International Nondisclosure

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					                                                 Nondisclosure Statement
                               For Foreign Persons Involved in Export-Controlled Projects

Title of Research Project:
Name of PI:        School or Department:

The research project identified above involves the use of third-party Export-Controlled
Information* that is subject to U.S. export control regulations, including the International Traffic
in Arms Regulations and the Export Administration Regulations. It is unlawful under these
regulations to send or take export-controlled information out of the U.S., disclose, orally or
visually, or transfer export-controlled information to a foreign person inside or outside the U.S.
unless authorized. A foreign person is a person who is not a U.S. citizen, U.S. permanent resident
alien (a “green card” holder), a refugee, a protected political asylee or someone granted
temporary residency under amnesty. Foreign person graduate and post-doctoral students are not
exempt from U.S. export control regulations.

The criminal penalty for individuals for unlawful export and disclosure of Export-Controlled
information under the ITAR is up to ten (10) years imprisonment and/or a fine of one million
dollars ($1,000,000) per violation. The criminal penalty for individuals for unlawful export and
disclosure of information controlled under the EAR is imprisonment of up to twenty years and/or
a fine of up to fifty thousand dollars ($50,000) per violation.

I,       (name of individual), acknowledge and understand that I may be personally liable for
violations of the ITAR and the EAR. As a result, I will exercise care in using and sharing Export-
Controlled Information with others to which I have access or is disclosed to me in the course of
my (check one: employment, assignment, or visit) at UML.

I certify that I have read and understand this information and that I could be held personally liable
if I unlawfully disclose, regardless of form or format, export-controlled information to
unauthorized persons. I hereby certify that such data or services will not be further disclosed,
exported, or transferred in any manner to any foreign national or any foreign country without
prior written approval of the Office of Defense Trade Controls, U.S. Department of State, U.S.
Department of Commerce

Print Name:      Date:      Signature:
Contact Information (Permanent Address, Email, and Phone No):
Submit form to Elaine Major, Director of Institutional Compliance at or fax to 978-934-3018.

*Export-Controlled Information or software means information required for the design, development, engineering,
manufacture, production, assembly, testing, repair, maintenance, operation, modification, demilitarization, destruction,
processing or use of export-controlled items identified on the Commerce Control List or US Munitions List. Export-
controlled information does not include basic marketing information on function or purpose, general system
descriptions, or information concerning general scientific, mathematical or engineering principles commonly taught in
schools, colleges and universities or information in the public domain, including information generated from
fundamental research.

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Description: International Nondisclosure document sample