Pine Research Logo
Cart

End User Certification for Exported Goods

[alert color=”red” icon=”exclamation-circle”]Online End User Certification (EUC) Form.  In accordance with United States export laws, it is the policy of Pine Research Instrumentation to verify the end-use, end-user, and intermediate entities for all exported shipments of our products, related technology, and software. We require obtaining a completed End-User/End-User Certificate (EUC) and store the certificate on file, which is necessary to release an exported order for shipment.  Contact Pine Research Instrumentation if you have any questions about completing this form.  Exported orders will not be processed or shipped until we have received this completed form.[/alert]

Section I.  Please review the text in the following section. (REQUIRED)

  1. Will not be imported, re-exported or transferred to be used in the design, development, production, stockpiling, or use of chemical or biological weapons and their precursors.
  2. Will not be imported, re-exported or transferred to be used in the design, development, production, stockpiling, or use of missiles, rocket systems or unmanned air vehicles of any range or payload. “Rocket systems” include, but are not limited to, ballistic missile systems, space launch vehicles, and sounding rockets. “Unmanned air vehicles” include, but are not limited to, cruise missile systems, target drones and reconnaissance drones.
  3. Product and/or replicas (“replicas” refers to items produced abroad on physical examination of the item originally exported, matching it in all critical design and performance parameters) thereof will not be used (either directly or indirectly) in sensitive nuclear end-uses, as follows:
    1. Nuclear explosive activities: Nuclear explosive activities, including research on or development, design, manufacture, construction, testing or maintenance of any nuclear explosive device, or components or subsystems of such a device.
    2. Unsafeguarded nuclear activities: Activities including research on or development, design, manufacture construction, operation, or maintenance of any nuclear reactor, critical facility, facility for the fabrication of nuclear fuel, facility for the conversion of nuclear material from one chemical form to another, or separate storage installation, where there is no obligation to accept International Atomic Energy Agency (IAEA) safeguards at the relevant facility or installation when it contains any source or special fissionable material (regardless of whether or not it contains such material at the time of export), or where any such obligation is not met.
    3. Safeguarded and unsafeguarded nuclear activities: Safeguarded and unsafeguarded nuclear fuel cycle activities, including research on or development, design, manufacture, construction, operation or maintenance of any of the following facilities, or components for such facilities for the:
      1. Facilities for the chemical processing of irradiated special nuclear or source material;
      2. Facilities for the production of heavy water;
      3. Facilities for the separation of isotopes of source and special nuclear material; or
      4. Facilities for the fabrication of nuclear reactor fuel containing plutonium.
  4. The goods will not be imported, re-exported or transferred to be used in the design, development, production, construction, support, or maintenance of a maritime nuclear propulsion project; including any machinery, devices, components or equipment specifically developed or designed for use in such plants or facilities.
  5. Will not be imported, re-exported or transferred to be used in crime control and detection commodities and end-uses.
  6. Will not be imported, re-exported or transferred to destinations embargoed by the U.S. government (unless deminimus provisions apply).
  7. Will not be imported, re-exported or transferred to entities listed on U.S. government denial lists: U.S. Department of Commerce Denied Persons List, Treasury Department Specially Designated Nationals and Blocked Persons Lists, State Department Debarment List, and State Department Parties of Proliferation Concern.
  8. Will not be imported, re-exported or transfered for use by the end-users listed on the Entity List, Supplement No. 4, Part 744 of the EAR without approval from the U.S. Department of Commerce or the Pine Instrument Company International Dept.
  9. Will not be imported, re-exported or transferred to be used by persons on the Unverified List as published by the U.S. Department of Commerce Bureau of Industry and Security.
  10. Written Authorization will be obtained from the Bureau of Industry and Security prior to re-exporting the items or technology, unless they would be eligible for export from the United States to the new country of destination under U.S. export law.
  11. Will not be used, sold, resold, delivered or transferred, directly or indirectly, contrary to U.S. export regulations.
  12. Will not be imported or re-exported for use by or for by persons who commit, threaten to commit or support terrorism. The term terrorism means an activity that:
    1. Involves a violent act or an act dangerous to human life, property, or infrastructure; and
    2. Appears to be intended:
      1. to intimidate or coerce a civilian population;
      2. to influence the policy of a government by intimidation or coercion; or
      3. to affect the conduct of a government by mass destruction, assassination, kidnapping or hostage taking.

Sponsorship and Support Application

This form is to collect funding request information. The information provided in this form will be shared with the sponsorships team at Pine Research, for evaluation of possible funding.

  • Contact Information

  • University, College, Company, etc.

  • Event Details

  • For example, if this funding request is for support of a conference symposia, state the conference name and symposia title. If this funding request is for other kinds of support, please provide a descriptive title.
  • MM slash DD slash YYYY
  • Please provide city, state (province), and country.
  • Estimate the number of people reached through this support or sponsorship. If it is for a conference symposia, estimate the symposia attendance (not total conference attendance). For other events, state the number invited.
  • Please address the topics listed above. Provide details about your event and explain why sponsorship is needed. Discuss anticipated outcomes of this event. Provide any additional information you want to be considered in your application, not requested elsewhere.
  • Pine Research typically funds between $250 and $500.
  • Please describe how you anticipate using sponsorship funds? For example: invited speaker travel expenses, food and beverage, honoraria, etc.
  • Please describe the Pine Research products used by those invited/attending your event. For example, for a symposium, have your invitees published research using our products? Please describe.
  • Please describe the methods that will be used to bring attention to Pine Research Instrumentation as an event sponsor. Be as specific as possible. We especially value unique methods beyond a logo in a program or on a presentation slide.
  • Answer yes if you have requested funds for a different symposium at a different conference and were funded.
  • Please list other secured and potential sponsors from whom you are requesting support. Indicate whether funded (and indicate amount) or requested, the organization name. If none, enter "N/A."
  • Upload any additional supporting material (e.g. officiall letter, sponsorship documentation, etc.) you have. Please do not duplicate content from the fields already requested, above.
    Accepted file types: jpg, jpg, pdf, pdf, png, png, doc, doc, docx, docx, Max. file size: 1 GB.
  • Please prove you are human by selecting the Star.
  • This field is for validation purposes and should be left unchanged.