Vipera LLC | Compliance

End-Use / End-User Certification

Complete this certification before placing an order with Vipera LLC. The information provided will be used to evaluate the intended application, end-user, destination, and applicable export-control requirements.

Document Version 2026.1
Compliance Certification
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Important Certification Requirement

This End-Use / End-User Certification must be completed, signed, dated, and returned to Vipera LLC before any order can be processed.

Generic statements such as "for use in laboratory" or "for R&D purposes" alone are not acceptable. Please describe the actual workload, project, or deployment in the target application section.

VIPERA LLC | COMPLIANCE

End-Use / End-User Certification

Please complete all required information accurately. This certification is required for compliance review and approval.

Transaction Information

Provide the purchase and quotation information associated with this request.

End-User Information

Provide the legal and contact information of the end user.

Installation Information

Provide the location where the products will be installed or used.

Target Application

Describe the intended application and identify any military-related use.

Target Application Type required

Compliance Questions

Please answer the following compliance and transfer questions.

Will the products be used for weapons proliferation or related activities? required
Will the products be transferred to a restricted destination or restricted party? required

Company Information

Provide the legal information of the submitting company.

Authorized Representative

Provide the details of the person authorized to submit this certification.

Company Stamp

Upload the company stamp if applicable.

Accepted formats: JPG, PNG, PDF. Maximum file size: 2 MB.

Certification & Declaration

I certify that the information provided in this End-Use / End-User Certification is complete and accurate to the best of my knowledge. I understand that the products and technology supplied by Vipera LLC may be subject to applicable export control, sanctions, and other regulatory requirements. I further certify that the products will not be used, transferred, or re-exported in violation of applicable laws or regulations.