Type of inquiry
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Inquiry details
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Person name
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Organization name
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Address
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Country
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Phone number
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E-mail address
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E-mail confirmation
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Do you USE the product that you have inquired in this form or Do you RESELL it?
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Web site
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Business / Domain category
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Enduser Information
Planned procurement products
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Requirement / Estimation of delivery date
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Purpose / Usage of the Procurement
Please understand that from Japanese export regulation point of view, we require your confirmations for the followings.
For what purpose will our products be used?
(e.g. Geophysical exploration for groundwater development)
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Please let us know the title of a project in which our products will be used.
(e.g. Soil Investigation on Landslide Risk Assessment in the Public of ***.)
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Will the products be used for civil use only? Please answer “YES” or “NO”. If “NO”, please describe in detail.
NOTE: We need to confirm whether you use the products for purposes of war, nuclear, terrorism, and any other illegal activities.
Will the products be used in the end user’s country only? Please answer “YES” or “NO”. If “NO”, please describe in detail.
NOTE: We need to confirm whether you re-sell/export the products to third countries.
Product name
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Model No.
(If you are not able to find out its Model No., please fill in as "Unknown".)
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Serial No.
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Inquiry
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