Acceptance No.: _Identification No.: _Software Enterprise Identification Application FormApplicant:_Identification Institute:_Date of Filling:_Prepared by the Ministry of Information Industry of the Peoples Republic of China. Profile of the DeclarerEnterprise Name (in Chinese )Enterprise Name (in English )Registered AddressPostal CodeAddressPostal CodeWebsiteE-mailLegal representativeTEL.ID No.Person in chargeTEL.FaxContactTEL.FaxCompetent Unit in charge of the enterpriseRegistration DateAt Hi-Tech Park or Software ParkRegistered CapitalBusiness Registration No.Hi-Tech Enterprise Identification DateHi-Tech Enterprise Certificate No.Competent Tax Department (state tax)Tax Registration No.Competent Tax Department (land tax)Tax Registration Certificate No.Main Shareholders & Holding SituationsNumber of sharesRate of share heldNumber of sharesRate of share heldNumber of sharesRate of share heldShare Holdings by EmployeesManagerial StaffNumber of shareholdersTotal number of shares heldAccount for _ of the total enterprise sharesKey Technical PersonnelNumber of shareholdersTotal number of shares heldAccount for _ of the total enterprise sharesOthersNumber of shareholdersTotal number of shares heldAccount for _ of the total enterprise shares. Operations of Previous-YearUnit Price: Ten Thousand YuanTotal Income of the EnterpriseTotal Income from SoftwarePercentage of software income in the total income (%)Income from Self-developed SoftwarePercentage of self-developed software income in the software income (%)Investments in Software Research and DevelopmentPercentage of R&D in the software income (%)Software Income ClassificationSales of productsEngineering contractingTechnical serviceConsultation & trainingTechnical transferOthersFrom domestic saleFrom exportPerson in charge of the finance (signature)Enterprise Finance StampD/M/YEnterprise Legal Representative (signature)Corporate StampD/M/Y. Main Operations and Products DeclaredMain Operations & PriorityDevelopment & Sale of Software Products Custom SoftwareSystem Integration Software TestingSoftware Support Service Others (please specify according to the priority order)Main ProductsSystem Software Support Software Application SoftwareSoftware Service OthersS/NMain SoftwareSoftware Product Registration Certificate No.12345ISO9001 Certificationpassed on _ (_Grade) in process Not yetCMM Certificationpassed on _ (_Grade) in process Not yetSystem Integration Enterprise Qualification Certificationpassed on _ (_Grade) in process Not yet. Software Development EnvironmentDevelopment Environment & Main EquipmentArea of Development Site (m2)Small, medium and large-scale machineQuantityServerQuantityModelModelWorkstationQuantityPC MachineQuantityModelModelLaptopQuantitySwitchQuantityModelModelRouterQuantityHUBQuantityModelModelDevelopment toolsDatabase systemInternet systemothers. Personnel StructureTotal Number of EmployeesPercentage of Employees with college diploma or above in the total number of workforce (%)Number of Software TechniciansPercentage of software technicians in the total number of workforce (%)Education LevelJunior CollegeUndergraduateMAPh.DSoftware StaffNumber of R&D StaffNumber of Project Management Staff and Project Managerial StaffNumber of Marketing Staff and Service Technicians. Submission of Materials Duplicate and copy of enterprise business license Copy/copies of documents proving that the software products are self-developed or possess intellectual property right (product registration certificate, copyright registration certificate, or patent certificate, etc.) balance sheet, and income statement list of software-related products developed, produced and operated (which are developed by the enterprise or to sell as an agent) Qualification certificate system integration enterprises, and copy/copies thereof. Identification CommentsExpertsSignature & Stamp(D/M/Y)Identification InstituteSignature & Stamp(D/M/Y)Competent DepartmentSignature & Stamp(D/M/Y)