1. 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

2. Application Form (Sample)2

3. Application Form (Sample)3

4. Application Form (Sample)4

5. 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)