Perpetual License Transfer Form
Date of Transfer Proposal ID
Customer to complete
30.09.2020 Microsoft to complete
M16-
This Perpetual License Transfer Form provides notice to Microsoft of the transfer of perpetual
Licenses as required by the Customer’s volume licensing agreement(s) under which the Licenses
were granted (“agreement”). Annex A identifies the perpetual Licenses to be transferred to the entity
identified below (the “Transferee”).
This form must be completed in full, including Annex A, and signed by the Customer and the
Transferee. Capitalized terms not defined in this form shall have the meaning defined in the
agreement.
“Customer,” as used in this form, means the Customer, Enrolled Affiliate, Registered Affiliate or
Institution to whom the Licenses were granted and not a sublicensed Affiliate.
“Transferee” is the entity to whom Licenses are being transferred.
1. Customer.
Customer details, and not those of Affiliates who are sublicensed to use those products, must be
provided in order for the transfer to be valid.
Name of entity* European Commission
Tax ID* B5E344C2
Contact name: First* Athanasios Last* Maraslis
Contact email address*
[email protected]
Street address* Rue de Spa 3
City* Bruxelles
Postal code* 1049
Country* Belgium
Phone +3222987704
* indicates required fields
2. Transferee.
Name of entity* Health and Welfare Information Systems Centre
Tax ID* 70009770
Contact name: First* Rasmus Last* Kästik
Contact email address*
[email protected]
Street address* Uus-Tatari 25
City* Tallinn,
Postal code* 10134
Country* Estonia
Phone +372 7943 900
Transferee Agreement, Purchasing Account or Enrollment number (if any)
* indicates required fields
3. Reason for License transfer.
a. Transfers permitted under the terms of the Customer’s Agreement or Enrollment.
Customer transfers the perpetual licenses listed in Annex A, which Customer warrants
have been paid in full (check box for applicable reason):
to an Affiliate
PerpetualLicTransForm(EMEA)(ENG)(Aug2019) Page 1 of 6
to a third party solely in connection with the transfer of hardware or employees to
whom the licenses have been assigned as part of
(i) a divestiture of an Affiliate or a division of an Affiliate; or
(ii) a merger involving Customer or an Affiliate.
In either case, please provide the name and the location of the Affiliate, if applicable:
to the customer designated in the Select, Select Plus or Enterprise Outsourcer
Enrollment or one of its Affiliates.
b. Transfers permitted only with Microsoft’s written consent. (Transfer is not valid
unless Microsoft signs this Perpetual License Transfer Form and notifies Customer and
Transferee of its approval.)
Customer is seeking Microsoft’s consent to transfer all perpetual licenses under the
above mentioned Microsoft License ID and as listed in Annex A, which Customer
warrants have all been paid in full, to an unaffiliated third party for the following
reason. (Customer must complete this section. Attach additional pages, if
necessary.)
If the reason is related to bankruptcy or the liquidation of Customer’s assets, please
provide supporting documentation, such as an order from the bankruptcy court or trustee.
Check appropriate box:
Supporting documents attached.
If so, please identify the documents by title:
No supporting documents attached.
4. Customer and transferee acknowledgements.
Customer and Transferee acknowledge that transfers of Software Assurance and License & Software
Assurance are not permitted and that rights obtained through Software Assurance may not be
transferred until the expiration or renewal of Software Assurance coverage for the licenses to be
transferred. Microsoft’s receipt of this form does not constitute validation of transferred licenses based
on invalid or inaccurate information in Annex A regarding license status. Customer remains liable for
amounts owed for any perpetual licenses acquired through MS Financing.
By signing below, Customer represents and warrants that:
a. Customer is transferring only fully paid, perpetual licenses. Customer should refer to the
“License Grant” section of their agreement to ensure the licenses intended for transfer are
perpetual.
b. Customer has provided Transferee with documentation sufficient to enable Transferee to
ascertain the scope, purpose and limitations of the rights granted by Microsoft under the
licenses being transferred; and
c. Customer is not transferring
(i) temporary rights to use Products;
(ii) Software Assurance coverage or benefits;
(iii) perpetual licenses for any version of any Product acquired through Software
Assurance separately from the underlying perpetual licenses for which that
Software Assurance coverage was ordered;
PerpetualLicTransForm(EMEA)(ENG)(Aug2019) Page 2 of 6
(iv) upgrade licenses for a desktop operating system Product separately from the
underlying desktop operating system license or from the computer system on which
the Product was first installed;
(v) Subscription Licenses
(vi) Online Services;
(vii) any licenses for resale to unaffiliated third parties (unless, and only to the extent
that, applicable law permits the transfer of statutory rights); or
(viii) Volume Licensing Keys for any licenses.
d. The licenses identified in Annex A have not been previously transferred to any other
person or entity.
e. This transfer is made according to the above restrictions and all other terms of the
Microsoft agreement identified above.
f. The information provided in this form is complete and accurate.
g. Customer has provided the transferee with a copy of the applicable product use rights
and notice regarding the use and transfer restrictions, and limitations of liability specified
in the agreement.
h. Customer has uninstalled and is no longer using, and will no longer use, the software
licensed under the licenses identified in Annex A.
