Please Note That This Form Should Only Be Completed in Conjunction with Export 1 (Export

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Please Note That This Form Should Only Be Completed in Conjunction with Export 1 (Export

Export 1b (Export of Dual-Use Goods – Multiple Countries Form) “Dual-use goods” refer to items, including software and technology (Council Regulation (EC) No. 1334/2000) Please note that this form should only be completed in conjunction with one of the following forms when more than one type of good will be exported:  Export 1 (Export of Dual-Use Goods – Individual Licence Application) Form  Export 2 (Export of Dual-Use Goods – Global Licence Application) Form Please list countries of origin in alphabetical order and countries of consignment in chronological order starting with the first country of consignment. Movement of the Goods

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

8 Country of origin (if applicable) 9 Country of consignment (if applicable)

Revised August 2006 Page 1 of 1

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