供应商基本情况自我申报表
更新日期： 年 月 日
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: _______________________________________