供应商资格调查表(填定盖公章)

厂商注意： 1. 请完整填写此表并签章确认后回传明汇光电(东莞)有限公司 FAX No.：0769-********ATTENTION: PLEASE FILL AND SIGN/ CHOP THEN RETURN THIS FORM TO BONDLUX DG PURCHASING DEPARTMENT

2. 厂商名称必须与发票发出方及收款方名称一致

THE VENDOR NAME MUST BE CONSISTENT WITH INVOICE AND PAYEE

厂商名称(英文)Vendor Name (In English)厂商地址(英文)Vendor Address (In English)法定代表人

Representative

公司网址Website 业务联络人

Sales Contact

工厂名称(英文)

Factory Name

(In English)

工厂地址(英文)

Factory Address

(In English)

财务联络人

Finance Contact

开户银行名称Bank Name 证照提供

Licence attached

发票种类

Type of Invoice

交易币别(Currency)付款条件Payment Terms

交货条件

Delivery Terms (INCOTERMS 2000)

□Other___________转厂企业名称企业性质报关联络人Customs Contact 主要供应品Major Commodity

上游厂商Major Suppliers

主要客户Major Customers

其他说明Other Information

填写人Filled by

贸易方式Mode of Deal 报关意见Customs Comments Sourcing登记Sourcing Register

Sourcing Buyer:

Account Number:

Record By:(Purchasing)

□EZS_国内转厂(Factory Transfer) □EHM_港澳进口(Import from HK/MU) □ESZ_深圳进口(Import from ShenZhen)□LCN_内购提供有效发票(Local Deal w/RMB Invoice) □OTH_其他(Others)____________________

□Other

( 其它 )________________________

书表编号：BL-AD-PC-R-005 A/0

公司盖章Company Chop

Commented By:

姓名 Name

签名 Signature

职位Position

明汇光电(东莞)有限公司填写(for Bondlux DG only)

Approved by:(Administry)

□营业执照副本 Business Registration Certificate □税务登记证副本 Revenue Registration

□CST 标准快递

(Courier Standard)□DAF □DES □DEQ □DDU □DDP □ AMS ___ DAYS (月结 ___ 天)

□ NET ___ DAYS (发票收后 ___ 天)

□ ___ DAYS RE (收货后 ___ 天)属国内转厂填写( For Factory Transfer Only )

转厂币别Currency 传真Fax No.电话Tel No.

约定交货地点

Named Place of

Destination

□深圳福田保税区 ShenZheng FuTian(FTZ)

□明汇光电(东莞)有限公司 Bondlux DG □买方指定地点Buyer Named Place_____________________

□CIF □CFR □CPT □CIP □SEA 海运

(By Freight Forwarder/Sea)□LAN 陆运(By Freight Forwarder/Land)□AIR 空运(By Freight Forwarder/Air)交货方式

Mode of Delivery □SEL 自提(Self-Collect) □POS 邮局邮寄 (Postal)□CEX 特快专递 (Courier Express)

供应商资格调查表

SUPPLIER QUALIFICATION FORM

电子邮件E-mail Address

成立时间Year Established 电话Tel No.工厂名称(中文)Factory Name (In Chinese)厂商名称(中文)Vendor Name (In Chinese)厂商地址(中文)Vendor Address (In Chinese)

邮政编码Postal Code 手机Mobile Phone No.财 务 Finance

工厂地址(中文)Factory Address (In Chinese)传真Fax No.□EXW 手机Mobile Phone No.交 货 Delivery

□香港承运公司 HongKong Forwarder □香港航空港 HongKong Air Port □香港货柜场 HongKong Land Port □香港海港 HongKong Sea Port

□卖方指定地点Vendor Named Place_____________________

开户帐号Bank Account 电话Tel No.供应商确认 ( Vendor confirmation )

传真Fax No.□FCA □FAS □FOB

□外币商业发票 Commercial Inv. □____% 人民币增值税专用发票(RMB VAT Inv.)

□人民币增值税普通发票(RMB VAT Inv.) □人民币营业税普通发票(RMB Inv.)

□人民币专业发票(RMB Inv.) □T/T in Advance ( T/T 预付 )

手机

Mobile Phone No.

转厂企业地址

主管海关Major Customs