REGISTRATION FORM (Please Fill In Bold)

Date :

Thank you for your interest in becoming a Celframe Partner! By completing this below form, you will begin the process of becoming a member of Celframe Partner community. Please TYPE clearly the following information for Celframe's review. All information is strictly confidential.

Regional Distributor

Distributor

Reseller

Original Equipment Manufacture (OFM)

Independent Software Vendor (ISV)

System Builder/System Integrators

Value Added Reseller

Retailer

Value-Added Distributor

E-Retailer or On line Affiliate Hosting partner

Value-Added Consultants

Chanel Development Partner

Learning Partner

Market A

Asia Pac:

Australia New Zealand South KoreaJapan SingaporeHong Kong Qatar United Arab Emirates

Americas:

Canada United States

Europe:

France Germany PortugalNetherlandsNorway Sweden United KingdomSpainSwitzerland

Market B

Americas:

Brazil South Africa

Brunei

NigeriaMexico

Bahrain

Africa:

China Cyprus

Asia Pac:

India Israil

Kuwait Malaysia Oman Saudi ArabiaTaiwan TurkeyRussia

Other Regions:

Market C

Dominica Republic

DominicaCosta RiceColombiaChile CubaBoliviaArgentina

NicaraguaJamiacaHondurasGuyana GuatemalaEl SalvadorEcuador

VenezuelaUruguayPuerto RicoPeruParaguay

Panama

Republic of the Congo

ComorosCape verdeChadCameroon BostwanaAngola

Africa:

Algeria

Kenya

Guinea-BissauGhanagabonEritrea EgyptDjiboutCôte d'Ivoire

Zimbabwe

TanzaniaTongaSwazilandNamibia MoroccoMauritiusLibya

JordanIraqIranIndonesiaCambonia BhutanBangladesh

Asia Pac:

Afganistan

TurkeySyriaSri LankaPakistanPhilippinesMyanmar

Maldives

Lebanon

Thailand Vietnam Yemen

Lithuania

LatviaHungaryGeorgiaEstoniaCroatiaBulgariaBosnia and HerzegovinaBelarus

Europe:

Albania

UkraineTunisiaSerbiaMontenegroMoldovaMacedonia

Trinidad and TobagoTajikistanSeychellesMarshall

Islands Turkmenistan UzbekistanKyrgyzstan

KazakhstanGrenadaFiji BelizeBarbadosThe BahamasAzerbaijanAntigua and Barbuda Armenia

Others region:

Section A: Company Information

1. Types of Partnership that you are keen on (Please choose all applicable):

Private & Confidential. All Rights Reserved Worldwide, Celframe 2010 1 - 3

2. Where do you intend to market Celframe Products? (Click all that apply)

Americas:

Europe:

Austria Andorra DenmarkCzech RepublicBelgium Finland Iceland

Italy

Greece

Ireland Luxembourg Liechtenstein Slovenia Malta Poland Romania

Celframe Partner

Celframe Partner Registration Form

Market D

Asia Pac:

PalauNorth KoreaNepalNauruMongoliaMicronesiaLaosEast Timor Papua New Guinea

SurinameHaiti

Americas:

BeninAngola

Africa:

DjiboutiDemocratic Republic of the CongoComorosChadCentral African

RepublicBurundiBurkina Faso

MadagascarLiberiaLesothoGuinea-BissauGuineaGambiaEthiopia EritreaEquatorial

Guinea

Sierra LeoneSenegalSão Tomé and PríncipeRwandaNigerMozambi

queMauritaniaMaliMalawi

ZambiaUgandaTanzaniaTogoSudanSomalia

VanuatuTimor-Leste TuvaluSaint Vincent and the GrenadinesSolomon IslandSaint

LuciaSamoaSaint Kitts and Nevis

Others Region:

Kiribati

Primary Telephone:

Fax:

Principle Contact:

Title:( Mr/Mrs/Ms/ Salutation)

Website URL: Tax ID:

Email: Confirm Email:

Corporation Partnership Subsidiary/Branch Office Sole Proprietorship

(If Any)

Address 1:

Address 2:

Fax:

State:

City:

Zip: Country:

6. Shipping Address (If different from mailing address)

Same as Above

Address 1:

Address 2:

Fax:

