Application for Registration

To : Commanding General of the Defense Procurement Agency,

1. General Information
．Legal Business Name									．Country
．DUNS Number				CAGE CODE
TAX ID				Division Name
．Address
．Phone Number				．Fax Number
．Type of Business		□ Manufacturer □ Supplier □ Vendor □ Distributor □ Manufacturer and Supplier □ Others
．Business Start Date				Fiscal Year Close Date
．Number of Employees				Annual Sales
．Business Status		□ Individual □ Partnership □Non-profit Organization □ Sate-owned □ Joint-Venture □ Corporation incorporated
2. ．FSC Codes(Federal Supply Classification Codes)
3. SIC Codes ( Standard Industrial Classification Codes)
4. ．Mailing Address Information
Name
Address
City,State,Zip/Postal
5. Internet HomePage Information
Main Title
Home Page Address					Webmaster E-Mail

Ministry of National Defense, Republic of Korea

6. Registration Acknowledgement and Point of contact information
Registant					E-Mail
Phone Nember					Fax Number
7. Alternate contact Information
Name					E-Mail
Phone Nember					Fax Number
8. ．Representative(or Owner) Information
Name/Nationality		/		SOCIAL Security NUMBER
Phone/Fax Nember				E-Mail
9. Commission Agent in Korea
Name	Address					Phone/Fax Nember			E-Mail
10. ．Authorized Person(s) to sign any Documents
Title		Name	Title					Name
11. Major Customers
Country		Name of Company	. Address					Item(s) sold

I, as legally authorized representative of the applicant, certify that the above  information is true and correct

- Date :

- Representative

-· Name in full :                     Signature :

□ Attachments : 1. Business Registration Certificate

2. Pledge for Security (Notary Public)

3. Business Information Report(Dun & Bradstreet)

Pledge for Security

DATE :

To : Commanding General of the Defense Procurement Agency,

Ministry of National Defense, Republic of Korea

I, hereby certify and/or guarantee the followings in compliance with the law and regulations of the R.O.K.

(1) All matters concerning the procurement shall be held and preserved      as "confidential matters of the R.O.K" in compliance with the Military      Security Protection Act and its enforcement decree and regulation.

(2) Any of the information related to the Korean Defense Procurement      projects shall not be released to any other unauthorised person or

corporation.

(3) I understand that I am fully liable for consequences caused by a

violation of the pledge whether it is intentional or unintentional.

FIRM NAME :

JOB  TITLE :

NAME :

SIGNATURE OR SEAL :

Application for Amendment in Registration

To : Commanding General of the Defense Procurement Agency

Ministry of National Defense, Republic of Korea

．Company Code				．Company Name
Amendments
Contents			From		To
Company Name
Address
Representative (or Owner )
Social Security Number
Tax ID
E-mail Address
Tel. /Fax
Person to Sign Contract		Job Title
		Name
Commission Agent in Korea
Others
I, as the legally authorized representative of the firm, duly state that all of the above information is true and correct and hereby duly apply of amendment of registration. Attachment : 1. A copy of document for proving the amendment (New Business Registration Certificate) 2. ．Pledge For Security(Notary Public) ．Date : (Month) (Day) (Year) ．Company Name : ．Representative : ．Signature :

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