DSP-83 Completion Instructions Document No.:
GTC-LIC-GDO-030
Department Name: GTC Licensing Page 1 of 2
Original Issue Date: 040520 Revision:
Definitions/Explanations
- Foreign Consignee - the foreign entity with whom FLIR has the PO or Contract. This can also be
the Foreign End User if contract directly with foreign government.
- Foreign End User - the foreign entity who will make use of the final article.
- Significant Military Equipment (SME) - Any item that is preceded by an asterisk (“*”)in Part
§121.1 of the ITAR or is U.S. classified. Any such items require additional signed documentation
(DSP-83) from all foreign consignees and the end user.
Boxes for FLIR US to complete before sending to foreign parties:
- Box 1: Leave blank.
- Box 3: Name of Foreign End User
- Box 4: Country of Ultimate Destination
- Box 5: Quantity, Articles and Value
o List the quantity of each hardware/software/technical data item as detailed on the
Purchase Order or Contract that is SME (no need to list non-SME items).
o Value = total value of each item listed (total $, NOT per unit, thus quantity multiplied by
individual value)
- Box 6: Add name of Foreign Consignee (if applicable) next to title. Leave rest of box blank for
completion by foreign consignee. Leave blank if the foreign consignee is also the foreign end
user. Official seals are not required.
- Box 7: Add name of Foreign End User next to title. Leave rest of box blank for completion by
foreign end user. Seals are not required.
- Box 8: Add name of Foreign Government next to title. Leave rest of box blank for completion by
foreign government. Usually (but not always), the Foreign End-User and the Foreign
Government are the same entity. Seals are not required.
- Box 9: Leave blank. GTC-L will complete once all other signatures are received.
Boxes for Foreign Sales Representative to complete (if they will take possession of the hardware at any
point in the transfer):
- Box 1: Leave blank.
- Box 6: Foreign Agent or Sales Representative to sign, date and print/type name and title of
signer. Official seals are not required.
- Box 9: Leave blank. FLIR will complete once all other signatures are received.
Boxes for Foreign Consignees and End User to complete:
- Box 1: Leave blank.
DSP-83 Completion Instructions Document No.:
GTC-LIC-GDO-030
Department Name: GTC Licensing Page 2 of 2
Original Issue Date: 040520 Revision:
- Box 6: Foreign Consignee to sign, date and print/type name and title of signer. Official seals are
not required. Leave blank if the foreign consignee is also the foreign end user (only applicable if
FLIR to deliver directly to foreign end user).
- Box 7: Foreign End User to sign, date and print/type name and title of signer. Official seals are
not required.
- Box 8: Foreign Government to sign, date and print/type name and title of signer. Usually (but
not always), the Foreign End-User and the Foreign Government are the same entity. Official
seals are not required.
- Box 9: Leave blank. FLIR will complete once all other signatures are received.
r n
U.S. Department of State 1. This certificate is submitted in OM N 140 0021
UNITED STATES OF AMERICA connection with export application
A ON DA 0 -31-201
*ESTIMATED BURDEN: 1 Hour
NONTRANSFER AND USE CERTIFICATE no. (Instruction Page)
2. Name of United States applicant 3. Name of foreign end-user 4. Country of ultimate destination
Teledyne FLIR, LLC Estonian Defence Forces Estonia
5. Articles/data
We certify that we have placed an order with the person named in item 2 for the following articles/data in the quantity and value shown below:
QUANTITY ARTICLES/DATA DESCRIPTION VALUE (U.S. $)
1 RECON IV B9-FO VERSION 2 $51,351.
6. Certification of foreign consignee Estonian Centre for Defence Investment (ECDI),
We certify that we are importing the articles/data listed in item 5 for delivery to the end-user in item 3. Except as specifically authorized by prior
written approval of the U.S. Department of State, we will not re-export, resell, or otherwise dispose of any of those articles/data (1) outside the
country in item 4 above, or (2) to any person, including the end-user, if there is reason to believe that it will result, directly or indirectly, in
disposition of the articles/data contrary to the representations made in this certificate by any party. We further certify that all of the facts contained
in this certificate are true and correct to the best of our knowledge and belief and we do not know of any additional facts that are inconsistent with
this certificate. We will promptly send a supplemental certificate to the U.S. applicant in item 2 disclosing any change of facts or intentions set
forth in this statement.
