After completing the below form, please forward to each of the Commercial Service’s International Field Offices
listed on the mission’s proposed itinerary. Contact information can be found at www.export.gov
.
Sponsoring Organization
Organization Name:
C
ontact Name:
A
ddress:
Telephone:
E
mail:
Mission Sponsor
For example: Trade Association, State or Local Government, Regional Group, etc.
Organization Name:
C
ontact Name:
Address:
T
elephone:
E
mail:
Cosponsoring Organization(s) (if applicable)
Organization Name:
C
ontact Name:
Address:
Telephone:
E
mail:
Certified Trade Mission
Application for Mission Organizers
OMB No.0625-0143
Expires: 09/30/2021
2
Application for Certified Trade Mission (CTM)
Trade Mission Proposal
Trade Mission Name:
Description:
Proposed Itinerary:
Additional Countries
to be Visited:
Types of
Services/Activities
Requested:
Projected Number of
Participants/Firms:
Product
Categories/Industries
to be Promoted:
Advance Trip
Target Date of
Advance Trip:
Name of Advance
Officer:
Proposed Itinerary:
<<Outline your goals and objectives and indicate names of VIP leaders (if applicable).>>
<<Please provide as much detail as possible.>>
<<List any additional countries that will be visited in the region, outside of those that
are part of the mission.>>
<<List any services or activities that will be requested of post if mission is approved
(e.g. Gold Key Service meetings, networking reception, market briefing, site visit, or
technical seminar).>>
3
Application for Certified Trade Mission (CTM)
Additional Mission Details
Please list any specific organizations, from the private and/or public sectors, with whom you would
like to meet.
Please describe how you plan to recruit organizations for this mission. Be as specific as possible,
including promotional methods (e.g. mail, brochure distribution at trade events, radio, etc.) and
target dates.
Deadline for Accepting
Participant Applications:
Please describe any special space and/or equipment needs for audiovisual presentations or
technical programs.
Please list here, and attach to your application, any proof (e.g. letter of invitation) that your mission
has a host organization in countries that require such an arrangement (e.g. China). Please provide
below the host’s contact information below.
Organization Name:
Contact Name:
Address:
Telephone:
Email:
4
Application for Certified Trade Mission (CTM)
Overseas Assistance
Please list the contact information for any organization(s)/individual(s) assisting in mission organization overseas.
Organization Name:
Co
ntact Name:
Ad
dress:
Telephone:
Em
ail:
Public reporting burden for this collection of information is estimated to average 1 hour per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the collection of information. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing this
burden, to Reports Clearance Officer, International Trade Administration, Room 4001, U.S. Department of
Commerce, Washington, D.C. 20230.
ITA 4127P
OMB No. 0625-0143 Exp. 09/30/2021