TEMPLATE IRAN AND SYRIA SANCTIONS CUSTOMER STATEMENT
TEMPLATE IRAN SANCTIONS CUSTOMER STATEMENT
REQUIRED FOR EXPORTS FROM CANADA
International pressure is increasing on Iran for additional sanctions and multilateral action against certain types of transactions. New sanctions have been imposed on people and entities in Iran.
TNT’s N° 1 Business Principle is to comply with all laws, rules and regulations and trade regulations imposed by the United Nations, European Union, Canada, United States, Australia and other regulatory bodies.
Many of these sanctions are targeted at the nuclear, petroleum, banking and insurance industries, also against individuals, organizations and companies that have been identified by and not limited to; the United Nations, European Union, Canada, United States and Australia.
Customers who export shipments to Iran need to complete and sign below customer statement confirming compliance with relevant regulations, before the shipments are accepted for transportation. Please place and print this statement on your company letterhead or provide your name and passport/drivers license details.
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IRAN SANCTIONS CUSTOMER STATEMENT
I/we* (Insert name/company and address) _______________________________________________
certify that we are the exporter of the goods described below and accept the responsibilities of the exporter. By signing this statement I confirm that the shipment concerned is done in full compliance with all applicable regulations.
Please include goods description here (mark with X ):
- informational materials, including books and other publications[1] ( )
- correspondence, including letters, printed papers and postcards ( )
I/we* (insert name/company) __________________________________________________________
further certify that we are not aware of any circumstance relating, without limitation, to the goods; the owner of the goods; the recipient of the goods; the payment for the transportation and related services or the routing of the transaction which could give rise to a breach of any legislation or sanctions, including but not limited to:
- Canada United Nations Act, and Special Economic Measures Act, as amended.
- Canada Special Economic Measures (Iran) Regulations (SOR/2010-165) as amended.
- Council Regulation (EU) No 267/2012 of 23 March 2012, Council Regulation (EU) No 359/2011 of 12 April 2011, Council Decision 2010/413/CFSP of 26 July 2010 and Council Decision 2011/235/CFSP of 12 April 2011 concerning restrictive measures against Iran, as amended.
- The Export Administration Regulations (EAR) administered by the United States Department of Commerce.
- The International Traffic in Arms Regulations (ITAR) administered by the United States Department of State.
- US Sanctions administered by the United States Department of the Treasury.
- United Nations Security Council 1737 Committee sanctions (measures relating to Iran.)
Name of Shipper _____________________________________________________________________
Name of authorised signatory ___________________________________________________________
Employee position/title ________________________________ Location/Date _____________________
Signature___________________________________________________________________________
Company seal/stamp/VAT or EORI number ____________________________
TNT Consignment No______________________
Note: This statement must be signed by an authorised employee and accompanied by all of the relevant export documentation.
For any additional clarification, please refer to the TNT Terms and Conditions at the bottom left hand side of our webpage at;
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[1] Please note that it is prohibited for any person in Canada and any Canadian outside Canada to transfer, provide or communicate to Iran or any person in Iran the certain types of technical data (Section 4.3 of the Special Economic Measures (Iran) Regulations, SOR/2010-165, as amended on May 29, 2013). For more information, please visit: .
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