APPLICANT PROFILE

This form needs to be submitted when applying for the Deming Prize and Pre-Application Consultation

1. Outline of application scope

Application scope
Year of establishment
Capital fund / (only applicable for organization-wide application)
Sales figure
Main product/business
Number of employees / Full time: / persons / Others: / persons
Number of Managerial officials out of the above (Managers and higher)
Managers: / persons / Directors and/or above / persons
Organization chart / Please attach the chart to this form by referring Page 6, Application Guide
Functional roles and
responsibilities / Please attach the chart to this form by referring Page 7, Application Guide
Chart of the quality
assurance system / Please attach the chart to this form by referring Page 7, Application Guide
Business day
(Indicate with ■) / Mon. Tue. Wed. Thu. Fri. Sat. Sun
Nearest airport/station
Means of transportation from airport/station / □ car□ train □ others ( ) / Min. / km
Scale of head office and business units / Employees / Location
(nearest airport) / Means of transportation
From airport / From head office
1 / Min./ Km / Min./ Km
2 / Min./ Km / Min./ Km
3 / Min./ Km / Min./ Km
4 / Min./ Km / Min./ Km
5 / Min./ Km / Min./ Km
Please attach a broad regional map that illustrates location and positional relation of all the above mentioned offices, plants, nearest airport and the hotel where the examiners will be staying.
Request for examination units and schedule
(Please refer page 27of the guide) / Select a) or b) by indicating ■
□a) Multiple examination units
If the unit exceeds 5, please use an extra page / □b) Single examination unit
1 / 2 / 3 / 4 / 5
Unit name
No. of examiners
Length of examination
Preferred date for examination (indicate as many available dates as possible)

2. Profile of organization

(only applicable for unit-wise application/for applicant who belongs to an upper organization)

Name of organization
Year of establishment
Capital fund
Sales figure
Main product/business
Number of employees / Full time: / persons / Others: / persons
Organization chart / Please attach the chart to this form by referring Page 6, Application Guide

3. Purpose for applying for the Deming Prize

4. TQM introduction, promotion, and progress

Year of TQM introduction
TQM promotion system / □ None
□ There is a department responsible specifically for TQM promotion
□ There is a department which has several responsibilities including
TQM promotion
□ Others
What are the characteristics
(3 or more) of TQM in your organization

5. Received certifications and awards

□ISO 9000 / Certified year:
□ISO 14000 / Certified year:
□Other ISO
certifications / Certified year:
□ TS 16949 / Certified year:
□TPM / Awarded title: / Awarded year:
□Quality related awards / Awarded title: / Awarded year:

6. Others (special comments if any)

*Information provided in this form will be referred to by the Examination Committee and its members as well as by the committee secretariat in order to determine the examination scope, unit, duration for the Deming Prize

*Information provided by the applicant for examination will be treated as confidential with utmost care.