Application for Engagement in Commercial Encryption
Guidance Notes

This application form provides a filing list, which may assist any company requesting a License for Engagement in Commercial Encryption Items.

The application is suitable for all types of engagement in commercial encryption items.

The company requesting the license should fill the necessary details.

The company applying for the license should attach a detailed technical file concerning the required encryption item (it is advised that these files be in a Word or PDF format).

The company may submit the full application and the required attachments via email. The email addresses for sending the files mentioned above are:

ornit_gabbay@mod.gov.il

In case the company would like to send the application by registered mail the address is:
Encryption Control Unit
Department of Defense Export Controls (DDEC)
Israel Ministry of Defense
P.O.B. 7093
Hakirya
Tel-Aviv 6107002

In case the company would like to send the application using a courier the delivery may be coordinated with the Encryption Supervisor (phone number: 972-3-6977458 / 9).

Insert company logo here

Encryption Control Unit
Department of Defense Export Controls (DDEC)
Ministry of Defense
P.O.B 7093  Hakirya Tel-Aviv Israel 6107002

Date:

License Application for Engagement in Commercial Encryption Items

I hereby request to engage in commercial encryption as specified hereunder:

Details of the Company
Company's Name : 
No.  In Companies Registry :
Fields of business :
Address :			
City :				
Zip code :			
Company's telephone :
Company's fax :
Web site :
P.O.B :			
P.O.B. City:		
P.O.B. Zip code :
Remarks :

Details of the Company's C.E.O. 
First name & surname :	
Direct telephone :
Direct fax :			
Mobile phone :		
e-mail :		

Details of the Company's representative (Marketing & Technical)
First name & surname :	
Position in Company :	
Direct telephone :	
Direct fax :			
Mobile phone :		 
e-mail :			

First name & surname :			
Position in Company :		
Direct telephone :	
Direct fax :			
Mobile phone :		
e-mail :			

Details of the Application and Description of the Product*
Name of product :
Version :
General description of the product :
Type of encryption
Mechanism \ Algorithms \ Standard	Length of encryption key	

		

		

* Please attach to this application form a detailed technical supporting document that   
   describes the product, the encryption in the product and the encryption interfaces.

Requested application :

[  ] development
[  ] production
[  ] modification
[  ] integration
[  ] purchase 
[  ] use
[  ] holding
[  ] export
[  ] transfer (from one place to another or from one person to another)
[  ] import
[  ] distribution
[  ] sale
[  ] conduct of negotiations	

Requested destinations

The country name should be stated, type of customer (governmental or other) and customer’s name.