FORM C - APPLICATION FOR PERMIT TO EXPORT (HAND-CARRY) OR TRANSMIT
STRATEGIC GOODS RELATED SOFTWARE AND TECHNOLOGY
This form may take you 15 minutes to fill in.
You will need the following to fill in the form:
  • Particulars of your company
  • Information on the software or technology you will be exporting or transmitting
  • End-user’s information and the intended end-use of software or technology
Important Notes:
  1. * indicates compulsory fields. Please enter "NA" if the field is not applicable.
  2. This application must be submitted:
    1. If an individual, by the person directly interested or one of his employees authorised by him in writing;
    2. If a partnership, by one of the partners or an employee of the firm duly authorised in writing by one of the partners; or
    3. If a body corporate, by a director, the secretary or an employee duly authorised in writing by a director or the secretary of the body corporate.
  3. Any person who contravenes any provision of the Strategic Goods (Control) Act, shall be guilty of an offence and shall be liable -
    1. On a first conviction, to a fine not exceeding $100,000 or 3 times the value of the goods or technology in respect of which the offence was committed, whichever is the greater, or to imprisonment for a term not exceeding 2 years, or to both; and
    2. On a second or subsequent conviction, to a fine not exceeding $200,000 or 4 times the value of the goods or technology in respect of which the offence was committed, whichever is the greater, or to imprisonment for a term not exceeding 3 years, or to both.
  4. An Application No. will be issued for each successful submission. Please quote this Application No. in your enquiries for this application in future.
 
Section A:
Application Purpose
  *1. Purpose:

     (Please fill in the current application no. and Sections B, E, G and J.)

      (Please fill in the current application no. and Sections B, E, G and J.)

     (Please fill in the current application no. and Sections F, G and J.)
Current Application No.:
 
Section B:
Applicant's Information
*2. Application Type:
Organisation
Individual
*3. Name:
*4. Address:
*5. Contact No.:
*6. Fax No.:
*7. Email:
8. Entity Identifier/UEN:
9. Contact Person's Name and Designation:
10. Website Address:
11. Date of Incorporation:
     (dd/mm/yyyy)
12. Principal Business Activities:
 
Section C:
Recipient's Information

*13. Recipient Type:
Organisation
Server Posted/Hosted on
Individual
*14. Recipient's Name:
*15. Recipient's Address:
16. Contact Person's Name and Designation 
      (For organisation only)
*17. Contact No.:
*18. Fax No.:
 19. Website Address:
      (For organisation only)
*20. Email:
 
Section D:
End-User's Information (Please fill in Section D only if end-user is different from recipient.)
21. End-User Type:
Organisation
Individual
22. End-User's Name:
23. End-User's Address:
24. Contact Person's Name and Designation 
      (For organisation only)
25. Contact No.:
26. Fax No.:
27. Website Address:
      (For organisation only)
28. Email:
 
Section E:
Export or Transmission Details
*29. Mode of Export or Transmission:
      (e.g. email, fax, hand-carry, etc.)
*30. Export or Transmission Date/Period: -
 
Section F:
Software/Technology to be Exported or Transmitted  
S/No *31. Description and Product Code of software/technology to be Exported or Transmitted
(Please attach a copy of the contract, if applicable.)		 *32. Is an Export Licence required from the Country of Origin in order for the software/technology to be exported to Singapore?
(If yes, please attach copy. If unable to attach, please explain why.)		 *33. Is a Re-export Approval required from the Country of Origin in order for the software/technology to be exported from Singapore to the destination country?
(If yes, please attach copy. If unable to attach copy, please explain why.)		 *34. Purpose/Usage of the software/technology

WMD = Weapons of Mass Destruction
*(i)
Product Code:
Description: 
Country of Origin:
Yes No  
Reason:
Yes No  
Reason:
WMD Non-WMD
Military Non-Military
Government Non-Government
End-use Description:
 (ii)
Product Code:
Description: 
Country of Origin:
Yes No  
Reason:
Yes No  
Reason:
WMD Non-WMD
Military Non-Military
Government Non-Government
End-use Description:
 (iii)
Product Code:
Description: 
Country of Origin:
Yes No  
Reason:
Yes No  
Reason:
WMD Non-WMD
Military Non-Military
Government Non-Government
End-use Description:
 (iv)
Product Code:
Description: 
Country of Origin:
Yes No  
Reason:
Yes No  
Reason:
WMD Non-WMD
Military Non-Military
Government Non-Government
End-use Description:
 
Section G:
* Submission of Supporting Documents
35. Please attach relevant supporting documents, if any. (Note: The total size of all uploaded files should not be more than 1.5MB.)

