CERTIFICATION AND REPRESENTATION …

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84-03-2205Rev. 2/2018 75 Eastern Point Road, Dept. 330, groton , CT 06340 Page 1 of 4 CERTIFICATION AND REPRESENTATION regarding foreign ownership , CONTROL OR INFLUENCE (FOCI) Purpose: This form is used by Electric Boat (EB) to determine foreign ownership , control or influence (FOCI) of certifying companies and to determine their eligibility to receive technical data and unclassified NNPI (U-NNPI), DoD-Controlled Information and/or Export-Controlled Information. Instructions: This form must be completed and signed by an Officer, Owner or duly authorized agent of the certifying company. If any of the information in this document changes, the certifying company must promptly notify EB.

84-03-2205 Rev. 2/2018 75 Eastern Point Road, Dept. 330, Groton, CT 06340 Page 1 of 4 CERTIFICATION AND REPRESENTATION REGARDING FOREIGN OWNERSHIP…

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