Requested by

Person who request the transfer (1)*

Please consider this our formal request for a software license transfer. It is our intention to move the above named software to a new host and remove it from the current host, for the following reasons:*

Technical Informations

Agree and Accept

By returning this form, I (1) confirm that I (1) will remove the software from the current host and I (1) will never reuse it.

Date:* (YYYY-MM-DD format (e.g. 2018-01-01))