City:

State: Zip: Country:

7. Is this the primary location?

Yes No

9. Are there branch locations? Yes No

If so, how many: Details here:

Year Established:

5. Mailing and Billing Address

1. What is your approximate sales revenue? (in Euro)

€100k - €200k €200k - €500k €500k - €1M €1M - €5M

2. What percentage of total revenues are contributed by the following items?

Software Sales: Services: Network Installation/Support:Hardware Sales:

Help Desk/Online Support: Software Development: Consulting: Training:

3. Please describe your primary business (50 words or more):

4. What services do you provide? (25 words or more):

Section B : Business Profile

3. Please fill in your company information

%

% %

%

%

%

%

%

€5M - €10M €10M & Above

2 - 3Private & Confidential. All Rights Reserved Worldwide, Celframe 2010

( CEO/President)

Desigination:

Company Name:

4. Type of Company:

Celframe Partner Registration Form

Small Office Home Office (1- 5 Users) Small Business (1-20 Users)

Govt Business Education

Medium Business (20-50 Users) Enterprise Business (50+Users) Defence

OEM ISV Hosting

6. What markets are your primary focus for Celframe products? (Choose all applicable)

Celframe Office Celframe CRM Celframe Business Solution Celframe Ookey Celframe Transcarta

8. What is your expected sales for Celframe Products this year? (Choose One)

€100k - €250k €250k - €500k €1M - €5M

Service IndustryProjectsManufacturing

GovermentHealth/MedicalEngineeringEducationRetail & DistributionArchitecturalBanking&Financial Institution

OthersLegalIS Consulting

10. How many employees does your company have? (Specific number of employees)

Technical: Support: Sales: Marketing:

11. Do you intend to hire more employees when you become Celframe Partner?

Yes No

1.Office 2.CRM 3.ERP 4.Anti Virus

5.Operating System 6.Hardware 7.Others

(e.g.Microsoft,Oracle,SAP)

(e.g.Oracle, Microsoft,SAP)

(e.g.Symantec,Kaspersky, Avira,Mcafee) (e.g.Microsoft,

Apple,Red Hat, Linux)

(e.g.HP,Dell,Acer,Asus,Apple,Samsung,TOSHIBA,Lenovo,Sony)

12. What software/hardware you are presently representing?(Please specify company name)

(e.g.Microsoft,iWorks,Corel)

13. Please indicate main method commonly used by your company to market :

Seminars Trade Publications Email/Faxs Broadcast Direct Mailers/Newsletters Trade Shows Internet (Pages/Banner)

Telemarketing User Group Meetings Products Demos/Presentation Webinars Others

14. Please indicate what type of information you would wish to receive from us:

Products Information/Demos Training Informations Events New Products Release/Information Others Please Specify:

15. How did you find about this opportunity?

Newspaper Exhibition Internet Friend

Section C: Authorized Signature

By signing below, the applicant warrants that they have the authority to submit this information for the purpose of entering into an agreement for the submitting organization and that the information provided in this application to Celframe is accurate and true If the information is determined to be inaccurate, the applicant acknowledges and agrees that Celframe, at any time and at its sole discretion, may terminate the applicant as an approved Celframe Partner. Furthermore applicant agrees to keep their profile information updated if it changes or as requested from time to time by Celframe. Further he agrees to Partner Terms & Conditions and Non-Disclosure agreement

I/We Agree with :

Partner Standard Terms & Conditions

Non-Disclosure Agreement

Name:

Designation:

Date:

Please fax us this form to below mentioned fax number with other documents for speedy processing. Please feel free to contact us at Tel : +6(03) 8998 1000 , Fax: +6(03) 8998 2000.

E-mail :

partner@celframe.com

Please Choose one of the options to sign the document;

If you want to sign digitally,choose this option

If you have a scanned image of your signature,you may upload it below here by clicking the box

3 - 3Private & Confidential. All Rights Reserved Worldwide, Celframe 2010

Others

€5M - €10M €10M & Above

€100k - €250k €250k - €500k €1M - €5M €5M - €10M €10M & Above

Please Specify:

Others Please Specify:

5. What is your primary target customer? (Select all applicable)

7. What product/s are you interested?

9. What is your present budget for this partnership) (Choose One)