??ࡱ?>?? ??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????M ??bjbj?=?=6??W?W????????lRRRR222F????t0LF8*??s>?? e7g7g7g7g7g7g7$@: `<??7E2?Q"s???7?RR3?7????@R?2e7??e7???W(r?1T?@2?2| ?O??]??Fv??2?2??7082?=??=?2?FFRRRR?Application FormJETRO BIZMATCH@CEATEC JAPAN 20080Application Deadline: July 10th, Thursday 20080Please carefully complete this form and provide as much information/detail as possible (this application will be used in our applicant screening process and as resource for us in matching your firm with potential Japanese partners at JETRO BIZMATCH). Please note that information collected in this form will be used solely for activities associated with JETRO BIZMATCH@CEATEC JAPAN 2008, such as creating promotional materials (brochures, website, etc.) and identifying potential (Japanese) partners. Information provided in fields marked with a double asterisks ?**? will NOT be disclosed without your express permission. Contact Information Please type in English or JapaneseCompany nameAddressCityState/ProvinceCountryPost/Zip codeTelephone(+ )Fax:(+ )Websitehttp://Primary contactMr./Ms.(First)(Middle)Japanese speaker? FORMCHECKBOX Yes  FORMCHECKBOX No(Last)TitleDept.Email@Will THIS person be attending BIZMATCH@CEATEC JAPAN 2008? FORMCHECKBOX Yes  FORMCHECKBOX NoIf ?No?, please provide information on the person(s) who WILL be attending*:Mr./Ms. (First): (Last)Japanese speaker? FORMCHECKBOX Yes  FORMCHECKBOX NoTitleDeptEmail@*Please include names and information of additional attendees, if any, on a separate sheet.General Business InformationNo. of EmployeesDate established Paid in capitalCEO/PresidentMr./Ms.(first)(last) Business descriptionYour firm?s technology fields/areas (please check all that apply) FORMCHECKBOX  Web 2.0 (SNS included)000  FORMCHECKBOX  Broadband content 0 FORMCHECKBOX  IPv6  FORMCHECKBOX  Encryption technology/Authentication systems 0  FORMCHECKBOX  Wireless LAN/WAN FORMCHECKBOX  Linux/Open source 00  FORMCHECKBOX  RFID/traceability0  FORMCHECKBOX  WiMAX  FORMCHECKBOX  License/ Content control  FORMCHECKBOX  SOA(Service Oriented Architecture)  FORMCHECKBOX  Japanese version of SOX FORMCHECKBOX  Biometrics Identification System  FORMCHECKBOX  Thin-Client System  FORMCHECKBOX  Home networks FORMCHECKBOX  Next generation mobile device  FORMCHECKBOX  Green IT  FORMCHECKBOX  SaaS (ASP) FORMCHECKBOX  Other ( )Your products/services/technologiesPlease describe in detail your products/services/technologies, placing an emphasis on their relative strength, differentiation and competitive advantages, compared to other firms; please also specify your target markets/segments, etc. Your major clients (Please also use this space to list any awards/achievements)Have any of your products/services/technologies been localized to the Japanese market?  FORMCHECKBOX Yes  FORMCHECKBOX No  FORMCHECKBOX Considering Do you have Overseas subsidiary(s)? FORMCHECKBOX Yes  FORMCHECKBOX NoIf yes, where?**Your major competitor(s)?**Your primary investor(s)/VC(s)? 3. About Your Participation in JETRO BIZMATCHWhat type of business arrangement/contract/partner are you seeking? (Please check all that apply ) FORMCHECKBOX VAR  FORMCHECKBOX Distributor  FORMCHECKBOX OEM  FORMCHECKBOX  Joint venture  FORMCHECKBOX Investor  FORMCHECKBOX Other ( )Please use this space to expand on above question, placing focus on your ideal Japanese partners and criteria for such partners. **Please list names of specific Japanese firms you would like to meet at JETRO BIZMATCH, if any. (Please include division/department, if known)*Please note that we will make every effort to arrange meetings with your desired firm(s), but can offer no guarantees that such meetings will be possible.Current Business Activities in Japan What is your CURRENT businesses activity in Japan? (Check ?Other? if you have PRIOR experience) FORMCHECKBOX None  FORMCHECKBOX Representative office  FORMCHECKBOX Sales office  FORMCHECKBOX Affiliated company  FORMCHECKBOX Other Please describe in detail.Do you have Japanese distributor(s) / agent(s)? FORMCHECKBOX Yes  FORMCHECKBOX No If yes, which company (s)?Will the distributor(s)/agent(s) be participating in JETRO BIZMATCH? FORMCHECKBOX Yes  FORMCHECKBOX No Do you have plans to set up an office in Japan? FORMCHECKBOX Yes  FORMCHECKBOX NoIf yes, what is your time frame and what type of business operation would you like to establish?  FORMCHECKBOX  0-6 months FORMCHECKBOX  6 months-1 year FORMCHECKBOX  1-3 years FORMCHECKBOX  More than 3 years FORMCHECKBOX  Branch office FORMCHECKBOX  Subsidiary office FORMCHECKBOX  Not sure (would like more information on options available to me)PLEASE REMEMBER TO SEND SUPPLEMENTARY MATERIALS TO JETRO OFFICE.Personal information is kept strictly confidential and will be used only for JETRO BIZMATCH @ CEATEC JAPAN 2008.For more information about JETRO?s Privacy Policy, please contact: High-Tech Industry Division, Industry and Technology Department, JETRO +81-3-3582-4631For more question, please contact:JETRO WarszawaIPC Business Center, ul. Koszykowa 54, 00-675 WarszawaTel. 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