Exporter Questionnaire by sdfgsg234


									                                                     Exporter Questionnaire

Please answer the following questions completely so we can process your application in a timely manner.

1.      List the specific name of the countries where you export Ingram Micro products. Do not list only by region.
        For example , list Malaysia instead of Asia or Jordan, instead of Middle East.
        ______________________             _____________________            ______________________
        ______________________             _____________________            ______________________

2.      Provide a general list of technology or computer products you intend to export:

         _____________________               ___________________             _____________________
         _____________________               ___________________             _____________________

3.      Do you have any subsidiary offices outside of the United States?

            yes              no    If yes, list business name and countries where located (do not use abbreviations):

4.      Are you a subsidiary office of a foreign-owned business?

            yes         no         If yes, provide business name and address of parent company (do not use

5.      Do you have a full or partial ownership of any additional businesses outside of the United States?

            yes              no    If yes, list business name and countries where located (do not use abbreviations):

6.      Have you exported technology or computer products prior to contacting Ingram Micro? Please rank your level
        of experience with exporting.

            long term             medium         minimum            none

7.      Have you ever applied for export licenses with either the Bureau of Industry and Security or the State

            yes              no

Exporter Questionnaire.doc                                                                                   Rev. 12/16/02
8.      Check all of the following that best describes your customer base in the countries you export to:

            Wholesale Distributors              Mass Merchants                Telecommunications Companies
            Manufacturers                       Consumer Electronics Stores   Retail Distributors
            Computer Superstores                Office Supply Stores          Home-Users / Consumers
            VAR/Systems Consultants             Direct Marketers              OEM/Original Equipment Manufacturer
            Warehouse Clubs                     Internet Service Providers    Other: __________________________


9.       Do you intend to export Ingram Micro products to government agencies?

            yes              no


10.     Please provide the name, phone number, fax number and e-mail address of the person who is most
        knowledgeable about international trade compliance in your company.

Contact Name: ______________________________________ Contact Phone Number: (_____) ________________

E-Mail Address:_________________________________________ Fax Phone Number: (_____) ________________

                                         End of the Exporter Questionnaire

                                   Please read the following Trade Compliance Information Sheet
                                         Your signature is required under Acknowledgment

                                  Thank you for your cooperation in completing this questionnaire.

Exporter Questionnaire.doc                                                                                  Rev. 12/16/02
                     ®              Trade Compliance Information Sheet

As an outreach to our customers who resell technology and computer products, this information sheet is intended to
make you aware of important trade compliance regula tions. The information provided below is primarily related to
the U.S. Dept. of Commerce, Export Administration Regulations. It is the responsibility of the Reseller to ensure that
its resale transactions do not violate the U.S. export control regulations.

                      U. S. Principal Party In Interest (USPPI) Responsibility

Shipping Your Product
The following business processes define the role of U.S. Principal Party in Interest (USPPI) when exporting.

The U.S. Reseller will assume responsibility as U. S. Principal Party in Interest (USPPI) when on-forwarding product
to a foreign destination after taking delivery from Ingram Micro, whether at the Reseller’s U.S. business address, or
drop-shipped to a freight forwarder warehouse designated by the Reseller. Products purchased and shipped direct to
our U.S. Resellers are considered domestic sales, even if ultimately destined for export. The Foreign Trade Statistic s
Regulations (FTSR) define the Principal Parties in Interest as the persons in the transaction that receive the primary
benefit, monetary or otherwise, of the transaction. Generally, the principals in a transaction are the seller and the

As the seller or USPPI in the export transaction, you will be responsible for:

1.   The legal and lawful export of all commodities obtained from Ingram Micro.
2.   Obtaining any formal export license approvals deemed necessary as defined by the U. S. Government.
3.   Determining the correct product classification based on the Export Administration Regulations (EAR).
4.   Completion of all applicable export documentation and reporting.

                                             Product Classification
The classification of the product, and country of destination determines the applicability of several general
prohibitions, restrictions, License Exceptions, and other requirements under the EAR. Based on the Export Control
Classification Number (ECCN) assigned to the product, certain technology, computer and telecommunications
products may require formal export license approval. The category of licensable products may include but is not
limited to:

1. Hardware, software and technology products with high levels of encryption functionality.
2. Certain network infrastructure products such as high-end routers or switches designed for high volume
3. Products exported to foreign government end-users.
4. Certain network infrastructure products exported to foreign telecommunications companies and Internet Service
   Providers (ISP’s).

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Trade Compliance Information Sheet                                                                             Page 2

                                               Exporter Counseling
The Bureau of Industry and Security has three offices available to counsel exporters on their obligations under the
EAR, and to assist in determining licensing requirements.

Bureau of Industry and Security            Bureau of Industry and Security       Bureau of Industry and Security
Exporter Counseling Division               Western Regional Office               Western Regional Office
14th Street and Pennsylvania Ave., N.W.    3300 Irvine Avenue                    101 Park Center Plaza
Department of Commerce                     Suite #345                            Suite #1001
Washington D.C. 20230                      Newport Beach, CA 92660               San Jose, CA 95113
Phone: (202) 482-4811                      Phone: (949) 660-0144                 Phone: (408) 998-7402
Fax #: (202) 482-3617                      Fax #: (949) 660-9347                 Fax #: (408) 998-7470

                  Customer Base Compliance Screening – Know Your Customer
As a service to our customers, the following is a brief summary of export regulations governing customer base
screening prior to the exporting of technology and computer products. It is the responsibility of the USPPI to ensure
that its export transactions do not violate the EAR.

