Supplier Application Form​ ​

Please note

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  • Please fill in the necessary items and push the confirmation button.
  • Please leave the column of "Japanese Kana" blank.
  • Please enter phone number in half-width numbers.

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Company Name
Japanse Kana
Head Office
Address
Representative Title
Name
Sales Contact
Factory/Office Name
Address
Phone Number
Job Title
Name
Japanse Kana
E-Mail Address

@

E-Mail Address
(Re-enter)

@

About us
Capital​ ​(One million Japanese Yen)
Date of Establishment​ ​
Industry
Products
Number of Employees​ ​
Recent 3 years' Results

Settlement Period​ ​(Year Month) Sales Amount​ ​(One million Japanese Yen) Operating Income​ ​(Thousand Japanese Yen) Ordinary Income​ ​(Thousand Japanese Yen)

 

 

 

Major Shareholders

Shareholder Name Ratio(%)

Major Sales Item Status

Sales Item Sales Amount​ ​(One million Japanese Yen) Ratio(%) Major Customers

Factory Outline

Factory/Office Name Address Production Item

Certifications Acquired
(ISO / QS 9000 / IATF etc.)

Certifications Acquired Certification Acquisition Date​ ​ Acquisition Range

Products that you wish to have transaction with our company
PR Point
​ ​(Please comment on the characteristics of your company, your strength etc. within 200 letters.)
Technology
Price Competitiveness
Other
Company Information etc. attached
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