DS-2032 Statement of Registration

OMB APPROVAL NO. ####-####
EXPIRATION DATE: XX/XX/XXXX
*ESTIMATED BURDEN: 2 HOURS

U.S. Department of State

DS-2032: Statement of Registration
(SEE INSTRUCTIONS)
*PAPERWORK REDUCTION ACT STATEMENT: Public reporting burden for this collection of information is estimated to average 2 hours per response, including time
required for searching existing data sources, gathering the necessary data, providing the information required, and reviewing the final collection. Send comments on the
accuracy of this estimate of the burden and recommendations for reducing it to: Department of State (A/GIS/DIR) Washington, D.C. 20520.

1. General Information
Applicant is a U.S. Person:

Yes

No

2. Registration Information
Registration Action:

New

Renew

Registration Code (if applicable):

Amend

Cancel

______________________

Add
Add

Registration Type:
Manufacturer

Exporter

Broker

FMS Freight Forwarder (Exporter)

One Time Exemption

U.S. Government

Foreign Government

If Registration Type is “FMS Freight Forwarder (Exporter)”
Authorized Countries:

_________________________________________

Add
Add

If Registration Type is “Foreign Government”

Designate an FMS Freight Forwarder
If Designate an FMS Freight Forwarder is checked
FMS Freight Forwarder
Legal Name:

_____________________________________

Subsidiary/Affiliate Legal Name (if applicable):

_____________________________________

Registration Code (if known):

____________________

Contract Duration (if known):

____________________

Point of Contact
First Name:

________________________________________________________________________

Last Name:

________________________________________________________________________

Telephone:

________________________________________________________________________

Email:

________________________________________________________________________
Add
Add

If Registration Action is “Cancel”
Applicant is notifying DDTC that it intends to let its manufacturing, exporting, brokering, or FMS freight forwarder registration
lapse. At the end of the registration period, it will no longer be in the business of
brokering, or

manufacturing,

exporting,

FMS freight forwarding (exporting) defense articles or defense services. The applicant will no longer

receive renewal notices for the applicable registration.
If Registration Action is “Renew”
If renewing a lapsed registration

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Did you conduct any ITAR business during the lapse?

Yes

No

Lapsed Registration ITAR Activity Dates
Start Date:

_____________________

End Date:

Add
Add

_____________________

Has a voluntary disclosure been submitted regarding the conduct of ITAR business during the lapse?
Yes

No

If Registration Type is “Broker”
Does the applicant have brokering activity to report (including successful/unsuccessful broker activity)?
Yes

No

If Registration Action is “Amend”
Does the amendment involve a material change to the registration?

Yes

No

If Does the amendment involve a material change to the registration is “Yes”
Material Change Type:

Merger
Acquisition
Divestiture
Criminal Charge

Address

Legal Organizational Structure

Eligibility

Name

Directors, Senior Officers, Partners, and/or Owners

Establishment/Addition of Subsidiary/Controlled Affiliate
Notification Triggering Event Date:

_____________________

Summarize the essentials of the transaction, including a statement of purpose and description of scope with an explanation
of actions taken/to be taken inside and outside the U.S.:

3. Foreign Ownership/Control Information
A foreign person owns, or foreign persons own, more than 50% of the outstanding voting securities or equity of the applicant.
Yes

No

A foreign person has, or foreign persons have, the authority and/or the ability to establish or direct the general policies or dayto-day operations of the applicant.
Yes

No

A foreign person owns, or foreign persons own, 25% or more of the outstanding voting securities or equity and no other person
controls an equal or larger percentage.
Yes

No

Foreign persons (including foreign governments) from countries specified in 22 CFR 126.1 have the authority and/or ability to
establish and/or direct the general policies and/or day-to-day operations of the applicant.
Yes

No

Foreign persons (including foreign governments) from countries specified in 22 CFR 126.1 own more than 5% of the
outstanding voting securities or equity of the applicant.
Yes

No

4. Organization Type Information
Organization Type:
Corporation

Limited Liability Company

Educational Institution Nonprofit
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Partnership

Sole Proprietorship

Individual

Other

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Date of Incorporation or Business Commencement (if applicable):

_____________________

Place of Incorporation or Business Commencement (if applicable)
City:

________________________________________________________________________

Country:

