供应商调查表(范本)

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1,企业基本信息CompanyBasicInformation,,,,,,,,,,,,

,企业名称CompanyName,,,,,,,,,企业简称ShortenedName,,,

,邓白氏编码DUNSNumber,,,,,,,行业类别Sector,,,,,

,业务性质（选一）BusinessType(please√one）,,,,□生产企业Manufacturing□销售公司SalesCompany□设计研发机构R&D□投资机构Investment□采购中心Purchasing□服务机构Service,,,,"□进出口商Import&Expor□商会、协会Chamber,association□政府或其它公共机构Governmentorotherpublicinstitution□其他Others",,,,

,资本类型（选一）CapitalType(please√one）,,,,□投资控股公司Investmentholdingcompany□有限责任公司Limitedliabilitycompany□上市公司Listedcompany□全资子（分）公司Whollyownedsubsidiary,,,,,□股份公司Shareholdingcompany□中外合资公司Joint-venture□其他Others,,,

,主要工艺能力MainProcessing,,,,,,,,,,,,

,进出口业务Import&ExportBusiness,,,,□无None,,"□有，市场为Yes,andthemarketis",,,□OEM市场OEMmarket,,,

,,,,,,,,,,□售后市场Aftermarket,,,

,企业地址Address,,,,,,,,,邮政编码Postcode,,,

,企业网址Website,,,,,,,,企业成立时间EstablishedSince,,,,

,"年产值(万人民币)AnnualOutputin2009(10,000yuan)",,,,,"销售额（万人民币）AnnualSalesin2009(10,000yuan)",,,,,员工人数Headcount,,

,企业使用的商标Trademarks,,,,商标1Trademark1,商标2Trademark2,,商标3Trademark3,,商标4Trademark4,,商标5Trademark5,

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2,联系人信息Contacts,,,,,,,,,,,,

,姓名Name,,性别Gender,,职务/职别Title,办公电话Telephone,,手机号码Mobile,,电子邮箱E-mail,,,传真Fax

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3,主要产品/服务MainProducts/Services,,,,,,,,,,,,

,说明：需填占60%比重的产品，或3个产品，如果单一产品达到了25%的比例或更多，请说明。,,,,,,,,,,,,

,"Note:Pleaselisttheproductwhichaccountsfor60%ofthetotalproductionofthecompanyor5differentproducts.Ifoneproductaccountsfor25%ormore,pleasespecifyit.",,,,,,,,,,,,

,主要产品／服务名称,,年生产数量,,销售额(万人民币),该产品/服务占企业总销售额的%,,剩余产能（每月可生产的数量/单位）,,优势概述,,说明,

,NameofMainProduct/Service,,AnnualOutput,,"AnnualTurnover(10,000yuan)",PercentageoftheTotalProduction/Service,,SurplusProductivity(MonthlyQuantity/Unit),,Advantages,,Note,

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4,主要客户/市场MainCustomers/Markets,,,,,,,,,,,,

,说明：占60%比重的客户，或3个客户，如果单一客户达到了25%的市场份额或更多，请说明。,,,,,,,,,,,,

,"Note:Pleaselistthecustomerwhotakes60%ofthetotalsalesofthecompanyor5differentcustomers.Ifonecustomeraccountsfor25%ormore,pleasespecifyit.",,,,,,,,,,,,

,主要客户名,,行业,,地区,销售给该地区/客户的主要产品/服务,,,该地区/客户占企业总销售额的%,,业务开始的时间,,说明

,MainCustomer,,Sector,,Region,MainProducts/Servicestaken,,,PercentageoftheTotalTurnover,,TimeofBusinessStarting,,Note

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5,关键生产设备KeyEquipments,,,,,,,,,,,,

,设备名称/型号,,产地,,生产商,技术指标或优势简述,,,设备生产时间,,数量,,

,EquipmentName/Model,,Origin,,Manufacturer,TechnicalSpecifications/Advantages,,,ManufacturingDate,,Quantity,,

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6,关键试验、检测设备KeyTesting&InspectionEquipments,,,,,,,,,,,,

,设备名称/型号,,产地,,生产商,技术指标或优势简述,,,设备生产时间,,数量,,

,EquipmentName/Model,,Origin,,Manufacturer,TechnicalSpecifications/Advantages,,,ManufacturingDate,,Quantity,,

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7,经营性建筑、设施BuildingsandFacilities,,,,,,,,,,,,

,占地面积(平方米)CoveringArea(㎡),,,,,,,总建筑面积(平方米)TotalConstructionArea(㎡),,,,,

,厂房面积(平方米)PlantBuildings(㎡),,,,,,,厂房使用率UtilizationRatioofPlant,,,,,

,电力设施(面积与配电容量KW)PowerFacilities(AreaandCapacityKW),,,,,,,"物流设施（类型、面积）PhysicalDistributionFacilities(Type,Area)",,,,,

,"研发、试验、检测设施面积AreaofR&D,Testing&InspectionFacilities",,,,,,,行政、服务设施面积AreaofAdministrative&ServiceFacilities,,,,,

,预留发展用地面积(平方米)ReservedAreaforDevelopment(㎡),,,,,,,预留建筑性质、面积UsageandAreaforReservedBuilding,,,,,

8,企业通过的认证Certificates,,,,,,,,,,,,

,证书名称[类型]CertificateName(Type),,,,认证机构Certifiedby,,适用于Appliesto,,,签发日期Acquiredon,,有效期至Expires,

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9,专利/专有技术/许可Patents/Licenses,,,,,,,,,,,,

,专利/专用技术/许可名称PatentName,,,,授予机构Certifiedby,,适用于Appliesto,,,有效期Expires,,特点与价值Features&Value,

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10,财务信息FinancialData,,,,,,,,,,,,

,"公司总投资额(万人民币)TotalInvestment(10,000yuan)",,,,,,,"总资产额(万人民币)TotalAsset(10,000yuan)",,,,,

,年份Year,,"出口额(万人民币)AnnualExportTurnover(10,000yuan)",,,,占总销售额的比重PersentagetotheAnnualSales,,"公司研究与开发经费(万人民币)AnnualFinancialInputforR&D(10,000yuan)",,,占总销售额的比重PersentagetotheAnnualSales,

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,"其他能说明企业实力的财务数据，如资本增加、重要客户发展、市场占有率提高Otherfinancialdatawhichcanshowthecompanycapability,suchasincreaseofcapital,importantcustomerdevelopment,increaseofmarketshare,etc.",,,,,,,,,,,,

11,人员信息Employment,,,,,,,,,,,,

,管理人员数No.ofManagement,,,,,管理人员中具有外语能力的人员数No.ofstaffwithEnglishAbilityamongtheManagement,,,,,,,

,工程技术人员数No.ofEngineers,,,,,技术人员中具有外语能力的人员数No.ofstaffwithEnglishAbilityamongtheEngineers,,,,,,,

,业务人员数No.ofSalesmen,,,,,业务人员中具有外语能力的人员数No.ofstaffwithEnglishAbilityamongtheSalesmen,,,,,,,

,事务性人员Officeclerks,,,,,工人Workers,,,,总人数Total,,,

12,企业作为配套商可接受的生产SubcontractingProductsasSupplier,,,,,,,,,,,,

,产品/工艺名称Product/ProcessName,,,,计量单位Unit,每月可生产数量Quantity/permonth,,特殊工艺优势SpecialProcess/Know-how,,,,理由＊（填写相应选项编号）Reasons＊(Pleasefillwithanoptionnumber）,

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,理由Reasons