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Application Form

Please complete this Application Form according to the instruction below. If necessary, we will contact you to request additional information or meetings.

Proposals generally take approximately one month to be evaluated.

Instruction

1. For company applicants, please fill in section 1, 2, 3(if necessary) and 4. For individual applicants, please fill in section 1and 4.

2. Please provide detailed information on your proposal. Fields with * are mandatory.

3. Please confirm that materials do not contain any confidential information.

4. Please apply online or by posting.

To apply online

Please send this Application Form as an attachment to the online application at the URL below:

http://www.nttdocomo.co.jp/english/corporate/procure/proposal/index.html

If you wish to submit additional information such as company brochure, product specification, price list and/or presentation materials, please attach them also.

To apply by posting or courier

Please send this Application Form to the following address. Please enclose additional information such as company brochure, product specification, price list and/or presentation materials as well.

Attn: Procurement and Supply Department

NTT DOCOMO, INC.

Sanno Park Tower 35th Floor, 11-1, Nagata-cho 2-chome, Chiyoda-ku, Tokyo, 100-6150, Japan

Purpose for collecting personal information

Applicant name, company name, address, telephone number, and other personal information in the form will be used by DOCOMO only for contacting the applicant..

DOCOMO will not use personal information for purposes other than contacting the applicant and will not disclose personal information to third parties without applicant’s consent..

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date:

1. Applicant Information

Fields marked with * are mandatory.

*company name(for company)

or

*name(for individuals)

contact

department/division(for company)

job title(for company)

*contact person(for company)

*address

*phone

FAX

*e-mail

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2. Company Profile

Fields marked with * are mandatory. If your company profile is shown on your web site, please fill out URL only.

company profile

URL

*address of headquarters

*name of CEO

business area

*environmental management

system not established established others

ISO14001 status

(if your proposal is a product)

If “others”, please indicate the alternative system:

comments

*origin of proposed product or technology own product or technology third party’s product or technology

if “third party’s product/technology”, please select your position: official distributor agent

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3. Company Profile of the Third Party(if the product/technology belongs to third party)

Fields marked with * are mandatory. If your company profile is shown on your web site, please fill out URL only.

company

profile

URL

*company name

*address of headquarters

*name of CEO

business area

*environmental management

system not established established others

ISO14001 status

(if your proposal is a product)

If “others”, please indicate the alternative system:

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4. Information on Proposal

Fields marked with * are mandatory.

*category of proposal

hardware development, manufacturing, or provision of hardware

software development, manufacturing, or provision of software

intellectual property sales of patent or license

technology provision of technology or joint research

product/service product planning or product design, business model, service development

consulting/support consulting or support service

business cooperation business partner, agent, or distributor

others others

if “others”, please describe the category of your proposal:

*name of product/technology

proposal description

*summary and significant

features

*proposed price

*current sales or supply of

the proposed product/

technology

URL for proposal if any

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proposal description

*advantages of your

proposal

advantages of your product or technology similar product or technology

*business benefit to NTT

DOCOMO and expected

role to NTT DOCOMO

(impact on business

strategy, corporate value,

and service model, etc…)

*status of intellectual property

NA pending registered

if “pending” or “registered”, please fill out the following about the type of IPR:

patent utility model design trademark copyright

Application/patent no.

referral to **DOCOMO group companies May your information be forwarded to appropriate company within DOCOMO group?

yes no

**”DOCOMO group” refers to NTT DOCOMO’s subsidiary such as DOCOMO Engineering, DOCOMO Technology and other subsidiary companies. NTT East, NTT West and other NTT associated companies are not included.