Know Your Customer Form

Know Your Customer & Use Compliance

To maintain compliance with all applicable US, EU and UK trade sanctions and export control laws and regulations, including but not limited to, the U.S. Department of Commerce (DoC), Bureau of Industry and Security (BIS), Export Administration Regulations (EAR) Parts §736 and §744 trade sanctions administered by the U.S. Department of Treasury, Office of Foreign Assets Control (OFAC), as well as any other laws and regulations, as applicable, Air Viper LLC needs to verify the end-use and end-users for all exports involving Air Viper LLC products or transfers of technical data or software. Because the parts or products you are purchasing may be exported and used outside of the United States, European Union or the United Kingdom and/or the selling country, please complete this form and sign it.

This field is for validation purposes and should be left unchanged.

Section 1: Company Information

Legal Name Of Your Company
Physical address where you receive mail.
MM slash DD slash YYYY

Section 2: Key People

Head Of Quality

Main Contact

Accounts Payable

Accounts Receivable

Section 3: Additional Details

Is There An Agreement/ Contract/GTA In Place(Required)
Are Trade References Available Upon Request?(Required)
Are The Bank Details Attached?(Required)
You can upload proof of insurance below.
Do you have aviation parts insurance?
You can upload proof of insurance below.
Do you have aviation parts insurance?
You can upload proof of insurance below.
You can upload any insurance documentation you have here.
Max. file size: 64 MB.

Section 4: Certification & Approvals

What Type Of Quality Certifications Do You Have?(Required)

Section 5: Type Of Business

What Type Of Quality Certifications Do You Have?(Required)

Section 6: Business Purpose

What Type Of Quality Certifications Do You Have?(Required)

Section 7: Ownership Details

List the full legal name, date of birth, and citizenship of any person that owns more than 25% of organizational shares or control. If this does not apply put N/A
Ownership
Legal Name
Date Of Birth
Citizenship
 
Ownership
Legal Name
Date Of Birth
Citizenship
 
Ownership
Legal Name
Date Of Birth
Citizenship
 

Use of Goods

Will you be the ultimate operator, end-user or provider of services utilising the products/services obtained from Air Viper LLC?
(Yes/No)(Required)

If No

Please indicate the nature of how they will be operated, used or utilised and the country or countries to which the products/services will be supplied:    

PLEASE BE AWARE The export control of USA, EU regulate the supply of aircraft commodities. Disposal against these Policies is prohibited.

Declaration

To the best of your knowledge, having conducted all reasonable enquiries, does your organisation or any affiliated individual or entity appear on any restricted party list maintained by the US, UK, EU or the government of any other relevant state including, but not limited to, the control lists referred to in the Export Control statement below?
Yes/No(Required)
Clear Signature
Consent(Required)