<p>Please return completed form by e-mail: members@kgcci.com or fax: +82-2-3780-4-652</p><p>KGCCI Membership Application 2017</p><p>I/ We apply for membership of the Korean-German Chamber of Commerce and Industry.</p><p>1. Information on Applicant’s Company</p><p>Company/ Institution Name Address Website</p><p>2. Member Information (Main contact included in Membership Directory)</p><p>Name ☐ Mr. ☐ Ms. Position ☐ Languages Korea ☐ German n Phone E-mail Secretary/ Assistant Contact (for Membership contact)</p><p>Name ☐ Mr. ☐ Ms. Position ☐ Languages Korea ☐ German n Phone E-mail</p><p>3. Additional Contact Person (will be included in Membership Directory: 150,000 KRW or 100 EUR/year) Name ☐ Mr. ☐ Ms. Position ☐ Languages Korea ☐ German n Phone E-mail</p><p>4. Contact Point Information Related information and invitations to seminars/ workshops etc. will be sent to the contact person in charge. HR CSR Manager Man Marketing Manager age r</p><p>Name Name Phone Phone E-mail E-mail 1 Gov PR Manager ern men Chief Financial Officer tal Affa irs</p><p>Name Name Phone Phone E-mail E-mail</p><p>5. Line of Business (please choose up to 5)</p><p>1 ☐ Accounting, Auditing, Tax 16 ☐ Education</p><p>☐ Electrical and Electronics 2 ☐ Advertising, Communications 17 Industry 3 ☐ Agriculture 18 ☐ Energy, Renewable Energy</p><p>4 ☐ Architecture, Interior Design 19 ☐ Environmental, Recycling</p><p>5 ☐ Automotive OEM 20 ☐ Fine Mechanics, Optic</p><p>6 ☐ Automotive Supply 21 ☐ Food and Beverage</p><p>☐ Government, Non-profit 7 ☐ Banking, Financial Services 22 organization, Foundations</p><p>8 ☐ Biotechnology 23 ☐ Human Resources</p><p>9 ☐ Building Materials and Supply 24 ☐ Inspection, Safety, Testing</p><p>10 ☐ Chemicals 25 ☐ Insurance</p><p>11 ☐ Construction, Plant 26 ☐ IT, Telecommunication, Engineering Software ☐ Consulting Services 12 27 ☐ Legal (Management, IT, Translations) 13 ☐ Consumer Goods 28 ☐ Logistics</p><p>14 ☐ Culture 29 ☐ Machinery</p><p>15 ☐ Defense 30 ☐ Mechanical Engineering</p><p>6. Member Company based Member Company based in Germany in Korea</p><p>Year of foundation Year of foundation Legal form ☐ Limited (Ltd.) Legal form ☐ Representative office ☐ Branch office ☐ Other: Company in Korea with _____% German share Number of employees in Korea: Number of employees worldwide: Head Office Presence in Korea Name Name 2 Address Address</p><p>Phone Phone E-mail* E-mail*</p><p>7. Production in Korea</p><p>Sites / No. of employees</p><p>8. Membership Category & Membership Fee (see Article 5 of KGCCI Articles of Association)</p><p>Corporate Staff up to 50 Staff 51-299 Staff 300-499 Staff over 500 In Korea ☐ ₩800,000 ☐₩1,500,000 ☐ ₩ 2,100,000 ☐ ₩ 2,400,000 In Germany ☐ €700 ☐ €700 ☐ €700 ☐ €700 </p><p>☐ Associate (governmental institutions, foundations, universities, associations, societies) ☐ In Korea ₩250,000 ☐ Individual (natural persons without company) ☐ In Germany €200</p><p>9. Company Profile (to be filled out by corporate members only; max. 700 characters incl. spaces)</p><p>10. Recommended to join KGCCI membership by the following person/company (complimentary ticket to KGCCI event will be given to both)</p><p>Remarks:</p><p>*According to the constitution, the membership is valid from 1. January to 31. December. 3 *Membership is automatically renewed every year. To cancel the membership, please send us a withdrawal letter no later than September 30th in order to avoid automatic renewal. *Please inform KGCCI of any relevant changes.</p><p>We hereby confirm that we accept the KGCCI Articles of Association.</p><p>Signature / Date</p><p>4</p>