CHIP IMPORT REGISTRATION CERTIFICATE

Ministry of Electronics and Information Technology

Government of India

Registration Information
User Reference No 3266689016

Reg No MEI202100547926 Date 2023-12-26 IEC AAFCT3159H

00:00:00+05:30

1000 North Main

Exporter Name Address Country
Mouser Electronics Street, Mansfield, TX UNITED STATES
76063
Expected Date of Expected Date of
Port of Exportation Mansfield, TX, USA Export 20-12-2023 Import 29-12-2023

Expected Port of Entry INBLR5 Filler's Name Mobile No

Santosh Lakkumane 8508222747
Expiry date of the
Fee Paid Prototype samples
100 No registration 2024-03-10

CIF Value of
HS Code & IC Purpose of Country of Quantity of
Sr No IC number IC type End Use import in
Description Description Import Origin Import
USD

Analog
Devices /
85423900
Maxim
Electronics
MAX13235E Integrated 5.000
1 integrated Digital Others R&D THAILAND 55.09
EUP+ 3Mbps RS- (Number)
circuits --
232 Transce
Others
/ RS-232
Interface IC

Analog
Devices /
85423900
Maxim
Electronics
MAX13237E Integrated 5.000
2 integrated Digital Others R&D TAIWAN 41.58
ETE+T 3Mbps RS- (Number)
circuits --
232 Transce
Others
/ RS-232
Interface IC

Declartion
1. I /we, hereby, declare/certify that:

• The particulars and the statements made in this application are true and correct to the best of my / our knowledge and belief and nothing
hasbeen concealed or held there from. I/We fully understand that any information furnished in the application if found incorrect or false will render
me/ us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted.
• We would abide by any of the provisions under FTP, FT(D&R Act, 1992, as amended, or any other law established by any of
theMinistries/Departments/Offices of the Central/State Governments relating to export of these items. I/We undertake to abide by the provisions
ofthe FT (D &R) Act, 1992, as amended, the Rules and Orders framed there under, FTP, HBP, Appendices and Aayat Niryat Forms and ITC
(HS).
• none of the Proprietor/ Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the case may be, is / are a Proprietor / Partner(s)
/Director(s) / Karta / Trustee in any other firm / Company which has come to the adverse notice of DGFT or is in the caution list of RBI.
• No export proceeds are outstanding beyond the prescribed period as laid down by RBI or such extended period for which RBI permission
hasbeen obtained.
• that I/We have updated the IEC profiles in ANF 1.
• I/We hereby certify that: the entity for whom the application has been made have not been penalized under any of the following Acts (as amended
 from time to time): The Customs Act, 1962, The Central Excise Act 1944, Foreign Trade (Development &Regulation) Act 1992, as amended,
andThe Foreign Exchange Management Act,1999;. The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974
Weapons ofMass Destruction &their Delivery Systems (Prohibition of Unlawful Activities) Act, 2005
• I am authorised to verify and sign this declaration as per Paragraph 9.06 of the FTP