By signing below, Transferee represents and warrants that
a. it has received and acknowledges the applicable product use rights, use and transfer
restrictions, limitations of liability (including exclusions and warranty provisions) specified
in the agreement under which the Customer acquired the Licenses being transferred;
b. it understands the scope, purpose and limitations of the rights granted by Microsoft under
the licenses being transferred;
c. it will use the Products only for the intended purpose as specified in the original license
from Microsoft;
d. it is not entitled to and is not receiving:
(i) temporary rights to use Products;
(ii) Software Assurance coverage or benefits;
(iii) upgrade licenses for a desktop operating system Product separately from the
underlying desktop operating system license or from the computer system on which
the Product was first installed;
(iv) full version desktop operating system licenses, unless transferred with the sale of
the device for which it operates;
(v) Subscription Licenses;
(vi) Online Services; or
(vii) any licenses for resale to unaffiliated third parties (unless, and only to the extent
that, applicable law permits the transfer of statutory rights).
This transfer is only valid if representations and warranties made above are true and accurate.
Customer and Transferee acknowledge that they shall be wholly responsible to collect, bear and pay
any and all taxes levied or based in any way upon the transfer of the licenses and that Microsoft shall
have no liabilities of any nature whatsoever related to such taxes.
Microsoft reserves the right to audit Transferee’s compliance with the representations and warranties
made in this form. Volume Licensing Keys or media are not provided to Transferee with the transfer
of Licenses.
Nothing herein prevents the transfer of statutory rights in accordance with conditions established by
applicable law.
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Customer
Name of entity* European Commission Digitally signed by:
Signature* ATHANASIOS MARASLIS
(EUROPEAN
Printed name* Athanasios Maraslis COMMISSION)
Printed title* Head of Unit EMPL F5 Date: 2020-12-08 15:36:
31 +01:00
Signature date* 25.09.2020
This Form must be signed by the Customer’s managing director or another authorized director or
employee of Customer. This form is not valid if signed by an unaffiliated third party.
Transferee
Name of entity* Health and Welfare Information Systems Centre
Signature*
Printed name* Katrin Reinhold
Printed title* Director General
Signature date* 25.09.2020
This Form must be signed by the Transferee’s managing director or another authorized director or
employee of Transferee. This form is not valid if signed by an unaffiliated third party.
Microsoft Ireland Operations Limited
Name of entity*
Signature*
Printed name*
Printed title*
Signature date*
Microsoft Internal Use Only
Reference number
Original signed transfer form to be sent to the following Microsoft Address by the entity who
transacted the orders:*
Microsoft Ireland Operations Limited
One Microsoft Place,
South County Industrial Park,
Leopardstown,
Dublin 18,
D18 P521
Attention: EOC Program Operations Dept.
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Annex A to Notice of Perpetual License Transfer
Complete the table by filling in the blanks below.
For the purposes of this form, “Licensing ID” is the Enrollment number, Open Value or
Open Value Subscription Agreement number, Open License Authorization/License
License ID
Number combination, MPSA Purchasing Account number, or Select Plus Public
Customer Number (PCN) under which the licenses were purchased.
Product, part Enter the product name, part number, product type, version, language, and country of
number, product usage exactly as they appear on the License Detail page on the Microsoft Volume
type, version, Licensing Services site located at https://www.microsoft.com/licensing/servicecenter or
language and the Microsoft Business Center at https://businessaccount.microsoft.com. In the case of
initial country of upgrades obtained through Software Assurance coverage or L&SA, in the “Version”
usage columns column, insert the latest version of the product made available during your contract term.
Number of licenses Enter number of licenses you are transferring.
Perpetual Licenses Transferred
Initial Number
License Part Product
Product name Version Language country of
ID Number type
of use Licenses
5147538 CISStd ALNG YJD- License (L) Standard EN Estonia 5
LicSAPk MVL 01075 2016
2Proc
5147538 SQLSvrEntCore 7JQ- License (L) Enterprise EN Estonia 3
ALNG LicSAPk 00341 Core
MVL 2Lic 2016
CoreLic
5147538 BztlkSvrEnt F52- License (L) Enterprise EN Estonia 6
ALNG LicSAPk 02144 Core
MVL 2Lic 2016
CoreLic
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Please attach an additional page (Annex A or in Excel format) to this notice, if you need more space.
PerpetualLicTransForm(EMEA)(ENG)(Aug2019) Page 5 of 6
**Where Software Assurance is indicated, only the latest version acquired through Software
Assurance at the time of transfer can be transferred. Earlier versions of product with Software
Assurance are not transferable. Software Assurance which is associated with an already listed
License & Software Assurance is not to be listed or transferred. Software Assurance coverage itself
is not transferable. Software Assurance coverage ends on the date of transfer.
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