DD Form 2345

MILITARILY CRITICAL TECHNICAL DATA AGREEMENT

For use with the Joint Certification Program
(Read the Agency Disclosure Notice and Instructions on the back before completing this form.)

a. INITIAL

b. REVISION

c. RENEWAL

1. TYPE OF SUBMISSION (X one)

2. ENTITY OR INDIVIDUAL DATA (Referred to as a ‘Certified Contractor’ upon approval by the Joint Certification Program Office) a. NAME OF ENTITY OR SOLE PROPRIETOR (must match CAGE registry)

OMB No. 0704-0207

OMB approval expires
20250731

b. ADDRESS (Physical Address of CAGE, including P.O. if applicable)

c. NAME (For Use by UNIVERSITY, COLLEGE, or HIGHER LEARNING INSTITUTION Only)

d. CAGE CODE (Mandatory)

3. DATA CUSTODIAN (Primary)

3.1. DATA CUSTODIAN (Alternate)

a. NAME (First, Initial, Last):

a. NAME (First, Initial, Last):

b. TELEPHONE NUMBER (Direct line):

b. TELEPHONE NUMBER (Direct line):

c. OFFICIAL TITLE:

c. OFFICIAL TITLE:

d. BUSINESS EMAIL ADDRESS:

d. BUSINESS EMAIL ADDRESS:

4. DESCRIPTION OF RELEVANT BUSINESS ACTIVITY

5. AS A CONDITION OF RECEIVING MILITARY CRITICAL TECHNICAL DATA, THE ENTITY AND/OR INDIVIDUAL CERTIFIES THAT: a. They acknowledge all responsibilities under applicable U.S. export control laws and regulations (including the obligation, under certain circumstances, to obtain an export license from the U.S. Government prior to the release of military critical technical data within the United States) or applicable Canadian export control laws and regulations, and agree not to disseminate militarily critical technical data in a manner that would violate applicable U.S. or Canadian export control laws and regulations. b. The data is required to bid or perform on a contract with any agency of the U.S. Government or the Canadian Government or for other legitimate business activities in which the contractor is engaged or plans to engage as specifically disclosed in item 4.

d. That the CITIZENSHIP/RESIDENCY STATUS of the individual(s) designated by name in Item 3 above, who will act as custodian(s) of the militarily critical technical data on behalf of the entity, is/are citizen(s) or person(s) admitted lawfully for permanent residence into (X) 1 or (X) 2

1. THE UNITED STATES

2. CANADA

Data Custodian(s)’s lawful residency must be in the entity’s country of certification. e. They are not themselves debarred, suspended or otherwise ineligible to perform on U.S. or Canadian Government contracts, and have not violated U.S. or contravened Canadian export control laws and have not had a certification revoked under the provisions of U.S.