2017 ECO-VC Activity Application Form ○Circle on applicable item * NO: -　　 Date submitted to Panasonic: 2017 / xx / xx Category * ・ Standard Parts ・ Process Parts Classification * ・ Achievement ・ Ongoing ・ Proposal Theme: Your Company Name (Global Code) ( xxxxxxxx ) 【Background and Point 】　　 Before Brief explanation here. You may add photo, graphic or chart. After Brief explanation here. You may add photo, graphic or chart. Category Estimated or Actual Result / Achievement ECO-VC Index (1+2) CO2 Reduction Amount Reduced (ton) Reduction % % Rationalization (million JPY) Rationalization % Reduction of Resources Used Care to Conserve Natural Resources Recycled resource in use ( ton),　Reduction of rare earth element (Resource A: 　　　ton reduced → Resource B), Reduction of precious metal element (Resource A: 　　　ton reduced → Resource B) Panasonic Product Centralized Contract Item? YES / NO * Comment Panasonic Company Abbreviation Recommended by (Company / Department)

Fill out and Complete by Supplier ○Circle on applicable item * NO:　　　-　　 2017 ECO-VC Activity Application Form Date submitted to Panasonic: 2017 / xx / xx Category * ・ Standard Parts ・ Process Parts Classification * ・ Achievement ・ Ongoing ・ Proposal Theme: Your Company Name (Global Code) ( xxxxxxxx ) 【Background and Point】　　 Use “Arial Narrow” and size must be 11pts. Maximum 40 letters. Theme can NOT be changed after received by Panasonic. Specify Category and Classification. Please “re-apply” if type of classification change. (ie: Change from Proposal to Ongoing. In case of project or development is closed, re-apply as Achievement. Before Brief explanation here. You may add photo, graphic or chart. After Brief explanation here. You may add photo, graphic or chart. Fill out and Complete by Supplier Fill out and complete estimate or actual result along with formula. If you have any questions to complete this application form, please contact Panasonic person in charge for more details. WE CAN NOT ACCEPT, UNABLE TO PROCESS or MAY BE RETURNED IF BLANK FIELD IS EXIST. ALL FIELDS MUST BE COMPLETED. Please note (To create this Application Form) 1. Do NOT modify this application form. 2. Use “Arial Narrow” font ONLY. NOT allowed any other fonts. 3. Use single byte alphanumeric and character ONLY. Category Estimated or Actual Result / Achievement ECO-VC Index (1+2) CO2 Reduction Amount Reduced (ton) Reduction % % Rationalization (million JPY) Rationalization % Reduction of Resources Used Care to Conserve Natural Resources Recycled resource in use ( ton),　Reduction of rare earth element (Resource A: 　　　ton reduced → Resource B), Reduction of precious metal element (Resource A: 　　　ton reduced → Resource B) Panasonic Product Centralized Contract Item? YES / NO * Comment Panasonic Company Abbreviation Recommended by (Company / Department) Fill out and Complete by Panasonic PIC