Activity Application Form (For Applicant：Supplier) Please note (To create this Application Form) Submit to the procurement professionals at our company to whom you are dealing with. General; Page format Do NOT modify this application form. Character Font Use “Arial Narrow” font ONLY. Other fonts NOT allowed. Alphanumeric and Character Use single byte alphanumeric and character ONLY. Each item；　Fill out and Complete by Supplier #1 Your Company Name (Global Code) Write your Company Name and Global Code. Global Code is 8 -digit which 21******. #2 Date submitted to Panasonic Fill in the submitting date of the application form. #3 Theme Theme can NOT be changed after being received by Panasonic. Maximum of 40 letters and size must be 11pts. #4 【Background and Point】 Fill in the description and background theme setting. #5 Category Specify Category. #6 Classification Specify Classification. #7 Contents Explain the contents before and after action is taken. Use a brief explanation here. You may add a photo, graphic or chart. Size must be between 11pts and 14pts. #8 Estimated or Actual Result / Achievement and others Fill out and complete estimate or actual result along with the formula. Fill in the all appropriate items you can. #9 ECO-VC Index Value with Reduction (%) and Rationalization (%). #5 #6 #3 #4 #1 #2 #7 #7 #9 #8 1

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2018 ECO-VC Activity Application Form ○Circle on applicable item * NO: -　　 Date submitted to Panasonic: 2018 / 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 a photo, graphic or chart. After Brief explanation here. You may add a 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 in Conserving 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)