冲突矿产报告模板-中文版
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应提供给你的客户 ny Information公司信息
declaration scope indicated above基于上述声明范围回答以下问题1 - 7
Answer回答
Comment s注释
Answer回答
Comment s注释
Answer回答
Comment s注释
Answer回答
Comment s注释
Authorizer (*): 请注意贵公司完成此模板的日期。 日期必须是以日-月-年国际格式来显示Effective Date
(*):
Answer the following questions 1 - 7 based on the declaration scope indicated
3TG是故意添加到贵司的产品吗？1) Is the 3TG intentionally added to your product? (*)
Revision 4.01b
November 16, 2015
Link to Terms & Conditions
ate should be updated annually. Any changes within the annual cycle should be provided to your customers
钽Tantalum (*) 锡Tin (*)
金Gold (*) 钨Tungsten (*)
贵司是否从所有相关供应商那里收到每个3TG数据/信息？ 5) Have you received data/information for each 3TG from all relevant suppliers? (*)
© 2015 Conflict-Free Sourcing Initiative. All rights reserved.2015无冲突采购
Conflict Minerals Reporting Template (CMRT)冲突矿产报告模板
English n on tin, tantalum, tungsten and gold used in products
全公司产品或产品清单自定义从下拉列表中选择是不是从下拉列表中选择是不是从下拉列表中选择是不是从下拉列表中选择是不是从下拉列表中选择是不是从下拉列表中选择是不是从下拉列表中选择是不是从下拉列表中选择不是贵司是否从您的供应商收集冲突矿物的尽职调查信息这是符合ipc1755冲突矿产数据交换标准的例如在cfsi冲突矿产报告模板
公司名Company Name (*): 申报范围或类Declaration Scope or Class (*):
Company Information公司信息
范围的说明Description of Scope:
公司唯一ID：Company Unique ID: 公司唯一ID管理局Company Unique ID Authority:
贵司是否将冲突矿物的采购政策公布在自己的网站？（请注 意 - 如果是，则用户应明确在注释字段中填上网址URL）。 B. Is your conflict minerals sourcing policy publicly available on your website? (Note – If yes, the user shall specify the URL in the comment field.) (*)
地址Address: 联系人姓名Contact Name (*): 在这里输入公司代表的有效电邮地址。Email – Contact
(*): 联系电话Phone – Contact (*):
授权人Authorizer (*): 授权人头衔Title - Authorizer: 授权人邮箱Email - Authorizer (*): 在这里输入一个公司授权代表的有效电邮地址。Phone -
贵司是否有要求您的直接供应商是符合刚果民主共和国无冲 突金属的？C. Do you require your direct suppliers to be DRC conflict-free? (*)
贵司是否需要您的直接供应商从已经通过一个独立的第三方 审计方案验证的冶炼厂采购3TG？D. Do you require your direct suppliers to source the 3TG from smelters whose due diligence practices have been validated by an independent third party audit program? (*)
贵司是否有实施无冲突采购职责调查措施？E. Have you implemented due diligence measures for conflict-free sourcing? (*)
贵司是否从您的供应商收集冲突矿物的尽职调查信息，这是 符合IPC-1755冲突矿产数据交换标准的[例如，在CFSI冲突 矿产报告模板]？F. Do you collect conflict minerals due diligence information from your suppliers which is in conformance with the IPC-1755 Conflict Minerals Data Exchange standard [e.g., the CFSI Conflict Minerals Reporting Template]? (*)
贵司的审阅流程是否有包括纠正措施管理？I. Does your review process include corrective action management? (*)
贵司是否受制于安全与交换委员会冲突矿物的规定？J. Are you subject to the SEC Conflict Minerals rule? (*)
钽Tantalum (*) 锡Tin (*)
金Gold (*) 钨Tungsten (*)
在贵司供应链有冶炼厂从覆盖的国家采购3G吗？3) Do any of the smelters in your supply chain source the 3TG from the covered countries? (*)
本文件的目的是收集在产品上使用锡，钽，钨和金采购信息
Mandatory fields are noted with an asterisk (*). The information collected in this template should be updated annually. A
星号（*）是必填字段。模板上收集的信息应每年更新。年度周期内的任何变化应提供给你的客户
贵司是否有要求您的供应商提供冶炼厂的名字？G. Do you request smelter names from your suppliers? (*)
