1) Name of Company or Institution *
2) Organizational Structure (corporation, partnership, etc.): *
3) In which country does Applicant do the greatest amount of business? *
4) Is Applicant a partially or wholly-owned subsidiary of another entity? * If YES, what is the name of the parent entity?
5) What are the principal products or services of the Applicant? *
6) Which CCSDS Member Agency should sponsor your application? *
7) Full Name (First then Last) *
8) Address *
9) Telephone (With Area Code) *
10) Fax Number (With Area Code)
11) E-Mail Address *
Approval
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