; CUSTOMER CERTIFICATION
y OF END USE
é AND EXPORT COMPLIANCE
INTEGRATED CIRCUITS,
‘THE CUSTOMER IS THE ENTITY THAT INCORPORATES (USES) THE PRODUCT SUPPLIED BY HOLT IN ITS APPLICATION
OR ASSEMBLY. A BROKER, DISTRIBUTOR OR FREIGHT FORWARDER IS NOT THE CUSTOM
|. Customer understands that Holt Integrated Circuits (“Holt”) products (the “Products”) are subject to export, re-export, or other
restrictions under the laws of the United States, as well as those of the country of the seller/distibutor and the country in which the
Customer resides. Therefore, Customer, on its bwa behalf and on behalf of its subsidiaries and affiliaes, certifies that it will abide by
all U.S. and other applicable laws and regulations relating to the export and re-export of the Preducts and any other product in which
the Products are incorporated by or on behalf of Customer or its subsidiaries and aifiliates.
2. Customer certifies that the Products will not be used, sold, re-exported or incorporated into products used directly or indirectly, in the
design, development, production, stockpiling, or use of chemical or biological weapans, nuclear programs (including activities related
to nuclear explosive devices, nuclear reactors, and nuclear fuel-cyele activities), and maritime nuclear propulsion projects except as
authorized under applicable laws and regulations relating to the export and/or re-export of these items.
5. Customer certifies that the Products will not be used, sold, re-exported ot incorporated into missiles (including cruise and ballistic
missile systems, space launch vehicles, sounding rockets, target drones, remotely piloted vehicles, and reconnaissance drones) o
missile-related programs or end uses except as authorized under applicable laws and regulations relating to the export and/or re-export
of these items,
4. Customer certifies that, unless indicated below, to the best ofits knowledge, the Products are not intended, either directly or indirectly,
fora military end use.
5. Customer certifies that the Products will not be used directly or indirectly, sold, re-exported or incorporated into products intended for
‘any nation under applicable U.S. embargo, except as may be permitted under applicable laws of regulations, or for ary person or entity
to whom such export or re-export is prohibited under U.S. law, including but not limited to persons or entities identified on the
Specially Designated Nationals and other Blocked Persons List maintained by the Treasury Department, or the Entity List and Denied
Persons List maintained by the Department of Commerce.
In any case where Customer is unable to certify the above, it will advise or cause to be advised Holt, in writing, at the time of the order.
Breach of this Certification will subject the Customer and any broker, distributor or forwarder retained by the Customer to
to Holt and under applicable U.S. law. Breach also will automatically and without notice void, nullify and invalidate any
ties, maintenance or other support obligations by Holt with respect to that Customer and its broker, distributor or
forwarder.
Customer/Bad se__ PIV = NHA'FHOR
Customer will use the products for the following purpese(s) (please check only one selection):
Holt Part Numbers (List all fort
ZL Miitery Commercial Both
__ Customer (Fall Company Name): Paastans Axe Force
Type of Business: Mirriagy.
Customer's Website URL: http = TL
Castomer's Full Address (street, cit, state, country): Ace ean Qvaeic® , EO Va anwaac
7
End Use Application (be specific): _“ \Ese.
=
Signature of Customer Corporate Officer or Manager:
Print Name and Title:
‘AIR HEADQUARTERS, ISLAMABAD}
ACAS (OPS REQ 8 OEV)
23351 Madero, Mission Viejo, CA 92691-2730 + (949) 859-8800 » (949) 250.0843 (Fax)
(F-103 (Rev. A) Web Site: vaww.holtic.com * E-mail info@holtic.com 11108