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APPLICATION FORM FOR PRE-APPLICATION CONSULTATION FOR THE DEMING PRIZE Date: (month / day / year) To: The Chairman of the Deming Prize Committee - Name of the Organization: - Address of the Organization: - Name of Principal Representative or Name of the Business Unit Executive): (First Name) (Last Name) (Affiliation) (Signature) We would like to apply for the Pre-Application Consultation for the Deming Prize as follows: 1. The Month Desired: (Example: XX-XX/XXXX) (month/year) * The committee will discuss some suitable dates based on your desired schedule and notify you of candidate dates. 2. Main Discussion Items: - Principal Contact Person Name: (First/Last) Affiliation (Department): Tel: Fax: Email: Note) Please attach the submittal documents referring to chapter 5.4 “Documents to be Presented for the Pre-Application Consultation and their Contents”

THE GUIDE FOR THE DEMING APPLICATION PRIZE · Web viewAPPLICATION FORM FOR PRE-APPLICATION CONSULTATION FOR THE DEMING PRIZE Date: (month / day / year) To: The Chairman of the Deming

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THE GUIDE FOR THE DEMING APPLICATION PRIZE

APPLICATION FORM FOR

PRE-APPLICATION CONSULTATION FOR THE DEMING PRIZE

Date:

(month / day / year)

To: The Chairman of the Deming Prize Committee

- Name of the Organization:

- Address of the Organization:

- Name of Principal Representative or Name of the Business Unit Executive):

              

(First Name) (Last Name)  (Affiliation)

(Signature)

We would like to apply for the Pre-Application Consultation for the Deming Prize as follows:

1. The Month Desired:  (Example: XX-XX/XXXX)

(month/year) * The committee will discuss some suitable dates based on your desired schedule and notify you of candidate dates.

2. Main Discussion Items:

- Principal Contact Person

Name:

(First/Last)

Affiliation (Department):

Tel: Fax:

Email:

Note) Please attach the submittal documents referring to chapter 5.4 “Documents to be Presented for the Pre-Application Consultation and their Contents”

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