Application Form
Please complete this Application Form according to the instruction below. If necessary, we will contact you to request additional information or
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.
Instruction
3. Please confirm that materials do not contain any confidential information.
4. Please apply online or by posting.
Please send this Application Form as an attachment to the online application at the URL below:
[Link]
To apply online
If you wish to submit additional information such as company brochure, product specification, price list and/or presentation
materials, please attach them also.
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.
To apply by posting or Attn: Procurement and Supply Department
NTT DOCOMO, INC.
Sanno Park Tower 43th Floor, 11-1, Nagata-cho 2-chome, Chiyoda-ku, Tokyo, 100-6150, Japan
Applicant name, company name, address, telephone number, and other personal information in the form will be used by
DOCOMO only for contacting the applicant..
Purpose for collecting
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.
date
1. Applicant Information
Fields marked with * are mandatory.
*company name(for company)
or
*name(for individuals)
department/division(for company)
job title(for company)
*contact person(for company)
contact *address
*phone
FAX
*e-mail
2. Company Profile
Fields marked with * are mandatory. If your company profile is shown on your web site, please fill out URL only.
URL
*address of headquarters
*name of CEO
company
profile business area
*environmental management
system
ISO14001 status If “others”, please indicate the alternative system:
comments
*origin of proposed product or technology
if “third party’s product/technology”, please select your position
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 U
URL
*company name
*address of headquarters
company *name of CEO
profile business area
*environmental management
system
ISO14001 status If “others”, please indicate the alternative system:
4. Information on Proposal
Fields marked with * are mandatory.
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
*category of proposal
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
*name of product/technology
*summary and significant
features
*proposed price
*current sales or supply of the
proposed product/ technology
URL for proposal if any
proposal description advantages of your product or technology similar product or technology
*advantages of your proposal
*business benefit to NTT
DOCOMO and expected role to
NTT DOCOMO
(impact on business strategy,
corporate value, and service
model, etc…)
if “pending” or “registered”, please fill out the following about the type of IPR:
*status of intellectual property
The type of IPR
Application/patent no.
referral to **DOCOMO group companies May your information be forwarded to appropriate company within DOCOMO group?
**”DOCOMO group” refers to NTT DOCOMO’s subsidiary such as DOCOMO CS, DOCOMO Technology and other subsidiary companies. NTT East, NTT West and other NTT associated companies are not included.