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Customer form · Export control · Per-transaction

End-User Form (BIS-711) — Third-Party Shipment

Transaction-specific export-control certification, including ultimate consignee details and part information. All fields are required.

Purchaser

Ultimate consignee (end user)

The party who will ultimately receive and use the items.

Part and shipment details

Attestation and signature

In production, this becomes a live signature pad. For mockup review, treat as a placeholder.

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