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sper KIGT KOR-ECU TASK Application Form Please complete this form in English. Section 1 - Company Details 1.1 | Name of Company 1.2 | Homepage/website Address 1.3 | Address | Main Office (Headquarters) Factory 14 | Year of Establishment 1.5 | Overview of Company (Please provide brief information about the company) 1.6 | Ownership | o Government owned 1 Private owned a Joint Stock Company with foreign entity wete. : 17| Contact | Name: Position: Point Office Tel / Mobile Tek: e-Mail: 1.8 | Number of | Management: Employees | Administration/clerical/sales etc : Engineers : R&D personnel ; Production line / manual workers : Others : n/a Total : 7 79 | Sales 2016 2017 2018 Revenue (usp) pg 1/2 spn KIGT Section 2 — Main Business 24 Main Business Sector and Activities (eg. fisheries processing ~ ‘canning Tuna ) 2.2 Main Products: Secti ion 3 - Technology Transfer 31 ‘What is the main reason for participating in TASK? (please highlight all that apply or list in the blank line) Production line / quality control issues Standards certification/accreditation New product / higher value-added production (provide details) 32 Please summarize your reason for participating in TASK, including the exact, requirement of the technology transfer. Please detail the issue/problem you have, or the accreditation you seek, or the product you wish to produce. 33 Please describe why your company is a good candidate for participating in TASK. You may wish to mention your ability to absorb technology transfer, human resource capacity, your future goals etc. Secti ion 4 - Additional Information 41 Please provide additional information you'd like us to consider. (ex. Pictures, organizational chart) pg 2/2

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