Export Compliance Screening Form
and Letter of Assurance
Minimax Offer No.:
1. Buyer
2. Consignee
check if same as Nr. 1
Name
Name
BRIGHT SAMUEL
Address
METALWORTH RESOURCES LTD 22
KHANA STREET
Address
City
PORTHARCOURT
City
Country
NIGERIA
Country
3. Foreign Intermediate Consignee
check if not applicable
Name
4. End User/Ultimate Destination
check if same as Nr. 2
Company TOTAL E & P NIGERIA LTD
Address
Address
PORTHARCOURT
City
City
PORTHARCOURT
Country
Country
NIGERIA
Enduse
Please confirm, whether or not the End-User is active in one of the following
Military, Police, Security Institutions
Chemical Industry
Arms Production & Suppliers
Oil & Gas Industry
Nuclear Industry
Vessels
Aerospace Industry
None of these End-Uses apply
Describe the Enduse by specific characteristics. (e.g. application / program name, specific purpose
and function of the protected object, etc…):
SPARE PARTS/MAINTENANCE
I hereby certify, that I am authorized to legally bind the company and that the item(s) ordered will be used
according to export control regulations, that are applicable under German and EU law; the same applies to export
control regulations according to applicable US and other national law to the extent that this does not result in a
violation of or a conflict with German or EU regulations.
The item(s) ordered will especially not be used in any activities related to the development or production of
nuclear, chemical or biological weapons. Furthermore, the item(s) ordered will not be transfered, exported, or reexported directly or indirectly to any party listed as prohibited by EU-, US- or any other applicable law and we are
not on, or under control of anybody on any such list.
I understand, that the exported good(s)/item(s) including related software and technology cannot be transferred,
transhipped, or otherwise disposed of in any manner other than specified herein without prior written approval of
Minimax Fire Solutions International GmbH.
All facts contained in this statement are true and correct to the best of our knowledge and we do not know of any
additional facts which are inconsistent with the above statement. We shall promptly send a supplemental
statement to Minimax Fire Solutions International GmbH, disclosing any change of facts or intention set forth in
this statement which occurs after the statement has been prepared and forwarded.
company name
METALWORTH RESOURCES LTD
name of the signatory
BRIGHT SAMUEL
title/function
MRO BBUYER
date
16TH JULY 2019
signature
company
stamp