NATIONAL EXPORTERS’ PROFILING PROGRAM (NEPP) FORM

NOTE: Please print legibly and check boxes (buttons) or specify necessary information if applicable. Provide additional. sheet or use the back page if necessary.
1) REGISTERED BUSINESS NAME:

CONTACT DETAILS (For contact numbers, please include area code or telecom code)
ADDRESS (Building, Number, Street, Barangay /District, Municipality /City, Province /Region) ZIP 4.)Landline (area code) 5.)Fax (area code) 6.)Mobile

2) Office:

3) Factory:

7) Email: 8) Website::

9) Contact Person: 10) Position / Designation:

11) Mobile: 12) Email:

13) Would You Like to be Included in the following:  Philippine Exporters Directory  EMB’s Mailing List  Business Matching  Outbound Business Mission
PRODUCT / SERVICE PROFILE :
14) Product Lines / Service Offering: 15) Production Capacity: 16) Major Raw Materials / Supplies /Technology: 17) Source: (Location: City /
a) Maximum b) Actual Province / Countries)

18) Brand Name/s:

MARKET PROFILE:
19) Sales: _____% Domestic 20) Countries Exported To: 21) Year Export Started:
_____% Export
BUSINESS PROFILE
22) Business Ownership: 23) Ownership Percentage: 25) Main Line of Business: 26) Type of Business Organization:
 Sole Proprietorship Local:_____% Foreign: ______%  Agriculture  Exporter:  Direct  Multinational Company
 Corporation Nationality: __________________  Manufacturing  Indirect (Subcon / Supplier)  Joint Venture
 Cooperative 24) Year Established
 Merchandising  Importer  Consolidator  Others:_____________________
 Others:_______________  Services  Trader  Others:______________
:27) Standard Certification/Accreditation:
 CMMI  CPR/NN  DOT  FDA  GMP  HALAL  KOSHER  ORGANIC
 COSMOS  DOH  FAIRTRADE  GAP  HACCP  ISO  LTO  TESDA  Others: ________________________________
28) Trade Associations Affiliation/s: 29) International Awards / Recognition Earned / Year:

30) Capitalization: 31) Employment: 32) Gender Distribution: 33) IPO Registration Number :
Up to P 3 M = Micro ( 1-9 employees)
Up to P 15 M = Small  ( 10-99 employees) Male _______
34) Customs Client Number (CCN):
Up to P100 M = MEdium  ( 100-199 employees)
Above P100 M = Large ( 200 employees & above) Female _______
35) Name of:  Owner 35) Gender:
 President  Female
 Chairperson  Male
36) Name of Mother / Main Company:

37) REQUESTED ASSISTANCE FROM EMB / INTEREST / REMARKS:

CONFORME:

38) Signature Over Printed Name Of Representative 39) Position / Designation: 40) Date:

EMB USE ONLY:

41) Status: 42) RIPPLES Plus Enrolee?: If Yes, what level? 43) Source:: (e.g. PECPs, DBFTAs, Trade Fairs /Shows, Exhibits, etc.) 44) Processed By/Date::
 New  Update  Yes  No 1 2 3 4 5 6 7

2018 NEPP Forms Attachments 22 March 2018

II. RIPPLES PLUS TECHNOLOGY-ENABLED SERVICES SHEET

TECHNOLOGY INFRASTRUCTURE
PRODUCTION
HARDWARE INFRASTRUCTURE SOFTWARE:
[ ] Unified communications and CaaS Applications Used: ___________________________________________________
[ ] Communications infrastructure ___________________________________________________
[ ] Internet infrastructure ___________________________________________________
[ ] eCommerce infrastructure ___________________________________________________
[ ] Content delivery infrastructure ___________________________________________________
[ ] Other ___ _______________________________________________
___________________________________________________
___________________________________________________
_________________________________________________________________________________________________________________________________

MARKETING AND PROMOTION

[ ] Digital Marketing Services Platform/s used: ___________________________________________________________________________________
[ ] Advertising Delivery Infrastructure Platform/s used: ___________________________________________________________________________________
[ ] Targeting, Data and Analytics Platform/s used: ___________________________________________________________________________________
[ ] Mobile Platform/s used: ___________________________________________________________________________________
[ ] Social Media Platform/s used: ___________________________________________________________________________________
[ ] Other ___ ____________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________

EMB USE ONLY

Tech-enabled? [ ] Yes [ ] No

III. DETAILS OF SERVICES OFFERING

PRODUCT LINES/SERVICE OFFERING:

FACILITIES, EQUIPMENT, TECHNOLOGY: SOURCE:

[ ] Domestic

[ ] Foreign, pls. specify country

BASES OF SERVICE DELIVERY: MAXIMUM CAPACITY: ACTUAL:

___ Per shift (Ave. Rate/staff)

___ per hour ___ per day
___ per month ___ per annum
___ per project/contract
___ others (specify)

2018 NEPP Forms Attachments 22 March 2018