供应商基本情况调查表一原料

1、1. GENERAL INFORMATION一 般 情况NAME OF COMPANY （Full Legal Name）公司法定全称PROVINCE, CITY and POSTAL CODE 省,市 及 邮政编码Post Code : 邮编：STREET ADDRESS纟田街区地址Company TEL 公司电话Company FAX 公司传真E-MAIL 电子邮件Website 网页Type of Business公司性质（Check box or boxes根据情况Joint Venture合资| Corporation or companyPartnership 合伙人Private

2、 Co.私人公司 | Government owned Co. 国1 选择以下各项）总公司匚| Subsidiary 子公司 0 Division 部门 口有企业公司If a Subsidiary, Enter the name and location of Parent Company如果是一个子公司，请填写母公司的名称及地址Name 母公司名称：Location 地址:TEL 电话：FAX 传真：If a Division, enter name and location of Corporate Headquarters如果是一个部门，请填写总部的名称及地址Name 总部名称：Loca

3、tion 地址:TEL 电话：FAX 传真：Nature of Business营业性质（Check box or boxes根据情况选择以下各项）MANUFACTURER/FABRICATO造 / 力口工 MANUFACTURESREPRESENTATIVE 制造商的代表 DISTRIBUTOR / STOCKIST SUPPLY HOUS 分销 / 仓储供应OTHERS 其他（Please describe in detail请详细说明）List in detail all principal products and applied product code/criteria of th

4、is facility详细列岀贵公司所生产的主要产品及相关制造标准Products 产品名称Applied code/criteria制造标准Year started何年开始生产Yearly Fabrication Capacity年产量Date Business Founded公司创立日期Under Present Ownership Since 按目前公司所有股权开始经营的日期Number of Employees （AllFacilities雇员总数）Management 管理人员Technician技术人员Worker 工人List Major Business Shareholder

5、s / Owners列岀主要的股东/业主（This information is kept confidential此信息将会受到严格保密）年度财务状况记载：单位:万元资产总计负债及所有者权益总计流动资产合计流动负债现金及银行存款应付帐款合计存货短期借款:应收帐款合计其它流动负债合计其它流动资产合计长期投资长期负债固定资产净值其他负债其它资产所有者权益:销售收入利润总额产品销售利润税后利润进口额万美元出口额：万美元Can You Furnish a Performance Bond?能否提供银行履约保证金If Yes, Indicate RMB Limits (Million)如果能,请指出人

6、民币限额 (百万元): 400口 800口 4,000| | 8,000| 20,000 Over 以上2. PLANT OPERATIONST 厂运营情况Company RegistrationNo.公司注册登记号YearAnnual Sales Volume (Last 3 Years)近三年年销售额（RMB万元）YearYearBanking Reference开户银行I I Yes 能丨No 不能n 200President 总经理Engineering Manager设计经理Sales Manager 销售经理QA/QC Manager 质量控制经理Production Manage

7、r生产经理Construction Manager施工经理List Main Plant Equipment Capacity (for machining, producing, testing, lifting)重的设备及能力FINANCIAL INFORMATIONS 务状况(This Section Must Be Completed For Consideration此栏目必须填写，供资格审定)Please attach latest Annual Report, or Copy of your Financial Statement请附上最近的财务年报或财务审计报表Contact/

8、Phone No.联系人/电话序号设备名称型号规格国别制造厂单位数量列岀主要加工，生产，检/试验和起Product Code Certificates/Stamps held所持有的产品生产证书 /钢印Product Code Certificates/Stamps产品生产证书/钢印名称Issued Date签发日期Certified Products适用的产品Expiration Date有效截止日期Design Code Qualification held所持有的设计资质证书Product Code Certificates/Stamps 证书名称Issued Date签发日期Certi

9、fied Products适用的产品Expiration Date有效截止日期Major product and properties主要产品及特性Description of product产品名称Key merits comparing with other similar products与其它类似产品比较的优点八、Quality Assurance Program质量保证体系Do you have a formal QA/QC Program匚| Yes 有 No 无 贵公司是否有一个规范的质量保证/质量控制计划：Are you ISO 9000 or other equivalent

10、 qualification certifiedI Yes 有 No 无请指出是否有 ISO9000 或其他同等资质认证?（If yes, please provide a copy of the relevant certificates女口果有, 请提供相关证书的影印件 ）Is the QA/QC program in place for selection, evaluation and source inspection? Yes 有 No无该质量保证/质量控制程序是否可供审查，评估及工厂检验之用Is there any QA/QC program in place for the q

11、uality control of parts, components and1 1 Yes 有 No无Assembly 是否有用于零部件及装配的质量控制程序Is there any training plan and program implemented for the employees in this facility Yes 有No 尢是否有员工培训的计划及程序Is a HSE program operated in the company贵公司是否有安全生产的程序无Yes 有 匚| NoIs a control maintained for the preservation, ma

12、rking, handling, packing and shipping No 无of equipment/materials to assure compliance with the national/international industryStandard requirements to prevent damage, deterioration, loss or unauthorizedsubstitution:是否有满足于国家/国际相关工业标准的用于设备/材料保护，标记，搬运，包装，发运的控制程序，以防止破损，变质，丢失或未经授权的材料替换. Yes 有 匚|Do you ag

13、ree to BSF sending a Supplier Qualification representative team orNo 无Assign a third party inspection company to your facilities to conduct a surveyOn the company which will include a proof check the statements on this questionnaireare all correct:贵公司是否接受我公司派检验员或指定第三方到厂对所提供的情况进行复核 Yes 有 匚|Do the maj

14、or products have any service experience with any industryIf yes, please list the detailed product and project reference;贵公司主要产品是否有用于相关工业装置的经验如果有，请详细列岀产品及项目情况Yes 有 No 无Export Capability出口能力Export Packaging 出口包装 Yes 匚|No 无有 匚| No 无Export Documentation出口许可文件 Yes 有Shipping Facilities运输设施Rail 火车Truck 卡车

15、Water 水运| | Air 空运Subcontracted Services分包服务 (List type of work normally subcontracted to others类别)无请列岀通常分包给他人的工作Customer Information客户信息(Describe main suppliers name in the last 3 years)请说明近三年内的主要客户名称Client/Customer客户Product Reference产品名称Material/EquipmentDescription材料/设备名称Order Value订单价值Date Completed完成日期Supplier is requested to provide the hard copies of the following documents together with the response to thisquestionnaire要求贵公司将下列文件副本与该答卷一并送交? Certification and qualification产品生产及管理资质证书；? Busi