Sign here
in ink
Signature of Official, Foreign Consignee Date Signed (mm-dd-yyyy)
Type or print Seal
Name and Title of Signer
7. Certification of foreign end-user Estonian Defence Forces
We certify that we are the end-user of the articles/data in item 5. Except as specifically authorized by prior written approval of the U.S. Department
of State, we will not re-export, resell, or otherwise dispose of any of those articles/data (1) outside the country in item 4 above, or (2) to any other
person. If the end-user is a foreign government, we certify that we will observe the assurances contained in item 8. We further certify that all of
the facts contained in this certificate are true and correct to the best of our knowledge and belief and we do not know of any additional facts that
are inconsistent with this certificate.
Sign here
in ink
Signature of Official, End-User Date Signed (mm-dd-yyyy)
Type or print
Ivar Janson Head of Procurement Department
Seal
Name and Title of Signer
8. Certification of foreign government Estonian Centre for Defence Investment (ECDI),
We certify that we will not authorize the re-export, resales or other disposition of the articles/data authorized in item 5 outside the country in item 4
without prior written approval of the U.S. Government. If the articles/data are for use by our "armed forces" (i.e., army, navy, marine, air force,
coast guard, national guard, national police, and any military unit or military personnel organized under or assigned to an international organization),
we certify that we will use the authorized articles/data only: (a) for the purposes specified in the Mutual Defense Assistance Agreement, if any,
between the U.S. Government and this government; (b) for the purposes specified in any bilateral or regional defense treaty to which the U.S.
Government and this government are both parties, if subparagraph (a) is inapplicable; or (c) for internal security, individual self-defense, and/or civic
action, if subparagraphs (a) and (b) are inapplicable.
Sign here
in ink
Signature of Government Official Date Signed (mm-dd-yyyy)
Type or print Seal
Name and Title of Signer
9. We certify that no corrections, additions or alterations were made on this form by us after it was signed by the foreign consignee, foreign
end-user or foreign government.
Sign here
in ink
Signature of Applicant Date Signed (mm-dd-yyyy)
Type or print Seal
Name and Title of Signer
DSP-83 Page 1 of 1
0 01
To be completed and signed by Foreign Purchaser Name of FLIR’s Direct Purchaser Estonian Centre for Defence Investment (ECDI), Address 1 JÄRVE 34A Address 2 STE 400 (and all locations in EE) City TALLINN Estonia Postal Code 11314 Email address (for Proviso Notification Acknowledgement)
[email protected] Contract/PO number 7/21/2021 Date of Contract/PO nr 2-2/21/3050-1 Platform to item(s) will be used on (if applicable) Separate device How and why will product be used ? Monitoring Country of Ultimate End U se Estonia Name of Foreign Ultimate End User Estonian Defence Forces Address 1 SUUR-SÕJAMAE 23 A Address 2 (and all locations in EE) City TALLINN Postal Code 11415 Country Estonia Email address (for Proviso Notification Acknowledgement)
[email protected] The undersigned certifies that the stated information on this form is true and correct to the best of their knowledge. Furthermore, by signing this end use statement, I certify that I a nd my organization /company will not retransfer or re-export these commodities without first obtaining approval from the US. Government or as otherwise authorized by U.S. law and regulations. Signature of Purchaser Name of person signing Ivar Janson Title Head of Procurement Department Date of Signature Additional Foreign Consignees ( p lease identify any additional parties involved in the transaction or may gain access to the items, e.g. repair and maintain , operate, process or use, as applicable): Name of Additional Foreign Consignee 1 Address 1 Address 2 City Postal Code Country Email address (for Proviso Notification Acknowledgement) Role of Consignee Name of Additional Foreign Consignee 2 Address 1 Address 2 City Postal Code Country Email address (for Proviso Notification Acknowledgement) Role of Consignee Name of Additional Foreign Consignee 3 Address 1 Address 2 City Postal Code Country Email address (for Proviso Notification Acknowledgement) Role of Consignee For additional foreign consignees, please attach a list.