Foreign Agent Capability Assessment

* All Fields Required *

Company Identification

Please enter the following identifying and contact information for your company.

Place of Incorporation*

Primary Phone Number*

Principals

Please provide the following information for the business principal(s). If more than three principals, please attach a document at the bottom of this form with the requested information for the additional principals.

General Capabilities

Please provide the following information for the business capabilities.

Proposed Territories*

Number of Employees*

Do you have an office, or business activities, located within the United States*

Yes

Location of other offices

English language capabilities*

Yes

Business History

Please provide the following information for the business history.

Area(s) of business expertise*

List of current clients*

List of former clients*

Do you represent any competitors of ALS?*

Yes

Identify competitors

Describe your familiarity with market in the proposed territories*

Current Government Position(s)*

Yes

Previous Government Position(s)*

Yes

Previous Position(s)

Relative of Government Position(s)*

Yes

List Relatives of Government Position(s)

Agents in Government Position(s)*

Yes

List Agents in Government Position(s)

Services & Assistance Available

Please provide the following information for the business.

Describe staff capabilities*

Can you assist ALS in obtaining visas?*

Yes

Can you provide temporary office space for visiting ALS personnel?*

Yes

Can you provide temporary administrative support?*

Yes

Can you provide assistance with customs clearance?*

Yes

Contacts

Please fill out the information for current contacts

*Fields required

References

Please fill out the information for 3 references

*Fields required *

Name - Reference #1*

Company - Reference #1*

Business Relationship - Reference #1*

Email - Reference #1*

Phone - Reference #1*

Name - Reference #2*

Company - Reference #2*

Business Relationship - Reference #2*

Email - Reference #2*

Phone - Reference #2*

Name - Reference #3*

Company - Reference #3*

Business Relationship - Reference #3*

Email - Reference #3*

Phone - Reference #3*

Identify a point of contact at the nearest US Embassy who can serve as a reference*

Your Contact Information

Please fill out your contact information below

*All fields required*

Supporting Documents

Upload supporting documentation in PDF format.