First Name
Last Name
Business Email
Company ID Your Customer Id is located in VERICUT. Go to the Help menu item and select License. At the top of the License page you will see your Customer Id #.
Company Name(s), including all variations and abbreviations
Company Name(s) in English, if applicable
Street Address
City
Country England Ireland Northern Ireland Scotland Wales Afghanistan Albania Algeria Angola Argentina Armenia Australia Austria Azerbaijan Bahrain Belgium Bolivia Bosnia and Herzegovina Brazil Bulgaria Canada Chile China Colombia Costa Rica Croatia Czech Republic Denmark Ecuador Egypt El Salvador England Estonia Finland France Georgia Germany Ghana Greece Guyana Hong Kong Hungary Iceland India Indonesia Ireland Isle of Man Israel Italy Japan Jordan Kazakhstan Kosovo Kuwait Kyrgyzstan Latvia Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Malaysia Malta Mauritania Mauritius Mexico Micronesia Moldova Montenegro Morocco Netherlands New Zealand Northern Ireland Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Romania Russia Saudi Arabia Scotland Serbia Singapore Slovakia Slovenia South Africa South Korea Spain Sri Lanka Sudan Sweden Switzerland Switzerland (French) Switzerland (German) Switzerland (Italian) Taiwan Tanzania Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uzbekistan Venezuela Vietnam Wales Yugoslavia
County Isle of Anglesey Bedfordshire Berkshire Blaenau Gwent Bridgend Bristol Buckinghamshire Caerphilly Cambridgeshire Cardiff Carlow Carmarthenshire Cavan Ceredigion Cheshire Clare Cleveland Conwy Cork Cornwall Cumbria Denbighshire Derbyshire Devon Donegal Dorset Dublin Durham East of Scotland Essex Flintshire Galway Gloucestershire Gwent Gwynedd Hampshire Herefordshire Hertfordshire Isle of Wight Kent Kerry Kildare Kilkenny Lancashire Laois Leicestershire Leitrim Limerick Lincolnshire London Longford Louth Manchester Mayo Meath Merseyside Merthyr Tydfil Middlesex Monaghan Monmouthshire Neath Port Talbot Newport Norfolk North of Scotland & Islands Northamptonshire Northumberland Nottinghamshire Offaly Oxfordshire Pembrokeshire Powys Rhondda Cynon Taff Roscommon Rutland Shropshire Sligo Somerset South East Scotland South West Scotland Staffordshire Suffolk Surrey Sussex Swansea Tipperary Torfaen Tyne & Wear Vale of Glamorgan Warwickshire Waterford West & Central Scotland West Midlands Westmeath Wexford Wicklow Wiltshire Worcestershire Wrexham Yorkshire
ZIP / Postal Code
Address(es) of each location the software will be used, if different than above
Full names of all directors (internal and external)
Full names and titles of all members of senior leadership
Provide a general description of the company's business
Is the Company a military/defense end-user? Yes No
Is the Company a military/defense intelligence end-user (any intelligence or reconnaissance organization of the armed services (army, navy, marine, air force, or coast guard); or national guard)? Yes No
Provide a description of how, and for what purpose, the Company intends to use CGTech's product(s).
a. Chemical and biological weapons, including whole plants to make chemical weapons precursors Yes No
b. Rocket systems (including ballistic missiles, space launch vehicles, and sounding rockets) Yes No
c. Unmanned aerial vehicles (including cruise missiles, target drones, and reconnaissance drones) Yes No
d. Missiles or missile-related applications, Yes No
e. Items used to support the actions or functions of a military/defense intelligence end user Yes No
f. Military/defense items Yes No
g. Support of any nuclear activities, including the production of nuclear explosive devices Yes No
h. Oil and gas industry applications Yes No
TPS Questionnaire Completed
Comments
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