BO1999-1 OHMMETER

I certify that the goods ordered will be used by the following person / company: (please provide any applicable license information if available)

I certify that the goods ordered by me are to be used for the following purpose:

We (I) confirm that the goods above will not be used for purposes associated with Nuclear or chemical warfare:

Yes

I also certify that I will not export or re-export the goods purchased without the correct licensing and manufacturers approval.

Yes

Full Name and Title of person completing purchase

Please attach any additional information that may be relevant.

Compatible file extensions to upload: pdf

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