Application Form for Eligibility (Technical Requirements)

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Application Form for Eligibility (Technical Requirements)

Attachment 2 Application Form for Eligibility (Technical Requirements)

[month], [date], 2012

Company Name:

Please fill the entry for each of the following items concerning the facts defined in the technical requirements for eligibility (section 3.6.1 of the application guide). This application form will be checked in the eligibility review.

------Entry fields (add lines and or/adjust the width of lines if necessary) ------

・Concerning "possessing the ability to plan and carry out large-scale projects that correspond to Item 3.3," please describe the country, industry, subject, reason for pertinence, duration and size (total cost), role in the project (prime contractor, etc.), counterparty, party responsible for the contract (appointment name, name, contact information), and contract amount with regard to projects from within the past five years applicable to the technical requirements in the table below. Also, please enclose documentation that outlines the nature and scale of the project and certification of the work results.

Country name/ Subject/Reason for pertinence Period Scale Industry (YYYY/MM-YYYY/MM) (total cost: \xxx,xxx,xxx) Role in the Counterparty name Party responsible for Contract amount project the contract (Title, name, contact information) ・Fulfillment of any of the conditions from (1) to (3). (1) Having acquired CMMI Level 3 authorization, effective to date. (2) Acquisition of ISO9001 certification, effective to date. (3) A record of large-scale MDMS construction, either domestically or abroad. Regarding this, for fulfillment of condition (1) or (2), please attach a copy of the certificate. For fulfillment of (3), please describe the country, industry, subject, reason for pertinence, duration and size (total cost), role in the project (prime contractor, etc.), counterparty, party responsible for the contract (appointment name, name, contact information), and contract amount with regard to projects from within the past five years applicable to the technical requirements in the table below. Also, please enclose documentation that outlines the nature and scale of the project and certification of the work results.

Country Subject/Reason for pertinence Duration Scale name/Industry (YYYY/MM-YYYY/MM) (Total cost: \xxx,xxx,xxx) Role in the Counterparty name Party responsible for Contract amount project the contract (Title, name, contact information)

・ Concerning "having acquired ISO27001/ISMS certification or having established an equivalent security management system," for instances of ISO27001/ISMS certification acquisition, please attach a copy of the certificate. For instances in which an equivalent security management system has been established, please attach documentation that outlines the content/rationale.

・ Concerning “establishing a structure for delivering a prompt response in Japanese to inquiries from our company’s employees, etc. in case of failure or defect, and the structure has a sufficient technical level in order to support our company’s employees or the like,” specifically describe the content/rationale that is pertinent to the technical requirements. - End of Document -

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