Transcription of Malaysia End User Statement FLEXJABILv4 - cisco.com
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PLEASE NOTE THIS FORM MUST BE PRINTED ON COMPANY LETTER HEAD PAPER Rev 4 Page 1 FORM 5 (Paragraphs 10(7)(b), 11(5)(b), 12(7)(b), 13(4)(b) and 14(1)) END USE Statement For presentation in compliance with Strategic Trade Act 2010 (Act 708) Malaysia We, Certify that we have requested below supplier(s) to supply us the following strategic/unlisted* items: JABIL CIRCUIT SDN,BHD, PLOT 56, HILIR SUNGAI KELUANG 1, BAYAN LEPAS INDUSTRIAL PARK, PHASE 4, 11900 BAYLAN LEPAS, PULAU PINANG; and FLEXTRONICS TECHNOLOGY (PENANG) SDN,BHD, PLOT 13 , PHASE 4, PRAI INDUSTRIAL ESTATE, 13600 PRAI, PULAU PINANG Description of the items: TELECOMMUNICATION EQUIPMENT and SOFTWARE Category codes: 5A002 and 5D002 ECCN are cisco items as listed on the Multi-Use permit numbers MITI/STS/(S)/10-25 and MITI/STS/(S)/10-23 Quantity and Value: (mandatory for Single-Use Permit): Supplier ECCN QUANTITY VALUE JABIL 5A002 50,000 pieces $500,000, JABIL 5D002 50,000 pieces $500,000, FLEXTRONICS 5A002 50,000 pieces $500,000, FLEXTRONICS 5D002 50,000 pieces $500,000, which is intended for (please tick whichever applicable): Consumption in _____ for _____ (country of final destination) (details of end-use OR industry/business activity involved) Production in _____ for _____ (country of final destination) (details of end-use OR industry/business activity involved) Distribution in
numbers MITI/STS/(S)/10-25 and MITI/STS/(S)/10- 23. Quantity and Value: (mandatory for Single-Use Permit): Supplier ECCN QUANTITY VALUE JABIL 5A002 50,000 pieces $500,000,000.00 JABIL 5D002 50,000 pieces $500,000,000.00 FLEXTRONICS 5A002 50,000 pieces $500,000,000.00 FLEXTRONICS 5D002 50,000 pieces $500,000,000.00 ...
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