004-H供应商自我评定表

To: Potential Suppliers 潜在的供应商

Please fill out the following supplier survey to be considered for addition to our supplier base.

请填写下列供应商调查表，以便评审并加入我们的供应商系统.

Supplier fill out one to five page,choosed answer need remark“√”in the closely pane .

1到5页由供应商填写，选择答案请在靠近的方格中打“√”.

1、SUPPLIER PROFILE 供应商简介:

Company Name 公司注册名称: Established

创立日期:

Age

年

Address

联系地址:

Phone 电话:

Fax 传真:

President 公司总裁: Sales Representative 销售代表:

Quality Manager 品管: Technical Manager 技术主管:

MFG. Manager 生管: Financial Officer 财务负责人:

(Please provide Organization Chart 请提供组织架构图表)

1.What are your core products/ processes/services 主要产品/产品工序过程处理/服务:

___________________________________________________________________________________ (Please provide Company Profile & Catalogue 请提供公司简介和目录)

2.How long have you been in business doing this type of work 公司有多久同种类型的经验:

___________________________________________________________________________________

3.Business organization 公司性质: Corporate 集团Partnership 股份制Private 私营

4.Business Registration No. 营业执照注册号: _____________________

Type 类型(i.e. manufacturer 如制造商) ______________________

(Please include copy of certificate 请提供证书的复件)

5.ISO Registered 注册: Yes No (If yes, please include copy of certificate 如有,请提供证书复件)

ISO Registrar 登记: _____________________________ ISO Standard 标准: ___________________

If not registered, what plan is in place to become registered 如未注册，是否有合适计划?

______________________________________________________________________________________

6.Taxable Type 税种:

VAT17% VAT6% VAT4% Tax 国税% Others 其它

2、GENERAL INFORMATION 一般信息:

Total number of employees 员工总数: __________ Number of operating shifts 几班倒: ________ ________

Direct Labor employees 生产人数: _________ QC总人数___________________

No. of manufacturing facilities 几个生产地: ________ Total plant square meter 厂房总面积: ___________

Total manufacturing square meter 工场总面积: _____________________________________________

Power shortage problem 停电问题: Yes No; Occurrence Rate 发生机率: _____________ Approximate age of facility 生产地年龄: _________ Building 建筑: Owned 买Leased 租

Annual scheduled company holidays (including festive) 年度预定的公司假期（包括节假）:

______________________________________________________________________________

Note: Some questions may not apply to all suppliers (i.e. manufacturers versus distributors). N/A may be used for questions that don’t apply to your business.

注意：一些问题可能不适用于所有供应商（如：制造商与分销商）。N/A 可以用来回答不适用于你的商务的问题。

3、测量设备及生产设备:

（1） . 测量仪器清单：