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Company:

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Business phone Number:

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1) How many people does your company employ? (select one)
1 to49
50 to 99
100 to 299
300 to 499
500 to 999
1,000 to 4,999
5,000 or more

2) What is your job title? (select one)
President/management executive
General manager/director
Manager
Section chief
Regular employee
Professor/lecturer
Other (please specify)

3) What is your primary job function? (select one)
Corporate/general management
Engineering management
Design and development engineering
Production engineering/production management
Testing, quality control, quality assurance
Basic research
Purchasing and procurement
Marketing/sales
Other engineering function (please specify)
Other non-engineering function (please specify)

4) What is your technical background? (select one)
Electrical engineering
Electronic engineering
Other science and technology
Non-engineering background

5) What is the primary end product at your location?
(select one)
Computers and peripheral equipment
Communication systems/equipment
Test and measurement equipment
Consumer electronic products
Semiconductor production equipment
Medical system/equipment
Office/factory automation
Electronic components/semiconductor

(including ICs, discrete, hybrids, PCB)
Electronic materials and cables
Aerospace and military systems/equipment
R&D laboratory, educational institute, consulatant
Software development
Distributor, exporter/importer (of electronic related products)
Manufacturer of other electronic related products (please specify)
Other (please specify)

6) What products do you use or purchase for your work? (select all that apply)
Resistors, capacitors, transformers, coils, filters, oscillators
Switches, connections, IC sockets
Motors, fans, relays, printed circuit boards, cables
Sensors, rotary encoders
Optoelectronic parts
EMI/EMC related parts/materials
Diodes, photo diodes, transistors
Microprocessors
RAM/ROM ICs
Custom ICs
LSI peripheral chips
Display modules, graphics terminals, image processors
Amplifiers
Personal computers
Mainframe computers
Workstations, other computers
Board computers
Microprocessor development systems, programmers, emulators
CAD/CAM systems and software
Printers, plotters
Data storage systems, data recorders
Digitizers, data tablets, other input/output systems
Analysers, oscilloscopes, other measurement equipment
IC testes, in-circuit testers, test instruments
Power supply devices
Batteries
Semiconductor manufacturing equipment
Electronic materials
LAN systems, communication systems/equipment
Others (please specify)
None of the above

7) Type the name of the high school you attended. This is the "personal identifier" which will be used by our circulation auditor solely to confirm the validity of your application and will not be used for any other purposes.

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For inquiry contact:
Phone+81-3-5210-8453
Facsimile+81-3-5210-8343
E-mail yamada@nikkeibp.co.jp
AddressNikkei Electronics Asia,
Nikkei Business Publications, Inc.
2-7-6 Hirakawa-cho, Chiyoda-ku,
Tokyo 102 Japan