※ Head Office :

14 Gojeong-ro, Wolgot-myeon, Gimpo-si, Gyeonggi-do, Korea 10022

Tel. +82 31 996 0641 / Fax. +82 31 996 0646
※ Sales Office :
Bldg C 4F, DaebangTriplaon BusinessTower, 158 Haneulmaeul-ro,
Ilsandong-gu, Goyang-si, Gyeonggi-do, Korea 10355
Tel. +82 31 904 6153 / Fax. +82 31 904 6157

Application for Distributor

1. Company Information

Company Name :

Shipping Address :

Billing Address :

Company Home Page : E-Mail :

Phone : Fax :

The Chief Executive : E-Mail :

A Sales Executive : E-Mail :

Account Contact : E-Mail :

Purchasing Contact : E-Mail :

2. Business Reference

Established Year: Territory or Area of Sales :

Number of Sales Representatives :

Agency or Commission Sales Representatives

1. 4.

2. 5.

3. 6.

Annual Sales Amount(US$) :

2016: US$ 2017: US$ 2018: US$

Special Shipping Instructions :

 ※ Head Office :
14 Gojeong-ro, Wolgot-myeon, Gimpo-si, Gyeonggi-do, Korea 10022
Tel. +82 31 996 0641 / Fax. +82 31 996 0646
※ Sales Office :
Bldg C 4F, DaebangTriplaon BusinessTower, 158 Haneulmaeul-ro,
Ilsandong-gu, Goyang-si, Gyeonggi-do, Korea 10355
Tel. +82 31 904 6153 / Fax. +82 31 904 6157

3. Financial Background

Bank Name : Account Number :

Bank Address : SWIFT CODE :

Bank Contact Tel.: Fax :

4. Market Situation

1) Major Competitors

Company Strength Weakness Market Share (%)

Boston Scientific

COOK

Hanaro

Etc

2) Market Price

End user’s Price

Metal STENT Market Leaders
Lowest Highest
 ※ Head Office :
14 Gojeong-ro, Wolgot-myeon, Gimpo-si, Gyeonggi-do, Korea 10022
Tel. +82 31 996 0641 / Fax. +82 31 996 0646
※ Sales Office :
Bldg C 4F, DaebangTriplaon BusinessTower, 158 Haneulmaeul-ro,
Ilsandong-gu, Goyang-si, Gyeonggi-do, Korea 10355
Tel. +82 31 904 6153 / Fax. +82 31 904 6157

Esophageal stent

Biliary stent

Pyloric/Duodenal stent

Colorectal stent

3) Major Target Hospital

Hospital Major used stent Units per year Competitor

Ex) Mayo Clinic(USA) Eso, Bil, Colon Eso 120, Bil 150, Colon 100 Boston. COOK

4) Target Key Opinion Leaders

Hospital Dr’s Name Current using Prefer Brand Units per year Decision Factor
 ※ Head Office :
14 Gojeong-ro, Wolgot-myeon, Gimpo-si, Gyeonggi-do, Korea 10022
Tel. +82 31 996 0641 / Fax. +82 31 996 0646
※ Sales Office :
Bldg C 4F, DaebangTriplaon BusinessTower, 158 Haneulmaeul-ro,
Ilsandong-gu, Goyang-si, Gyeonggi-do, Korea 10355
Tel. +82 31 904 6153 / Fax. +82 31 904 6157

stent
(Company)

Ex) Seoul H. K.D.Hong Bil. Bil 50, Eso(Double) Technology, Sponsor,

Eso(Double) Niti-S (Taewoong) 100 Relationship etc.

5. Business Plan

1) Sales Forecast (Quantity)

Product : Niti-S Stent

Estimated Sales Quantity: 1’st year 2’nd year 3’rd year

Esophageal Stent

Biliary stent

Pyloric/Duodenal stent

Colorectal stent

Endoscopic RFA
(Generator)
 ※ Head Office :
14 Gojeong-ro, Wolgot-myeon, Gimpo-si, Gyeonggi-do, Korea 10022
Tel. +82 31 996 0641 / Fax. +82 31 996 0646
※ Sales Office :
Bldg C 4F, DaebangTriplaon BusinessTower, 158 Haneulmaeul-ro,
Ilsandong-gu, Goyang-si, Gyeonggi-do, Korea 10355
Tel. +82 31 904 6153 / Fax. +82 31 904 6157
2)
Market Development Plan

6. General Information of Company

Completed and Signed by : Date :

Signature Print Name