Customers Profile Sheet Attachment C

Company name
registered office
operative office

address /zip code/district/city/Province/Country

address /zip code/district/city/Province/Country

Business Licence N.
VAT number
represented by Mr./Ms.
in the position of

Chairman
Legal Representative

CEO
other (please specify)

Telephone
Mobile
Fax
Email

please write in BLOCK capital

Web site
Sector of activity
Brief introduction to
your main activity
Do you already work with
other Countries abroad?
If YES, in which Market?

Number of employees

Certifications of your
Company

Your latest sales

turnover and you
forecast in short term
(in uro)

NO, only in my Country

Western Europe
East Europe
Russia

Turkey
Middle East
Africa
China
India

Japan
Australia
U.S.A.
Latin America
Canada

31 50
till 5
1001 2000
51 100
6 15
more than 2000
101 500
16 30
ISO 9001:2008 (Certification of the Companys Quality Management System)
ISO 14001:2004 (Certification of the Companys Environmental Management System)
OHSAS 18001 (Certification of the Companys Management System of Workers Health and Safety)
others (please specify)

till
1.000.000 /year ..
till
5.000.000 / year ..
till 10.000.000 / year ..
till 50.000.000 / year ..
till 100.000.000 / year ..
till 200.000.000 / year ..
more than 200.000.000 /year

2012

2013

2014

2015

According to the regulation on privacy, the Customer authorizes Far East Management L.d.a. (Farem HQ) and the affiliated Companies of the network Farem (Local
Farem) to deal with its data and confidential information hereby reported or that will be released in the future steps of the cooperation, under condition that they will
be used to achieve the objectives of the present initiative and according to the International regulation of confidentiality and copyright.

place and date _________________________________________________________________________________ the Customer ____________________________________________________________________

_____________________________________________________________________________________________________
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FAREM CROATIA Rovinj Internet Comunicazione Marketing Doo.

Istarska 56, Rovinj
www.farem.eu/cn - info@rovinj.farem.eu