贵司是否有审阅您所期望的供应商提交的尽职调查资料？H. Do you review due diligence information received from your suppliers against your company’s expectations? (*)
Select Language Preference Here: 请选择你的语言:
사용할 언어를 선택하시오 : 表示言語をここから選択してください: Sé lectionner la langue pré fé ré e ici: Selecione Preferê ncia de idioma Aqui:
钽Tantalum (*) 锡Tin (*)
金Gold (*) 钨Tungsten (*)
3TG是贵司生产或承包生产的成品含有和必须的吗？2) Is the 3TG necessary to the production of your company’s products and contained in the finished product that your company manufactures or contracts to manufacture? (*)
在声明时贵司已报道了收到的所有冶炼厂的相关信息吗？ 7) Has all applicable smelter information received by your company been reported in this declaration? (*)
钽Tantalum (*) 锡Tin (*)
Wä hlen sie hier die Sprache: Seleccione el lenguaje de preferencia aqui:
Selezionare la lingua di preferenza qui: The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and
钽Tantalum (*) 锡Tin (*)
金Gold (*) 钨Tungsten (*)
贵司已经确定了你们供应链中供应3TG的所有的冶炼厂 吗？6) Have you identified all of the smelters
supplying the 3TG to your supply chain? (*) 钽Tantalum (*) 锡Tin (*) 金Gold (*) 钨Tungsten (*)
钽Tantalum (*) 锡Tin (*)
金Gold (*) 钨Tungsten (*)
是否100％3TG（对贵司产品的功能或生产是有必要的） 的，来自回收或报废的资源？4) Does 100 percent of the 3TG (necessary to the functionality or production of your products) originate from recycled or scrap sources? (*)
Answer回答 Answer回答
Comment s注释
Comment s注释
Answer回答
Comment s注释
uestions at a Company Level 回答如下问题 Answer回答
Comments注释
rights reserved.2015无冲突采购计划。 版权所有。金GoLeabharlann d (*) 钨Tungsten (*)
Question问题
Answer the Following Questions at a Company Leve
贵司有一个适当的政策，解决冲冲突矿物吗？A. Do you have a policy in place that addresses conflict minerals sourcing? (*)
declaration scope indicated above基于上述声明范围回答以下问题1 - 7
Answer回答
Comment s注释
Answer回答
Comment s注释
Answer回答
Comment s注释
Answer回答
Comment s注释
Authorizer (*): 请注意贵公司完成此模板的日期。 日期必须是以日-月-年国际格式来显示Effective Date
(*):
Answer the following questions 1 - 7 based on the declaration scope indicated
3TG是故意添加到贵司的产品吗？1) Is the 3TG intentionally added to your product? (*)
Revision 4.01b
November 16, 2015
Link to Terms & Conditions
ate should be updated annually. Any changes within the annual cycle should be provided to your customers
钽Tantalum (*) 锡Tin (*)
金Gold (*) 钨Tungsten (*)
贵司是否从所有相关供应商那里收到每个3TG数据/信息？ 5) Have you received data/information for each 3TG from all relevant suppliers? (*)
© 2015 Conflict-Free Sourcing Initiative. All rights reserved.2015无冲突采购
Conflict Minerals Reporting Template (CMRT)冲突矿产报告模板
English n on tin, tantalum, tungsten and gold used in products
全公司产品或产品清单自定义从下拉列表中选择是不是从下拉列表中选择是不是从下拉列表中选择是不是从下拉列表中选择是不是从下拉列表中选择是不是从下拉列表中选择是不是从下拉列表中选择是不是从下拉列表中选择不是贵司是否从您的供应商收集冲突矿物的尽职调查信息这是符合ipc1755冲突矿产数据交换标准的例如在cfsi冲突矿产报告模板
公司名Company Name (*): 申报范围或类Declaration Scope or Class (*):
Company Information公司信息
范围的说明Description of Scope:
公司唯一ID：Company Unique ID: 公司唯一ID管理局Company Unique ID Authority:
贵司是否将冲突矿物的采购政策公布在自己的网站？（请注 意 - 如果是，则用户应明确在注释字段中填上网址URL）。 B. Is your conflict minerals sourcing policy publicly available on your website? (Note – If yes, the user shall specify the URL in the comment field.) (*)
地址Address: 联系人姓名Contact Name (*): 在这里输入公司代表的有效电邮地址。Email – Contact
