供应商基本情况自我申报表

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第二篇：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:

(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：

（2） 设备清单：

4、 BANK DETAILS 供应商支付账号信息:

Name 账户：                                                                                 

Bank Name 银行：                                                                            

Country 国家：                                                                               

Bank Address 银行地址：                                                                      

Bank Account No:银行帐号                                                                     

Swift Code:                                                                                   

IBAN No:                                                                                    

Supplier representative signature 供应商代表签名:_____________________________

Title 职位:                                                           _____________________________

Date 日期:                                                          _____________________________

TO BE COMPLETEED BY GD FOR NEW SUPPLIER   由EPM内部填写

Payment Terms 付款方式:            Credit Terms 月结 _________________

                                                        Others 其他 ______________________

Currency 币种:                              ____________________________________

Name of Preparer 承办人姓名:     _____________________________________

Title 职位:                                  ______________________________________

Signature 签名:                                  ______________________________________

Date 日期:                                 ______________________________________

Reviewed by 审核员:                    _______________________________________

Date 日期:                             _______________________________________