Supplier name
(供应商名称):
Country
(国家):
Postal address
(邮政地址):
Post Code
(邮政编码):
Manufacturing address
(工厂地址):
Supplier Code
(供应商编号):
1. Main Contact (主要联系方式)
Contact Person (联系人)
Position (职位):
Quality Manager
(质量经理)
General Manager
(总经理)
Name (姓名):
Phone (电话):
Mobile (手机):
Fax (传真):
E-mail (电子邮箱):
2. Organization chart (公司组织结构图)
3. General Information (概况)
Ownership & Share Respectively (投资方及投资比例):
Bank (开户银行):
1) RMB Account (人民币户头):
Bank Name (开户行名称):
Bank Address (开户行地址):
Account Number (帐号):
2) Foreign Currency Account (Please specify the currency) 外币开户行名称 (请注明币种):
Bank Name (开户行名称):
Bank Address (开户行地址):
Account Number (帐号):
Total Investment (总投资额):
Register Capital (注册资本):
Paid up Capital (实收资本):
Year (年)
Year (年)
Year (年)
Sales for the last 3 years (前3年销售额):
Net profit for the last 3 years (前3年净利润):
Shareholder equity for the last 3 years (前3年股东资产净值):
External borrowing for the last 3 years (前三年对外负债额):
General terms of delivery (交货周期及交货条件):
General terms of payment (帐期):
Total company area 总占地面积 (M2):
Total manufacturing area 总建筑面积 (M2):
Working hours for office staff (办公室人员工作时间):
Hours/day (小时/天) Days/week (天/周)
Working hours for production (生产线工作时间):
Hours/day (小时/天) Days/week (天/周)
Remark (备注):
4. Quality /Environmental Management System (质量体系/环境管理体系)
Yes
(是)
No
(否)
Planned to set up
(是否计划建立)
Planned Date
(计划建立时间)
Quality Management System (质量体系)
Is Quality Management System established?
是否已建立质量体系?
Since
从何时起:
Which
何种:
Has it been approved by a third authority?
质量体系是否经权威机构认证?
By whom:
认证机构:
Environmental Management System (环境管理体系)
Is Environmental Management System established?
是否已建立环境管理体系?
Since
从何时起:
Which
何种:
Has it been approved by a third authority?
环境管理体系是否经权威机构认证?
By whom:
认证机构:
Remark (备注):
5. Production Equipment List (关键生产设备清单)
S/No. (序号)
Production equipment name (生产设备名称)
Qty(数量)
Spec (规格)
1
2
3
4
5
6. Test equipment List (关键检测设备清单)
S/No. (序号)
Test equipment name (检测设备名称)
Qty(数量)
Spec (规格)
1
2
3
4
5
7. Capacity(产能)
工厂总产能(每月)
分配的产能(每月)
8. Main Customer (公司目前主要客户)
S/No. (序号)
Customer Name (客户名称)
Monthly Sales Revenue (每月销售额)
1
2
3
4
5
9． Main Product (公司目前主要产品)
S/No. (序号)
Product Name (产品名称)
Monthly Sales Amount (每月销售额)
1
2
3
4
5
10． Main Product EOL waste disposal(公司目前主要产品EOL废弃物处置办法)
S/No. (序号)
Product Name (产品名称)
If contain below banned/restricted substance 是否含下表中的限用物质(Y/N)
Pls specify (请列明禁用物质)
EOL disposal (EOL废弃物处置办法)
1
2
3
4
5
The names of the banned/restricted substances
Heavy metals
重金属
Cadmium and cadmium compounds镉以及镉化合物
Lead and lead compounds铅以及铅化合物
Mercury and mercury compounds汞以及汞化合物
Hexavalent chromium compounds六价铬化合物
Chlorinated organic compounds
有机氯化合物
Polychlorinated biphenyls (PCB) and polychlorinated terphenyls (PCT) 多氯联苯
Polychlorinated naphthalenes (PCN) 多氯化奈
Short-chain chlorinated paraffins (CP) 氯代烷烃
Other chlorinated organic compounds 其它氯化物
Brominated organic compounds
有机溴化合物
Polybrominated biphenyls (PBB) 多溴联苯
Polybrominated biphenyl ethers (PBDE) 多溴二苯醚
Other brominated organic compounds其它溴化物
Organic tin compounds (Tributyl tin compounds, Triphenyl tin compounds) 有机锡化合物
Asbestos石棉
Azo compounds偶氮化合物
Formaldehyde甲醛
Polyvinyl chloride (PVC) and PVC blends聚氯乙烯
Substances depleting the ozone layer破坏臭氧层物质
Nickel and compounds 镍以及镍化合物
11． Social responsibility investigation (社会责任调查)
Check items (调查项)
Y/N
If the supplier is implementing or having a plan for SA8000 system 是否有计划实施SR8000？
Does the supplier comply with all international, national, regional and other applicable laws and regulations? 是否遵守国家与地方法律法规？
Does the supplier work according to a documented and established policy on no discrimination in the recruitment, training, promotion, dismissal or general administration to all employees? 公司是否做到在招聘，培训，提升，解雇过程中无歧视性政策？
Does all employees in the supplier are employed based on a personalized, written agreement between the employer and employee? 公司是否与员工签订劳动合同？
Does the supplier comply with the legislated minimum age for employment of the country? 公司是否按地方法规规定的最低年龄限制用工？
Does the supplier provide a safe, healthy, pollution free and productive environment to all employees? 公司是否为工人提供安全，健康，无污染的生产环境？
Does the supplier have adequate First Aid kit available to all employees? 公司是否提供充足的急救用品？
Does the supplier provide emergency preparedness procedures including evacuation plans are communicated to all employees? 公司是否有并已向员工培训紧急撤退计划？
Does the supplier work according to a documented and established policy restricting the handling of confidential information about the private or business affairs? 公司是否有程序规定对保密资料的处理办法并按章执行？
12．Company’s Authorized Signature (公司授权人签章)
Name (姓名):
Title (职务):
Date (日期):
13． Please enclose the following documents (请同时提供以下文件)
1) Copy of Business License (营业执照复印件)
请扫描后在此处插入电子档：
2) Copy of Tax Registration (税务登记证复印件)
请扫描后在此处插入电子档：
3) Quality Management System certification (if approved) 质量体系认证证书 (如已通过)
请扫描后在此处插入电子档：
4) Environmental Management System (if approved) 环境管理体系认证证书 (如已通过)
请扫描后在此处插入电子档：
5) Other certificate (其他资质)
请扫描后在此处插入电子档：
14． Verified by Sourcing Engineer (Sourcing审核人):
Signature (签名):
Date (日期):
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