(*): 联系电话Phone – Contact (*):
授权人Authorizer (*): 授权人头衔Title - Authorizer: 授权人邮箱Email - Authorizer (*): 在这里输入一个公司授权代表的有效电邮地址。Phone -
贵司是否有要求您的直接供应商是符合刚果民主共和国无冲 突金属的？C. Do you require your direct suppliers to be DRC conflict-free? (*)
贵司是否需要您的直接供应商从已经通过一个独立的第三方 审计方案验证的冶炼厂采购3TG？D. Do you require your direct suppliers to source the 3TG from smelters whose due diligence practices have been validated by an independent third party audit program? (*)
贵司是否有实施无冲突采购职责调查措施？E. Have you implemented due diligence measures for conflict-free sourcing? (*)
贵司是否从您的供应商收集冲突矿物的尽职调查信息，这是 符合IPC-1755冲突矿产数据交换标准的[例如，在CFSI冲突 矿产报告模板]？F. Do you collect conflict minerals due diligence information from your suppliers which is in conformance with the IPC-1755 Conflict Minerals Data Exchange standard [e.g., the CFSI Conflict Minerals Reporting Template]? (*)
贵司的审阅流程是否有包括纠正措施管理？I. Does your review process include corrective action management? (*)
贵司是否受制于安全与交换委员会冲突矿物的规定？J. Are you subject to the SEC Conflict Minerals rule? (*)
钽Tantalum (*) 锡Tin (*)
金Gold (*) 钨Tungsten (*)
在贵司供应链有冶炼厂从覆盖的国家采购3G吗？3) Do any of the smelters in your supply chain source the 3TG from the covered countries? (*)
本文件的目的是收集在产品上使用锡，钽，钨和金采购信息
Mandatory fields are noted with an asterisk (*). The information collected in this template should be updated annually. A
星号（*）是必填字段。模板上收集的信息应每年更新。年度周期内的任何变化应提供给你的客户
贵司是否有要求您的供应商提供冶炼厂的名字？G. Do you request smelter names from your suppliers? (*)
贵司是否有审阅您所期望的供应商提交的尽职调查资料？H. Do you review due diligence information received from your suppliers against your company’s expectations? (*)
Select Language Preference Here: 请选择你的语言:
사용할 언어를 선택하시오 : 表示言語をここから選択してください: Sé lectionner la langue pré fé ré e ici: Selecione Preferê ncia de idioma Aqui:
钽Tantalum (*) 锡Tin (*)
金Gold (*) 钨Tungsten (*)
3TG是贵司生产或承包生产的成品含有和必须的吗？2) Is the 3TG necessary to the production of your company’s products and contained in the finished product that your company manufactures or contracts to manufacture? (*)
在声明时贵司已报道了收到的所有冶炼厂的相关信息吗？ 7) Has all applicable smelter information received by your company been reported in this declaration? (*)
钽Tantalum (*) 锡Tin (*)
Wä hlen sie hier die Sprache: Seleccione el lenguaje de preferencia aqui:
Selezionare la lingua di preferenza qui: The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and
钽Tantalum (*) 锡Tin (*)
金Gold (*) 钨Tungsten (*)
贵司已经确定了你们供应链中供应3TG的所有的冶炼厂 吗？6) Have you identified all of the smelters
supplying the 3TG to your supply chain? (*) 钽Tantalum (*) 锡Tin (*) 金Gold (*) 钨Tungsten (*)
钽Tantalum (*) 锡Tin (*)
金Gold (*) 钨Tungsten (*)
是否100％3TG（对贵司产品的功能或生产是有必要的） 的，来自回收或报废的资源？4) Does 100 percent of the 3TG (necessary to the functionality or production of your products) originate from recycled or scrap sources? (*)
Answer回答 Answer回答
Comment s注释
Comment s注释
Answer回答
Comment s注释
uestions at a Company Level 回答如下问题 Answer回答
Comments注释
rights reserved.2015无冲突采购计划。 版权所有。金GoLeabharlann d (*) 钨Tungsten (*)
Question问题
Answer the Following Questions at a Company Leve
贵司有一个适当的政策，解决冲冲突矿物吗？A. Do you have a policy in place that addresses conflict minerals sourcing? (*)