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DMC_TransactionScreeningForm

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Zaki Elsayed
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29 views1 page

DMC_TransactionScreeningForm

Uploaded by

Zaki Elsayed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Transaction Screening Form (TSF)

Date: Purchase/Sales Order/RFQ Number: Project Name/Number:

A. Purchaser B. Consignee/Ship To
Check if included on purchase order or complete below Check if same as A. Purchaser
Check if included on purchase order or complete below

Company Name Company Name


Address line 1 Address line 1
Address line 2 Address line 2
City City
State/Province State/Province
Postal Code Postal Code
Country Country

C. End User/Ultimate Destination D. Additional Parties Click here for appendix to add additional parties

Check if same as A. Purchaser Check if included on purchase order or complete below

Check if same as B. Consignee/Ship To Bank Freight Forwarder

Check if included on purchase order or complete below Carrier Other

Company Name Company Name


Address line 1 Address line 1
Address line 2 Address line 2
City City
State/Province State/Province
Postal Code Postal Code
Country Country

E. End-Use Information
Explain in detail the end-use of the supplied product:
Replacement parts

End-use: Chemical Weapons/Biological Weapons Military Rockets/Missiles Nuclear


Space Stock Other

F. Form Completed By
Name City
Company Name State/Province
Phone Country
Email Signature

For Emerson Internal Use Only

Reviewed By: Date:

DMC - ITCG - F1001 Page 1 of 1 Last Revised 07-FEB-2022

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