________________________________________________________________________

State/Province:

________________________________________________________________________

The applicant has only a foreign parent (or foreign parents) and intends to list at least one affiliate.
Yes

No

5. Identifying Information
Applicant Type:

Natural Person

Entity

Applicant Legal Name and Address
If Applicant Type is “Natural Person”
First Name:

________________________________________________________________________

Middle Name:

__________________________________________________________

Last Name:

________________________________________________________________________

None

If Applicant Type is “Entity”
Company/Organization Name:

________________________________________________________________________

Doing Business As:

________________________________________________________________

Address Line 1:

________________________________________________________________________

Address Line 2:

________________________________________________________________________

Address Line 3:

________________________________________________________________________

City:

________________________________________________________________________

Country:

________________________________________________________________________

State/Province:

________________________________________________________________________

ZIP/Postal Code:

________________________________________________________________________

Website:

_________________________________________________________________________

Add
Add

Mailing address is the same as legal address

If Mailing address is the same as legal address is not checked
Mailing Address
Address Line 1:

________________________________________________________________________

Address Line 2:

________________________________________________________________________

Address Line 3:

________________________________________________________________________

City:

________________________________________________________________________

Country:

________________________________________________________________________

State/Province:

________________________________________________________________________

ZIP/Postal Code:

________________________________________________________________________

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Point of Contact
Point of Contact Type:

Applicant

Third Party

If Point of Contact Type is “Third Party”
Company/Organization Name: _______________________________________________________________________
First Name:

_______________________________________________________________________

Last Name:

_______________________________________________________________________

Position/Title:

_______________________________________________________________________

Telephone:

_______________________________________________________________________

Email:

_______________________________________________________________________

Add
Add

6. Members of the Board of Directors, Senior Officers, Partners and Owners
Board Member/Officer/Partner/Owner
Member Type:

Natural Person

Entity

U.S. Person:

Yes

No

Position/Title:

_______________________________________________________________________

If Member Type is “Natural Person”
First Name:

_______________________________________________________________________

Middle Name:

__________________________________________________________

Last Name:

_______________________________________________________________________

Citizenship:

________________________________________________________________

Date of Birth:

_______________________________________________________________________

Birth Country:

_______________________________________________________________________

Country of Residence:

_______________________________________________________________________

Telephone:

_______________________________________________________________________

Email:

_______________________________________________________________________

None

Add

If Member Type is “Entity”
Company/Organization Name: _______________________________________________________________________
Doing Business As Name:

_______________________________________________________________________

Address Line 1:

_______________________________________________________________________

Address Line 2:

_______________________________________________________________________

Address Line 3:

_______________________________________________________________________

City:

_______________________________________________________________________

Country:

_______________________________________________________________________

State/Province:

_______________________________________________________________________

ZIP/Postal Code:

_______________________________________________________________________

Point of Contact
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First Name:

_______________________________________________________________________

Last Name:

_______________________________________________________________________

Telephone:

_______________________________________________________________________

Email:

_______________________________________________________________________

Has been indicted or otherwise charged (e.g., charged by criminal information in lieu of indictment) for or convicted of
violating any of the U.S. criminal statuses enumerated in 22 CFR 120.27 or violating a foreign criminal law on exportation of
defense articles where convicted of such violation carries a minimum term of imprisonment of greater than 1 year.
Yes

No

Add
7. U.S. Munitions List Categories
U.S. Munitions List categories relevant to the applicant’s manufacturing, exporting, and/or brokering activities:
I

Firearms, Close Assault Weapons and Combat Shotguns

II

Guns and Armament

III

Ammunition/Ordnance

IV

Launch Vehicles, Guided Missiles, Ballistic Missiles, Rockets, Torpedoes, Bombs, and Mines

V

Explosives and Energetic Materials, Propellants, Incendiary Agents, and Their Constituents

VI

Surface Vessels of War and Special Naval Equipment

VII

Ground Vehicles

VIII

Aircraft and Related Articles

IX

Military Training Equipment

X

Personal Protective Equipment

XI

Military Electronics

XII

Fire Control, Laser, Imaging and Guidance Equipment

XIII

Materials and Miscellaneous Articles

XIV

Toxicological Agents, Including Chemical Agents, Biological Agents, and Associated Equipment

