OMIS Request Form LDN

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World Islamic Economic Forum (WIEF) 2015
UK Islamic Finance delegation and pavilion
Overseas Market Introduction Service (OMIS) Request Form
All questions are mandatory questions.
This form is purely to register your interest in receiving a quote from our Overseas Teams. At this
stage you are not obliged to proceed. If you have any questions regarding this form or the service
itself, please contact your International Trade Adviser (ITA) or the Central Support Team on 0207 234
3000.
If you are using this form to register and pay for your attendance at an event run by our overseas
UKTI teams, please complete the mandatory questions in all sections except Requirements and
Experience, completing the Event Booking section instead.
Please pay particular attention to Q7 and Q8. All completed forms should be submitted as a WORD
document (NOT PDF) to your International Trade Adviser or to omis@uktilondon.org.uk.
REGISTRATION
1a: Company Name
b: Address including Postcode
c: Position in Company
2a: Title
b: Name
c: Email
d: Phone Number
e: Alternative Phone Number
COMPANY DETAILS
3a: Year Established
b: Employees
Please select
c: Turnover
Please select
d: Export Turnover %
Please select
e: Website
f: Short Profile of Company
PRIMARY MARKET & SECTOR
4: Which is the Primary
Country/Region you are
commissioning this service for?
Malaysia
5: Is this OMIS request related to
a High Value Opportunity (HVO)?
If yes, please state which one.
No
6: Which sector will you be
initially targeting?
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TYPE OF SERVICE REQUIRED
Market/Sector Report
Contacts – Validated
Visit Programme
Contacts – Warmed
Retainer
Event – Group
Subscription
Event - Solo
NATURE OF BUSINESS
7: Please describe your
product/service including
any unique selling points.
The more information you
can provide for our Overseas
Team, the better.
Who buys/uses your
product/service? How is your
product/service
sold/marketed in the UK and
Overseas?
OBJECTIVES
8: Please state your specific
requirements in
commissioning this service.
Please provide as much
information as possible to guide
our overseas team in your
requirements. What would you
like the overseas team to deliver
for you and what are you
ultimate goals in this market?
ADDED VALUE
9: If the product/service is not
manufactured/provided in the UK,
please advise how you add value
in the UK.
ADDITIONAL INFORMATION
10: Please advise if you have any
major deadlines. Please also feel
free to forward any literature you
may have.
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11: Are you an adviser/consultant
working on behalf of a client? If
so please provide written
confirmation from them
authorising you to act on their
behalf.
12: Are are currently represented
in the country you are initiating
this work in?
13: Do you have any contacts
that UKTI should not approach
during the research?
14: Are you happy for UKTI to
disclose company information to
potential contacts? If you would
prefer to remain anonymous,
please advise why.
EVENT BOOKING
Please only complete this section if you are using the OMIS service to pay for your attendance at an
event run by our Overseas Teams.
15: Name and City of Event
World Islamic Economic Forum (WIEF 2015) Kuala Lumpur
16: Date of Event
3-5 November 2015
17: Participation Fee
£300
PERMISSIONS AND PAYMENT OPTIONS
Please select your preferred method of payment.
Credit/Debit Card
Bank Transfer
Cheque
Billing Address if different from the one provided in the Registration Section.
PLEASE READ
You will need your log in details, supplied automatically on registration, in order to access
and handle your OMIS directly. You will be supported by your UK Trade & Investment
International Trade Adviser and a UK based system administrator who will be able to
assist you with the process. You will be informed when action is required from you. You
will be able to access your order, read and respond to key documents directly and
electronically process the order.
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DATA PROTECTION ACT 1998
Information regarding the collection, use, disclosure and processing of personal data is to be found in
the Privacy Statement on the UK Trade & Investment website
(www.ukti.gov.uk/uktihome/privacypolicy.html).
We would like to send you UKTI news and event information, please tick here if you prefer not to
receive this information by email
Occasionally we work with carefully selected third parties, please tick here if you prefer not to receive
information by email from carefully selected UK based Trade Association/Chamber of
Commerce/Business partners
Please tick here if you would prefer not to receive information by email from our overseas offices
For further information on UKTI services please visit our website www.gov.uk/ukti
EQUALITY & DIVERSITY MONITORING
Please only provide this information if you have not done so before.
We are monitoring the companies that use our services, to have a better understanding of the profile
of our client base; your co-operation will help us to do this.
We collect this data to make sure that we are reaching all of London’s exporting businesses.
The specific information received will not be shared outside of UK Trade & Investment. It will not be
used to decide if you are eligible for our services.
We would like to know about the ownership of your company. If there is more than one owner, please
tell us about the majority.
Ethnicity
o
Is your business White British
owned?
o
Is your business Black, Asian or
Minority Ethnic (BAME) owned?
Yes
No
Unable to say*
Male
Female
No Majority
Ownership is defined as: at least 51% owned or
the majority composition of senior management
comprises of individuals from a minority ethnic
background.
Minority ethnic – includes people of mixed
ethnic backgrounds and any other white
non-British group e.g. White Irish.
*state reason why (expand this box as required):
Gender
o
Is your business majority male or
female owned?
Ownership is defined as: at least 51% owned or
the majority composition of senior management
comprises of either men or women.
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Disability
o
Yes
No
Is your business disabled owned?
Ownership is defined as: at least 51% owned or
the majority composition of senior management
comprises of disabled people.
Under the 1995 Disability Discrimination Act, this
could be a physical or mental impairment which
has a substantial and long-term adverse effect on
the ability to carry out day to day activities (e.g.
dyslexia, hearing / visual impairments, mental
health issues, epilepsy or cancer).
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