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OMB Control No.: 0625-0237
Expiration Date: 1/31/15


    Trade Mission Information
Trade Mission Name:*   4th Annual US-Nigeria Trade Mission
Date:*   August 12-16, 2013
Site:*   Lagos, Nigeria
Primary Contact   Contact Information
Contact First Name:*  
Contact Last Name:*  
Title within Organization:*  
Email Address:*  
Daytime Phone Number:  
Fax Number:  
Mobile Number:  
    Organization Information
Organization Type:


Organization Name:*  
Organization Web Site:  
Organization Address 1:*  
Organization Address 2:  
Organization City:*  
Organization State:  
Organization Zip Code:  
Organization Country:*  
Number of employees in Business:*  
Estimated Annual Sales:  

Select Your Industry:*

Organization/Product/Service Description:

Does U.S. content represent at least 51% of the value of the finished product?   Yes  No
Year Organization Was Established:  
    Exporting Experience/Information
Has company exported before?   Yes  No
Has the company exported to Nigeria before?Yes  No
If yes, please provide the approximate dollar value of the company's exports to Nigeria.
Please identify company's/participant's industry sector(s) and principal line(s) of business (i.e., product or service to be exported) related to this trade mission (e.g., medical devices, environmental services).
    Trade Mission Objectives
Please check company's/participant's top three objectives in participating in this trade mission.
Finding a sales representative Exposure to new business prospects Finding a distributor
Finding licensees Product testing/market research Government meetings
Finding joint venture partners Immediate sales Other
Company/Participant may provide any information that is considered relevant to the purpose of the trade mission,  regarding diversity and/or traditional under-representation in business.
    Product/Service Information
For each of the goods and/or services that company/participant intends to export through this trade mission -
Is the good or service manufactured or produced in the United States? Yes No
If the answer is no for any of the goods or services, are they manufactured or produced outside the United States but marketed under the name of a U.S. firm and have U.S. content representing at least 51 percent of the value of the finished good or service? Yes No
If the percentage of U.S. content is less than 51 percent of the value of the finished goods or services please explain why the products and/or services should be considered for promotion during the mission.
    Additional Certification
In connection with its participation in this trade mission, Company/Participant certifies that:
a) The export of the products and services that it wishes to sell would be in compliance with U.S. export controls and regulations;
b) Company/Participant has identified to the Department of Commerce for its evaluation any business pending before the Department of Commerce that may present the appearance of a conflict of interests;
c) Company/Participant has identified any pending litigation (including any administrative proceedings) to which it is a part that involves the Department of commerce, and
d) Company/Participant agrees that it and its affiliates 1) have not and will not engage in the bribery of foreign officials in connection with Company’s /Participant’s involvement in this mission, and 2) maintain and enforce a policy that prohibits the bribery of foreign officials.



Public reporting for this collection of information is estimated to be 5 minutes per response, including the time for reviewing instructions, and completing and reviewing the collection of information. All responses to this collection of information are voluntary, and will be provided confidentially to the extent allowed by law. Notwithstanding any other provision of law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Reports Clearance Officer, International Trade Administration, Department of Commerce, Room 4001, 14th and Constitution Avenue, N.W., Washington, D.C. 20230.