CEO Business meeting event for medical equipment industry.xlsx

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2				<CEO Network Enhancing Project (CEONEP)>　Application Form
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4	CEO Business Meeting Event for Medical Equipment Industry
5	<Application Form>
6	Thank you for your interest in CEO Business Meeting hosted by SME SUPPORT JAPAN.
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8	The main purpose of the CEO Business Meeting Event is mutually increasing corporate values through partnerships in technical cooperation and co-development among many more possibilities.
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10	All applicants will be carefully screened and selected by SME SUPPORT JAPAN. The screening process highly prioritizes your goals, motivation and the level of matching probability with Japanese companies.
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13	This application consists of the following questions:
14	1.General information of your company
15	2.Information on Joining this Business Meeting Event
16	3.Business outline
17	4.Previous experience in international business
18	5. Post Pictures
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20	Please answer as many questions as you can for us to fully understand your company and business detail.
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22	※Please kindly note that your requests for any specific business meeting are NOT guaranteed.
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25	1．General information of your company
26	Provide general information about your company. Please enter your information in English.
27	Name of Industrial Associations Your Company Belong to （Required）
28	Company Name （Required）
29	Country/Economy （Required）					City （Required）
30	Complete Address (Street, City, State/Province, Country, Postal Code) （Required）					Name of Company Representative (Prefix - Mr., Ms., Mrs., etc. ) （Required）
31	Participant Name (Prefix) （Required）					Participant Department/Division （Required）
32	Participant Title （Required）					Participant Email Address （Required）
33	Participant Mobile Phone Number （Required）					Participant Office Phone Number （Required）
34	What is the participant(s)' overall English proficiency level?（Required）					Please Select
35	Contact Person Name (Prefix)					Contact Person Department/Division
36	Contact Person Title					Contact Person Email Address
37	Contact Person Mobile Phone Number
38	Number of Employees in Your Company (Required)		Persons			Year of Establishment (Required)	Sample) 2002
39	Number of Employees in Your Company (Required)		Persons			Year of Establishment (Required)
40	Do you have a department that sells products to your group companies or other companies?　　(Required)			Please Select	If "Yes", please indicate how many companies you sell your products to in the box on the right.			Companies
41	If any offices other than Headquarters, please indicate the address	sample) Hong Kong, BangKok
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43	Latest Annual Sales (US Dollars) (Required)					Paid-in Capital (US Dollars) (Required)
44	Website URL (Required)	sample) https://www.smrj.go.jp/english/index.html
45	Website URL (Required)
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47	2. Information on Joining this Business Meeting Event
48	Specify the purpose of participating in this business meeting event.
49	What are your 3 main goals for this business meeting event? Please select up to 3 choices from 1-9 below and provide details of your objectives. Please also indicate the target areas in which you would like to collaborate with Japanese companies.
50	1. Purchase parts/products 2. Distributorship Agreement / Sell Japanese products 3. Order to Japanese companies 4. Co-development, technical collaboration 5. Establishment of Joint-venture（In your country and third party country）					6. Exchange information 7. OEM (order from Japanese companies) 8. Sell parts to Japanese companies 9. Other
51	Meeting Purpose （１） (Required)		*Describe in detail what type of Japanese company and what kind of business meetings you would like to have approximately in 100 words.						counter
52	Please select								0
53	Describe the targeted area of technology, product or service for collaboration. (Required)
54	Meeting Purpose (2)		*Describe in detail what type of Japanese company and what kind of business meetings you would like to have approximately in 100 words.						counter
55	Please select								0
56	Describe the targeted area of technology, product or service for collaboration.
57	Meeting Purpose (3)		*Describe in detail what type of Japanese company and what kind of business meetings you would like to have approximately in 100 words.						counter
58	Please select								0
59	Describe the targeted area of technology, product or service for collaboration.
60	sample 1
61	Meeting Purpose		*Describe in detail what type of Japanese company and what kind of business meetings you would like to have approximately in 100 words.						counter
62	2. Distributorship Agreement / Sell Japanese products		Our company imports and sells mainly medical equipment for use in ICUs and operating rooms. Our company is interested in dealing with any Japanese manufacturers or distributors who can supply those innovative medical devices that complement our current product line-up and can be locally distributed at a premium price through our nationwide sales network. The devices must be authorized with Japanese medial license and CE-marking approval is desirable.						68
63	Describe the targeted area of technology, product or service for collaboration.		Any value-added Japanese medical devices particularly in the field of ICU, critical care and operating units, such as ventilators, anesthetic system and endocsopic surgry instrument having unique features.
64	sample 2
65	Meeting Purpose		*Describe in detail what type of Japanese company and what kind of business meetings you would like to have approximately in 100 words.						counter
66	1. Purchase parts/products		Our company is engaged in the processing and sale of brown sugar. Currently, the machines can only detect fragments of 3 mm in steel and just over 4 mm in stainless steel. We would like to have meetings with Japanese companies that have products/ technology that can improve the following two aspects in the brown sugar processing: 1) detection of fine metal fragments, and 2) detection of metal fragments through aluminum.						69
67	Describe the targeted area of technology, product or service for collaboration.		A company with technology for developing metal detection equipment
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69	3．Business Outline
70	Provide the business outline of your company.
71	Business Area and Percentage of Sales (Required)	Sample) Manufacturing 70%, Trading 20%, Other(Service)10%
72	Business Area and Percentage of Sales (Required)
73	(1) Your Main Product /Service in the Business Area （Required）	Sample) Electric Vehicle Converters			Type of Supplier (Scope of your business) （Required） Select "☑" for All that Applies		Manufacturer
74		Sample) Electric Vehicle Converters					Trader
75							Wholesale
76							Other
77	(2) Your Second Product /Service in the Business Area	Sample) Fuel Cell System			Type of Supplier (Scope of your business) Select "☑" for All that Applies		Manufacturer
78		Sample) Fuel Cell System					Trader
79							Wholesale
80							Other
81	(3) Your Third Product /Service in the Business Area	Sample) Direct-Current Motor			Type of Supplier (Scope of your business) Select "☑" for All that Applies		Manufacturer
82		Sample) Direct-Current Motor					Trader
83							Wholesale
84							Other
85	Main Client Industry(s) (Required)	Sample) Automobile Manufacturer, Trading Company
86	Main Client Industry(s) (Required)
87	Main Client(s)
88	Please provide a business summary to promote your company, including special features of your company, business history, strengths, products or services.(Minimum of 100 words) （Required）								counter
89									0
90	Certifications (Required) Select "☑" for All that Applies	ISO9001		ISO14001			ISO14064
91		ISO13485		FDA us			CE
92		Other Certification relating to Biz Matching		None
93	If you select "Other certifications relating to business matching", please specify what type of certification.
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95	Future Business Plan and Investment Plan If Any （Required）
96	Future Business Plan and Investment Plan If Any （Required）
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98	4．Overseas Business Experience(s)
99	Let us know your business experience with Japanese companies.
100	What type of business engagement（Required） Check "☑" for All that Applies	Purchase parts/products		Distributorship Agreement / Sell Japanese products			Oorder to Japanese companies)