XV

Spacecraft and Related Articles

XVI

Nuclear Weapons Related Articles

XVII

Classified Articles, Technical Data, and Defense Services Not Otherwise Enumerated

XVIII

Directed Energy Weapons

XIX

Gas Turbine Engines and Associated Equipment

XX

Submersible Vessels and Related Articles

XXI

Articles, Technical Data, and Defense Services Not Otherwise Enumerated

If U.S. Munitions List categories relevant to the applicant’s… is “XXI”
Applicable Commodity Jurisdiction Number:

_________________________________

Add
Add

8. Affiliate/Subsidiary Information
Does the applicant own, or otherwise control, any U.S. or foreign affiliates or subsidiaries in the business of manufacturing,
exporting, and/or brokering defense articles or services?
Yes

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No

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If Does the applicant own, or otherwise control, any U.S. or foreign affiliates or subsidiaries… is “Yes”
Affiliate/Subsidiary
Activity Type:
Manufacturer

Exporter

Broker

FMS Freight Forwarder (Exporter)

Company/Organization Name: ________________________________________________________________________
Doing Business As Name:

________________________________________________________________________

Address Line 1:

________________________________________________________________________

Address Line 2:

________________________________________________________________________

Address Line 3:

________________________________________________________________________

City:

________________________________________________________________________

Country:

________________________________________________________________________

State/Province:

________________________________________________________________________

ZIP/Postal Code:

________________________________________________________________________

U.S. Person:

Yes

No

Relationship:

Affiliate

Subsidiary

If Relationship is “Affiliate”
Applicant has authority and/or ability to establish or direct the general policies or day-to-day operations of the affiliate.
Yes

No

Applicant owns 25% or more of the affiliate’s outstanding voting securities or equity and no other person controls an equal
or larger percentage.
Yes

No

A foreign person from a country specified in 22 CFR 126.1 has, or foreign persons from 22 CFR 126.1 countries have, the
authority and/or ability to establish and/or direct the general policies and/or day-to-day operations of the affiliate.
Yes

No

A foreign person from a country specified in 22 CFR 126.1 controls, or foreign persons from 22 CFR 126.1 countries
control, more than 5% of the affiliate’s voting securities.
Yes

No

Separate Point of Contact for Affiliate/Subsidiary
If Separate Point of Contact for Affiliate/Subsidiary is checked

Point of Contact
First Name:

________________________________________________________________________

Last Name:

________________________________________________________________________

Position/Title:

________________________________________________________________________

Telephone:

________________________________________________________________________

Email:

________________________________________________________________________

If Registration Action is “Renew” and Activity Type is “Broker”
Does the affiliate/subsidiary have brokering activity to report (including successful/unsuccessful broker activity)?
Yes

No

If Registration Action is “Renew” or “Amend” and an Affiliate/Subsidiary is Added or Removed

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Select reason for Adding or Removing Affiliate/Subsidiary:

_____________________________________________

If reason selected is Merger, Acquisition or Divestiture, did you submit, as appropriate, 60 day pre-notification/5 day MAD
material change notification letters?
Yes

No

Add
9. Parent Information
Does the applicant have any parent entities (U.S. and foreign, intermediate and ultimate)?
Yes

No

If Does the applicant have any parent entities (U.S. and foreign, intermediate and ultimate) is “Yes”
Parent Entity
Company/Organization Name: ________________________________________________________________________
Doing Business As Name:

________________________________________________________________________

Address Line 1:

________________________________________________________________________

Address Line 2:

________________________________________________________________________

Address Line 3:

________________________________________________________________________

City:

________________________________________________________________________

Country:

________________________________________________________________________

State/Province:

________________________________________________________________________

ZIP/Postal Code:

________________________________________________________________________

Separate Point of Contact for Parent
If Separate Point of Contact for Parent is checked

Point of Contact
First Name:

________________________________________________________________________

Last Name:

________________________________________________________________________

Position/Title:

________________________________________________________________________

Telephone:

________________________________________________________________________

Email:

________________________________________________________________________

Parent Status:

Ultimate

Intermediate

U.S. Person:

Yes

No

Foreign Owned/Controlled:

Yes

No

Government Owned/Controlled:

Yes

No
Add
Add

10. ITAR Written Policies
Does the applicant have written policies and procedures for compliance with the ITAR (including but not limited to 22 CFR
122.5)?
Yes

