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Instructions on completing an End User Statement

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(PRODUCTS LISTED IN APPLICATION PERMIT)

¾ Please list the product name, description (including the version/Rev number) and
Mitel part number if applicable.
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(EXPORTER COMPANY)

¾ Mitel Networks should be entered here


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(CONSIGNEE AT FINAL DESTINATION)

¾ For the purposes of the EUS, the consignee at final destination is the name of the
party that Mitel Networks is transacting business with. i.e. Mitel’s reseller / channel
partner name.
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(Sufficiently describe the use such as: demonstration or evaluation of products,
protection of company proprietary and/or internal communications, secure
communication with clients, secure communication with branches, secure
communication with supply chain, provision of network/crypto service) at
(CONSIGNEE AT FINAL DESTINATION).

¾ Within this section, please explain what you do with the Mitel product(s) listed
above. If you are a reseller, explain that you resell Mitel products within your region.
Explain the types of business that you resell to (e.g.: hospitals, hotels etc). Also
include an explanation of what the Mitel product(s) are used for (e.g. Everyday
operations of incoming and outgoing telephone calls within a hotel).
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Note: The original End User Statement must be mailed to: Mitel Networks
350 Legget Drive
Kanata, Ontario, Canada
K2K 2W7
Att: Export Management

To expedite your request, Please also e-mail or fax the form to Mitel. If
transmitting by e-mail, please attach the file (as a doc or pdf) to your request
e-mail to internationaltrade@mitel.com and ensure that the signature is fully
legible. If transmitting by Fax, please send the facsimile with a cover page
to
Attention: internationaltrade@mitel.com
Company: Mitel Networks
FAX: +1-613-592-4784

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