      Alternatively, you may fax supporting documents to fax no. 6355 2156 or email to customs_stgc@customs.gov.sg within 24 hours
      of submission of this form. Please number all pages of the supporting documents and indicate the Application No. and the Total
      No. of Pages at the top right corner of every page.
*a)
Title Of Supporting Document
b)
Title Of Supporting Document
c)
Title Of Supporting Document
d)
Title Of Supporting Document
 
Section H:
Remarks (if any):
 
Section I:
Conditions
36. The approval of this Form C permit is subject to your company's compliance to the following conditions and other requirements of the
     Strategic Goods (Control) Act (SGCA) and Strategic Goods (Control) Regulations (SGCR):
      i)    The strategic goods or technology are not transferred to a country, a person or entity that is subject to any sanction imposed
            pursuant to a decision of the United Nations Security Council or any unilateral sanction by the supplying countries;
      ii)   The strategic goods or technology transaction must obtain the necessary approvals from other local Controlling Agencies (if
            applicable) and relevant authorities in the importing or exporting countries (if the import or export of these goods or technology
            are subject to control by these countries); and
      iii)  The strategic goods or technology are not known, believed or suspected to be used in relation to a nuclear, chemical,
            or biological weapons programme; or missiles capable of delivering these weapons.
37. Under Regulation 20 of the SGCR, the following records shall be kept for a period of at least 5 years from the end of the calendar year
      in which the act authorised by the permit is carried out:
  • a description of the software/technology;
  • the date on which the software/technology was exported or transmitted;
  • in so far as it is known to the permit holder, the particulars of the recipient and end-user of the software/technology; and
  • in so far as it is known to the permit holder, the particulars of the supplier of the software/technology.
38. In addition, if the software or technology is intended for export (hand-carry), the exportation must fulfil the following conditions:
      i)    The software/technology accompanies a person departing from Singapore by land, sea or air;
      ii)   The software/technology can only be carried by the applicant for an Individual Type application, or by an authorised personnel             for an Organisation Type application; and
      iii)  The software/technology must remain in the possession of the applicant/authorised personnel until it is delivered to the End-User.
39. The Director-General may at any time require the records to be audited and verified by an authorised officer.
40. Every permit holder shall allow the records or documents to be inspected and copied by any authorised officer.
41. Where any document or record is not legible, the permit holder who is required to maintain the document or record shall at the
      request of the authorised officer reproduce the document or record in a legible manner.
42. If there are any changes to the particulars or information declared on the permit application form, the permit holder is required to apply
      for amendment to the permit in writing within 14 days of such change.
43. Please note that your company is obliged to inform Singapore Customs if it:
      i)    knows, or
      ii)   has reasonable grounds to suspect that the end-user is intending or likely to use, wholly or in part, the strategic             goods/technology in the development, production, maintenance or storage of nuclear, chemical or biological weapons or missiles             which are capable of delivering any of these weapons.
44. Singapore Customs has the right to revoke your permit should you fail to comply with the SGCA and the SGCR, any other applicable
      or related domestic laws or any condition of this permit.
 
Section J:
Declaration and Undertaking
45. Information provided on   (date of original permit application in dd/mm/yyyy) is still valid.
46. A new application is required if there is any change in the information provided in sub-section 45.
47. I/We have read and understood the conditions under Section I of the application form. I/We declare that all the information
      provided above is true and correct, to the best of my/our knowledge.
*48. Name of Authorised Personnel:
*49. NRIC/Passport No.:
50. Designation:
      (For organisation only)
*51. Contact No.:
*52. Fax No.:
*53. Email:
*54. Date:
      (dd/mm/yyyy)