No

11. Statement of Registration

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Under penalty according to federal law (22 U.S.C. 2278-2780; 22 CFR 120-130; 18 U.S.C. 1001), I warrant the truth of all
statements made herein, together with any and all appendices and attachments thereto. I further warrant that:
In compliance with 22 CFR 122 with reference to 22 CFR 122.2(b)(1)(i) and (b)(1)(ii) and 22 CFR 129 with reference to 22
CFR 129.8(c)(1) (i) and c(1)(ii),
I hereby state that I am an authorized senior officer of the applicant and furthermore, I hereby certify that, with respect to the
applicant or its parent, subsidiary, or other affiliate listed herein, or any of its chief executive officers, presidents, vice
presidents, secretaries, partners, members, other senior officers or officials (e.g., comptroller, treasurer, general counsel), or
any member of the board of directors of the applicant, or of any parent, subsidiary, or affiliate listed herein:
Indicted/Charged/Convicted Status
No person has been indicted or otherwise charged (e.g., charged by criminal information in lieu of indictment) for or
convicted of violating any of the U.S. criminal statutes enumerated in 22 CFR 120.27 or violating a foreign criminal law
on exportation of defense articles where conviction of such law carries a minimum term of imprisonment of greater than
1 year.
One or more persons has been indicted or otherwise charged (e.g., charged by criminal information in lieu of
indictment) for or convicted of violating any of the U.S. criminal statutes enumerated in 22 CFR 120.27 or violating a
foreign criminal law on exportation of defense articles where conviction of such law carries a minimum term of
imprisonment of greater than 1 year. A copy of the relevant documentation is attached.
Contract and License Eligibility
No person is ineligible to contract with, or to receive a license or other approval to import defense articles or defense
services from, or to receive an export license or other approval from, any agency of the U.S. Government.
One or more persons is ineligible to contract with, or to receive a license or other approval to import defense articles or
defense services from, or to receive an export license or other approval from, any agency of the U.S. Government. A
copy of the relevant documentation is attached.
Supporting Documentation
File Name: _____________________________

Browse
Browse

Document Type:
Organizational Chart

Applicant Organization Type “Other” Explanation

Foreign Parent Designation

Indicted/Charged/Convicted Status Documentation

Explanation of Applicant Control/Ownership

Contract and License Eligibility Status Documentation

IRS Nonprofit Authorization

Proof Applicant is Currently Authorized to do Business

Documentation of Individual U.S. Person Status

Subsidiary/Affiliate Add/Remove Type “Other” Explanation

One Time Exemption Certification Letter

License Application for One Time Exemption

Broker Activity Report

Other Supporting Documentation

Upload
Senior Officer Application and Certification Signature
First Name:

________________________________________________________________________

Middle Name:

__________________________________________________________

Last Name:

________________________________________________________________________

Signature:

________________________________________________________________________

Date:

________________________________________________________________________

None

If Registration Action is “New”
Designate a Corporate Administrator
First Name:

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________________________________________________________________________

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Last Name:

________________________________________________________________________

Position/Title:

________________________________________________________________________

Telephone:

________________________________________________________________________

Email:

________________________________________________________________________
Privacy Act Statement

AUTHORITIES: U.S. Department of State's authorities to register persons engaged in the business of manufacturing, exporting or importing any defense article or
defense service are 22 U.S.C. 2778(b)(1)(A)(i), 22 CFR Part 122, and Executive Order 13637. The authorities to register brokers are 22 U.S.C. 2778(b)(1)(A)(ii)(I), 22
CFR 129.3, and Executive Order 13637.
PURPOSE: The information gathered through registration is used to identify individuals and entities engaged in certain manufacturing, exporting and brokering activities.
The Department of State will use this information to build and maintain records of ownership, management and transactions related to munitions manufacture, export and
temporary import.
ROUTINE USES: The information solicited on this form is made available to appropriate agencies for law enforcement or pursuant to a court order. It may also be used to
send required reports to Congress about certain defense transactions. More information on the Routine Uses for the system can be found in the System of Records Notice
State-42, Munitions Control Records.
DISCLOSURE: Disclosure of this information is voluntary. Failure to provide the information requested will prevent completion of the registration process.

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