Case Number Segment of Proceeding (Period of Review) Number of Pages Public Document United States Department of Commerce International Trade Administration APPLICATION FOR ADMINISTRATIVE PROTECTIVE ORDER in ANTIDUMPING OR COUNTERVAILING DUTY PROCEEDING In the Matter of the Antidumping/Countervailing Duty (indicate one) Proceeding on __________________________________ __________________________________ from______________ __________________________________ (Country) __________________________________ (Product) ACCEPTED ______ REJECTED________ DATE____________ This application covers business proprietary information in the following segment of the proceeding: [ ] Investigation - petition filed on :___________________________________ [ ] Administrative Review initiated on : _________________ (______ FR ______ ) for period [ ] New Shipper Review, request filed on : ______________ to __________________ : ___________________________________ for period : ______________ to __________________ covering the following exporter/producer :___________________________________ [ ] Changed Circumstances Review, request filed on : ___________________________________ [ ] Scope Inquiry, request filed on :___________________________________ product [ ] Other______________________________ (specify) :___________________________________ : _________________ (______ FR ______ ) FORM ITA-367 (2.08) American LegalNet, Inc. www.FormsWorkflow.com This application is: [ ] the initial firm application to be placed on the APO service list; or [ ] a request to amend the firm’s list of authorized applicants. REPRESENTATION 1. I am an applicant for:______________________________________________________ who is an interested party/parties as follows: 1. 2. [ ] petitioner; [ ] respondent; [ ] other interested party, as defined in 19 C.F.R. §351.102(b)(29)(____) of the Department's regulations. If the interested party/parties I represent have another authorized applicant or representative,__________________________________________________________________ _________________________________________________________________ is the lead firm. REQUEST FOR INFORMATION 3. I request disclosure of all business proprietary information under administrative protective order ("APO") which will be or has been placed on the record of this segment of this proceeding that is releasable under 19 C.F.R. § 351.305 for the purpose of fully representing the interests of my client: [ ] all business proprietary information, including hard copy and electronic data; or [ ] all business proprietary information in hard copy form only. INDIVIDUAL STATEMENTS 4. TO BE COMPLETED BY ATTORNEY APPLICANTS A. I am/am not (indicate one) an officer of the interested party or parties listed in paragraph 1, or of other competitors of the person submitting the business proprietary information requested in this application. B. I do/do not (indicate one) participate in the competitive decision-making activity of the interested party or parties listed in paragraph 1, or of other competitors of the person submitting the business proprietary information requested in this application. I understand that competitive decision-making activity includes advice on production, sales, operations, or investments, but does not include legal advice. C. I do/do not (indicate one) have an official position or other business relationship other than providing advice for the purpose of this segment of the proceeding with the interested party or parties listed in paragraph 1, or with other competitors of the person submitting the business proprietary information requested in this application. FORM ITA-367 (2.08) American LegalNet, Inc. www.FormsWorkflow.com D. I do/do not (indicate one) currently intend within 12 months after the date upon which the final determination/results is/are published to enter into any of the relationships described in paragraphs 4A, B and C. E. Explain for each applicant any affirmative response to paragraph 4A, B, C or D: __________________________________________________________________ __________________________________________________________________ _________________________________________________________________. 5. TO BE COMPLETED BY NON-ATTORNEY APPLICANTS A. I am/am not (indicate one) employed by/retained by (indicate one) a law firm representing the interested party or parties listed in paragraph 1. B. If I am retained by an attorney, the name of the lawyer and law firm are: _________________________________________________________________ _________________________________________________________________. C. If I am not an employee of a law firm and have not been retained by the attorney for the interested party or parties listed in paragraph 1, in a separate attachment to this application I am providing information concerning my practice before the International Trade Administration ("ITA"). D. I am/am not (indicate one) an officer or employee of a interested party or parties listed in paragraph 1, or of other competitors of the submitter of the business proprietary information requested in this application. E. I do/do not (indicate one) participate in the competitive decision-making activity of the interested party or parties listed in paragraph 1, or of other competitors of the person submitting the business proprietary information requested in this application. I understand that competitive decision-making activity includes advice on production, sales, operations, or investments, but does not include legal advice. F. I do/do not (indicate one) have an official position or other business relationship other than providing advice for the purpose of this segment of the proceeding with the interested party or parties listed in paragraph 1, or with other competitors of the person submitting the business proprietary information requested in this application. G. I do/do not (indicate one) currently intend within 12 months after the date upon which the final determination/results is/are published to enter into any of the relationships described in paragraphs 5D, E and F. FORM ITA-367 (2.08) American LegalNet, Inc. www.FormsWorkflow.com H. Explain for each applicant any affirmative response paragraph 5D, E, F or G: __________________________________________________________________ __________________________________________________________________ _________________________________________________________________. AGREEMENT TO BE BOUND 6. Recognizing the penalties for perjury under the laws of the United States, I affirm that all statements in this application are true, accurate, and complete to the best of my knowledge. I agree, individually and on behalf of my law firm, corporate law office, or company, if any, to be bound by the terms stated in the administrative protective order issued in this segment of the proceeding. 7. I certify that this application is a true and accurate copy of the Department's "Application for Administrative Protective Order", FORM ITA-367 (2.08). If there are any discrepancies, I agree to be bound by the Department's standard form. INDIVIDUAL SIGNATORIES 8. ATTORNEY APPLICANTS (REQUIRED FORMAT) Individual applicants: (1) ____________________________, ___________________________, ___________ (name of applicant) (signature) (date) of __________________________________________________________________ (name and address of law firm) __________________________________________________________________ I am admitted to practice in the following jurisdiction(s) and before the following court(s): _______________________________________________________________________. FORM ITA-367 (2.08) American LegalNet, Inc. www.FormsWorkflow.com 9. NON-ATTORNEY APPLICANTS (REQUIRED FORMAT) Individual applicants: (1) _____________________________, ____________________________, ___________ (name of applicant) (signature) (date) of _____________________________________________________________________ (name and address of firm) I am a member of the following professional association(s): ___________________________________________________________________________. 10. The “Lead Applicant” for the purposes of service is:_________________________________. The email address to be used for service of the APO service list is: ___________________________________________________________________________. FORM ITA-367 (2.08) American LegalNet, Inc. www.FormsWorkflow.com COURTESY PAGE FOR W AIVER OF SERVICE If my application for administrative protective order ("APO") in this proceeding is granted, I waive service of the following business proprietary information that I would be authorized to receive under the APO: o o o o Inadvertent service of a document containing business proprietary information on a party that has been granted APO access and has waived service IS NOT A VIOLATION OF THE APO. FORM ITA-367 (2.08) American LegalNet, Inc. www.FormsWorkflow.com