdusalam Ali Aboazoum, Tripoli, Libya

3.

4.

5.

Kindly note down & share all shareholders if more than 5.


Beneficial owner (only if existing & if other than shareholders):

Company name of physical material end receiver:


Sirte Oil Company for production and manufacturing of Oil and Gas

Company address of physical material end receiver:


Marsa al Brega, Libya

Physical end delivery address of supplied material:


Marsa al Brega, Libya

Members of the board of company as physical material end receiver:

1.

2.

3.

4.

5.

Kindly note down & share all members of the board if more than 5.

Shareholders:

1.

2.

3.

4.

5.

Kindly note down & share all members of the shareholders if more than 5.

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End use of our goods/project relation:

Petrochemical power plant - DCS system installations

Transport company (only if you are applicant) & contact person:

Shipping line (only if you are applicant):

Your authorised bank of the business transaction:

BIAT Banque Internationale Arabe de Tunisie

Name in block letters Signature with company stamp:

Place, date:

Mit freundlichen Grüßen

Niedax GmbH & Co. KG


Note: Documents for enquiry checking, offer preparation, contract conclusion and execution are stored including any personal data in accordance with
Art. 6 para. 1 b) GDPR. The deletion takes place in accordance with the law after the purpose of storage no longer applies.

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