TADANO ME LIFTING EQUIPMENT TRADING LLC

Icon Tower Office 406, Barsha Heights

P.O. Box 392674 Dubai, U.A.E.
Commercial License No.: 843990
TRN: 100558882500003
www.tadano.com
www.demagmobilecranes.com

*** EXPORT COMPLIANCE QUESTIONNAIRE ***

Dear Sir/Madam,
‐To assist in processing your enquiry we are required to ask questions in regards to any third party businesses
involved in this transaction. The information requested is to comply with our Tadano Demag GMBH Export
Process. Please enter your answers in the spaces provided in the table below.
‐The information disclosed here is not used unethically and at no point will your customer be contacted by Tadano
ME Lifting Equipment Trading LLC in relation to the information you provide.
‐Please do not use abbreviations – supply full and complete names for both business names and
the individuals names you list. This information is required before the order for these parts can be processed further
and for future enquiries prior to quotation.
TADANO DEMAG EXPORT COMPLIANCE QUESTIONS: (Customer Details)

Complete Company Business Name:

Company Business address:

Please supply your full legal name:

DEMAG Crane Model & Serial Number:

Current Location of Crane:

Contact Details: (Tel/Email):

Intended Use:

Are you the End User? If No, pls fill up below table:

QUESTIONS IN RELATION TO THE END USER:

End User Complete Company Name and Address:

End User Complete Contact name:

Final Destination:

I confirm that the Goods Supplied are not for use by MILITARY or in a NUCLEAR POWER PLANT.
I confirm there is NO INTENTION to sell this/these parts to any EMBARGO Countries (Iran, Syria, Cuba, Sudan,
North Korea, etc)

____________________________________________________________________
Company Stamp / Signature / Complete Name / Date

Note: These item(s) are authorized for export only to the country of ultimate destination for use by the ultimate consignee or end‐
user(s) herein identified. They may not be resold, transferred, or otherwise disposed of, to any other country or to any person other
than the authorized ultimate consignee or end‐user(s), either in their original form or after being incorporated into other items,
without first obtaining approval from the SELLER. If you choose to export, re‐export or otherwise transfer the items covered by
questionnaire, you, as the exporter, re‐exporter or transferor, must comply with all applicable law