Restricted Persons Screening
General Prohibition Four of Part 736 of the EAR prohibits business transactions involving U.S.-origin product, with
persons or entities whose export privileges have been denied by the U.S. Department of Commerce, or denied or
restricted by other U.S. Government agencies. The USPPI must perform restricted persons screening to insure it does
not engage in any transactions prohibited by a denial order.

List                            Department                                   Gov. Agency           Internet / Web Address

Denied Persons List             Bureau of Industry and Security (BIS)        Dept. of Commerce     www.bis.doc.gov
Entity List                     Bureau of Industry and Security (BIS)        Dept. of Commerce     www.bis.doc.gov
Specially Designated            Office of Foreign Assets Control (OFAC)      Treasury Dept.        www.treas.gov/ofac
Nationals & Blocked Persons
Debarred Parties List           Office of Defense Trade Controls (ODTC)      Dept. of State        www.pmdtc.org

Embargoed Countries Screening
General Prohibition Six in Part 736 of the EAR prohibits exports or re-exports to embargoed destinations without the
proper license authorization. Refer to Parts 736 and 746 of the EAR for more detailed information.

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Trade Compliance Information Sheet                                                                          Page 3

Non-Proliferation of Weapons of Mass Destruction (WMD)
Non-Proliferation screening is based on General Prohibitions Five and Seven of Part 736 of the EAR. These
prohibitions have been enacted to insure the following:

1. That export transactions do not involve prohibited nuclear end-uses and/or end-users without proper licensing
   authority issued by the U.S. Government.
2. That export transactions do not involve prohibited missile end-uses and/or end-users without proper licensing
   authority issued by the U.S. Government.
3. That export transactions do not involve prohibited chemical and biological weapon end-uses and/or end-users
   without proper licensing authority issued by the U.S. Government.

Detailed regulations and descriptions covering these end-use and end-user activities are found in Part 744 of the EAR.
You may not, without a license, knowingly, export or reexport any item subject to the EAR that is prohibited.

Although most of the products that Ingram Micro offers for resale can be legally exported to most destinations, it is
illegal to make products available to certain end-users engaged in the proliferation of nuclear, chemical or biological
weapons, or in missile technology development.

High Risk for Diversion Screening Guidance
For guidance on Diversion Screening, refer to General Prohibitions Six and Ten of Part 736 of the EAR. These
prohibitions require the USPPI to properly screen orders for diversion risk. Diversion Risk screening is designed to
help the exporter avoid a violation of any part of the EAR. Prohibition Six prohibits the export or reexport of items to
embargoed destinations, unless the exporter has obtained the proper license authorization from the U.S. Government.
General Prohibition Ten prohibits processing an export transaction, reexport or transfer of the item, if the person or
firm has knowledge that a violation of the EAR has occurred, is about to occur, or is intended to occur in connection
with the item.

The EAR states that a firm may not export, reexport or transfer an item under NLR or a License Exception, if they
have knowledge that the customer will reexport or transfer that item without the proper authority from the U.S.
Government. It is illegal to knowingly make products available to persons or front companies who intend to divert
products to unauthorized destinations, end-users or end-uses.

                                  U.S. Government Country Group D List

The U.S. Government’s Country Group D list applies to countries where the U.S. has national security or proliferation
concerns based on activities including but not limited to nuclear proliferation, missile technology development, and
chemical and biological weapons development. Based on these concerns, the U.S. Government restricts exports or
reexports that would make a material contribution to any of these activities in Group D Countries. Based on the ECCN
product classification, certain technology, computer and telecommunications products may require a formal export
license approval from the Bureau of Industry and Security. The Country Group D List is available in Supplement No.
1 to Part 740 of the Export Administration Regulations (EAR). The EAR can be accessed on the BIS website at

Exporter Questionnaire.doc                                                                                  Rev. 12/16/02
If Purchaser delivers the Products to its customer or re-sells to an intermediate reseller who may sell or use the
Products outside the United States, Purchaser acknowledges and agrees that it shall advise such party i.e. customer or
reseller that the Products are controlled for export by the U.S. Department of Commerce and that the Products may
require authorization prior to export from the United States or re-export.

Purchaser agrees that it will not export, re-export, or otherwise distribute Products, or direct products thereof, in
violation of any export control laws or regulations of the United States. Purchaser warrants that it will not export or re-
export any Products with knowledge that they will be used in the design, development, production, or use of chemical,
biological, nuclear, or ballistic weapons, or in a facility engaged in such activities, unless Purchaser has obtained prior
approval from the Department of Commerce. Purchaser further warrants that it will not export or re-export, directly or
indirectly, any Products to embargoed countries or sell Products to companies or individuals listed on the Denied
Persons List, the Entity List, the Specially Designated Nationals List, and the Debarred List published by the U.S.

Purchaser confirms that it has accurately completed the Exporter Questionnaire and has also read the Trade
Compliance Information Sheet and agrees with the text and acknowledges the restrictions made to the resale of the
Products acquired from Ingram Micro.

Purchaser agrees that it shall hold Ingram Micro harmless and indemnify Ingram Micro against all claims, fines and
costs in the event Ingram Micro is named in any action, civil or otherwise, as a result of Purchaser’s breach of its
representation to Ingram Micro herein acknowledged.

Company Name

____________________________________________                       _______________________________________
Company Officer Signature                                          Print Name

____________________________________________                       _______________________________________
Company Officer Title                                              Date

Exporter Questionnaire.doc                                                                                   Rev. 12/16/02

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