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I : A p p l i c a t i o n F o r m J E T R O B I Z M A T C H @ C E A T E C J A P A N 2 0 0 9 0A p p l i c a t i o n D e a d l i n e : J u l y 1 6 t h , 2 0 0 9 0 P l e a s e c a r e f u l l y c o m p l e t e t h i s f o r m a n d p r o v i d e a s m u c h i n f o r m a t i o n / d e t a i l a s p o s s i b l e ( t h i s a p p l i c a t i o n w i l l b e u s e d i n o u r a p p l i c a n t s c r e e n i n g p r o c e s s a n d a s r e s o urce 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 2009, 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 2009? 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 description (Within 250 words)Your firms technology fields/areas (please check all that apply) FORMCHECKBOX SaaS (ASP) 0 0 0 F O R M C H E C K B O X O n l i n e S e c u r i t y F O R M C H E C K B O X V i r t u a l i z a t i o n F O R M C H E C K B O X S t o r a g e S y s t e m F O R M C H E C K B O X L T E ( L o n g T e r m E v o l u t i o n , 3 . 9 G ) , 4 G F O R M C H E C K B O X T h i n - C l i e n t S y s t e m F O R M C H E C K B O X S m a r t G r i d F O R M C H E C K B O X W e b 2 . 0 ( S N S i n c l u d e d ) F O R M C H E C K B O X N e x t g e n e r a t i o n m o b i l e d e v i c e 0 0 0 F O R M C H E C K B O X B I ( B u s i n e s s I n t e l l i g e n c e ) F O R M C H E C K B O X I m a g e / S p e e c h R e c o g n i t i o n 0 F O R M C H E C K B O X G r i d C o m p u t i n g F O R M C HECKBOX Encryption technology/Authentication systems FORMCHECKBOX WiMAX FORMCHECKBOX SOA(Service Oriented Architecture) FORMCHECKBOX Linux/Open source FORMCHECKBOX VoIP System/Service FORMCHECKBOX RFID/traceability FORMCHECKBOX IPv6 FORMCHECKBOX Wireless LAN/WAN 0 0 F O R M C H E C K B O X L i c e n s e / C o n t e n t c o n t r o l F O R M C H E C K B O X G r e e n I T F O R M C H E C K B O X H o m e n e t w o r k s F O R M C H E C K B O X B i o m e t r i c s I d e n t i f i c a t i o n S y s t e m F O R M C H E C K B O X B r o a d b a n d c o n t e n t F O R M C H E C K B O X O t h e r ( )Your products/services/technologies (Within 400 words)Please 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. (Within 300 words)**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)? " b d f
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