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Request for License Assignment and Transfer Form

Description
#1: Current License Owner
(Assignor)
*Include complete legal name
and address, including country

#2: New License Recipient


(Assignee)
*Include complete contact
information: Contact name:
Contact address:
Contact email:

Information Required

KEMENTERIAN PERUMAHAN DAN KERAJAAN


TEMPATAN MALAYSIA (KPKT)
Kementerian Kesejahteraan Bandar, Perumahan dan
Kerajaan Tempatan, No.51, Persiaran Perdana,
Persint 4, 62100, Putrajaya, Malaysia.

GITN Sdn. Berhad, Level 31, Menara TM, Jalan Pantai


Baharu, 50672, Kuala Lumpur, Malaysia.
Mohammad Addinudin Shahimi
addinudin@gitn.com.my

#3: Details about the


requested transfer
*Include Product/Licensed
Software Name, Part Number,
Description (use attachment
Exhibit A to complete.).
#4: Reason for transfer:

a. Acquisition, Merger or
Corporate Name Change;
supporting documentation
below:
Notice on Current License
Owners letterhead with
details of
acquisition/merger and
signed by an authorized
representative of the
Current License Owner;
or
Amended Articles of
Incorporation (or equivalent
document); or
Press Release; or
Copy of notice of name
change with secretary of
state (or other applicable

GITN is commissioned by the Government to turn the


vision of an e-Government into reality. GITN Sdn.
Berhad (GSB) is the official network provider for
Government and we have a comprehensive range of
infrastructure, hardware and software aimed to help
enhance, improve and integrate. GSB has now
developed its network infrastructure nationwide, and
our services are currently being used by various
government agencies including KEMENTERIAN
PERUMAHAN DAN KERAJAAN TEMPATAN MALAYSIA as
a part of the integration.

government agency); or
SEC (or other equivalent)
Filing Notice; or
Dunn and Bradstreet history
entry.

b. Acquisition of the current


license owners assets for
purposes of transfer of
assets to a wholly owned
subsidiary, outsourcing,
managed, or co-location
services; supporting
documentation below:

Notice on Current License


Owners letterhead with
details of the outsourcing
and signed by an
authorized representative.

OTHER. State the


reason. List supporting
documentation below:

Additional Questions:

Is the Assignee a Government End User or an


Internet Service Provider?
Yes

No

Government End-User means any foreign


central, regional or local government department,
agency, or other entity performing governmental
functions (e.g., Ministry of Information, Ministry of
Defense, etc.), including any entity that is owned
or operated by the foregoing (e.g., state-owned
telecommunications provider, government
research institution, government corporation, etc.)
Internet Service Provider means an entity that
provides any Internet communication service,

including connectivity, to its subscribers.


Will the Blue Coat products be used in an
electronic communications network that is used
wholly or mainly for the provision of publicly
available electronic communication services
(Public Network) ? [Yes/No]
3. If the product is to be used in a Public Network,
will the the Product be used to:

Restrict public access to Internet content in


any manner? [Yes/No]

Track or monitor individual public Internet


users in any manner? [Yes/No]

Terms and Conditions for Assignment of


Software License and Support Services
The Product(s) and/or Licensed Software set forth herein, was/were licensed
by the Assignor pursuant to certain terms and conditions. The Assignor
desires to assign its rights and obligations regarding the Product(s) and/or
Licensed Software listed in Exhibit A, attached hereto and incorporated
herein by reference, to the Assignee, and the Assignee desire to assume all
of the Assignors obligations under the relevant terms and conditions for said
Product(s) and/or Licensed Software as of the Effective Date of the
Assignment. Assignee is willing to consent to such assignment subject to the
terms and conditions set forth in the applicable Software License and
Support Agreement(s) in effect as of the Assignment Effective Date.
As of the Effective Date of Assignment, the Assignee hereby assumes all
rights, obligations and liabilities of the Assignor under the applicable
agreement with respect to the Licensed Software. Additionally, Licensor
releases Assignor of its obligations and liabilities under the applicable
Software License and Support Agreement(s) upon the Effective Date of the
Assignment. This assignment does not increase the number of licensed
copies or change, modify, provide any additional rights to use or transfer any

of the Products and/or Licensed Software. This Assignment grants the


Assignee the license to use the Products and/or Licensed Software in the
quantity assigned under the original purchase by the Assignor, and all use of
the Products and/or Licensed Software by the Assignee shall in in accordance
with the current version of the Software of Licensor. It is further understood
and agreed that Assignor shall continue to be responsible for those
obligations and liabilities to Licensor which are attributable to matters
occurring or existing on or before the Effective Date of Assignment.
Blue Coat Systems, Inc. (Licensor) located at 420 N. Mary Avenue,
Sunnyvale, CA 94085 hereby consents to the assignment of Licensors
Software and/or Products as set forth in the attached Exhibit A as previously
Licensed/Purchased by Assignor.

This Assignment is Effective as of the last signature date below (Effective


Date of Assignment).
ACKNOWLEDGED AND AGREED:
LICENSOR: BLUE COAT SYSTEMS, INC.
By:

ASSIGNOR:
By:

Name:

Name:

Title:

Title:

Date:

Date:

ASSIGNEE:
By:
Name:

Title:
Date:

Exhibit A
to
Assignment Agreement
Part
Number
SG600-35PR

Serial Number
0212155119

Description
Bluecoat SG600-35, Proxy Edition

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