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PREQUALIFICATION FORMFOR SUPPLIERS / CONTRACTORS供应商调查表A)PARTICULARS OF THE FIRM 企业概况: of the Firm公司全称:2.Registered Address注册地址:3.Mailing Address邮寄地址(If different from 2)4.Telephone No.电话:5.Fax No.传真::6.Web-site Address公司网址:7.E-mail Address 电子邮件:8.Type of Company公司性质Public/Private/ Partnership/ Sole Proprietor/Joint Venture/Others (Please specify)国营/私营/股份制/独资/合资/其他（请列出）9.Country of Incorporation国家:10.Registration No.营业执照号::11.Date of Registration/Incorporation注册日期NB : To attach a copy of the latest Business Instant Information from Registry ofCompanies请附上最近的公司登记情况表12.Registration with Professional, Trade or Quality Control Organisation, board and/orAssociation etc.在有关专业团体，贸易机构和质量控制机构的登记证书:(Please attach a copy of the certificate of registration请附上营业执照附本)13.Other Affiliations, Subsidiaries or Joint Venture (with indication of % owned)其他从属关系或合资关系（请用%指出）B)PARTICULARS OF HEAD QUARTERS (IF ANY) 总公司概况（如有）: of the Firm公司全称:2.Registered Address注册地址3.Telephone No.电话:4.Fax No.传真::5.Web-site Address公司网址:6.Type of Company经济性质7.Country of Incorporation国家:C)FINANCIAL CAPACITY 财务概况: of Bank and Address银行全称和地址:2.Credits Facilities / Overdrafts信用设备/透支款项3.Financial Standing of the Last 3 Financial Years:过去三年里财务状况Year 20__ Year 20__ Year 20__ Authorized Capital 注册资金Paid up Capital 已缴资金Net Worth 净值Turnover 交易额Net Profit / <Loss> after Tax 除税后净利/损Current Assets 流动资金Current Liabilities 流动债务NB : To attach complete annual reports with corresponding Statements of Profit and Loss Account certified by accountants and a certified copy of the audited Balance Sheet for the last 3 years.请会计员附上过去3年完整的相应年度亏赢报告和审计对比报告。
ContentsI - Company General Information 公司基本信息1. Administrative Data2. Contacts3. Finance4. Human Resource5. Main customerII - Production, Manufacturing & Quality 生产制造以及产品质量1. Products2. Manufacturing3. Quality4. Performance5. CertificationIII - Logistic and Service 运输和服务1. Logistic and ServiceIV - Document to be enclosed 附件Please fill in this form in both English and ChineseI - Company General Information 公司基本信息1. Administrative DataCompany Name:公司名称:Address:地址:Company is: Corporation:Division of:Partnership withSole Proprietor:Date of establishment (公司建立时间):Total capacity per year (每年的总产量):Market share % (市场占有率 %)Relationship with Gemalto (if current supplier for Gemalto) :与Gemalto的关系 (是否是Gemalto现有的供应商)2. ContactsKey contacts (title) / phone numbers / e-mail addresses:主要联络人(职位)/电话号码/电子邮件:General Manager (总经理):Sales & Marketing Manager (销售部或市场部经理):3. FinanceRegistered capital (注册资金):Revenue for last years (去年收益):Turnover for last 3 years (过去三年的营业额):4. Human ResourceNumber of total employees (员工总人数) :Number of Managers (经理人数)Number of R&D (研发人员的数量) :Number of SG&A (管理及办公室人员的数量):5. Main customerList top 10 customers (列举最主要的10个客户):II - Production, Manufacturing & Quality 生产制造以及产品质量1. Products 产品Core business/product (主营业务/产品):Second business/products (次要业务/产品):Please show your major products and the specification (it is better to show photos)请展示贵公司的主要产品以及详述其规格(最好请展示照片)2. Manufacturing 生产Demonstrate principal steps in your production process 示范贵公司主要的生产步骤或者程序3. Quality 质量Describe your quality control system 请描述贵公司的质量控制系统List major technical advantages you have 列举主要的技术优势4. Performance 实施Explanation of your cost structure 说明贵公司的费用结构Clarify process of products qualification 详细阐明产品鉴定的过程Does a cost reduction program exist? 是否有降低成本的计划?Is there any ERP system used? 是否使用任何ERP系统?5. Certification 资质Any Certificates/Award (if yes, please attach) 资质证书或者奖励 (如果有,请提供相关资料)III - Logistic and Service 运输和服务1. Logistic and ServiceDelivery service provided by: 运输服务Company(由贵公司提供?)Subcontractors (由乘运商提供?)Delivery Incoterms: EXW, FOB, CIF, DDU, DDP, etc? (送货条件)Company experience on export?If so, with which country? (贵公司是否有出口的经验?如果有,具体出口哪个国家?)In what quantity and which frequency ? (如果有出口, 具体多少数量和频率?)How about lead-time (from PO to ready-to-ship date): (交货时间?从收到订单到准备运输的时间)From a quantitative and qualitative standpoint, what may GEMALTO represent for your Company Business? Short and long term?Please detailWhat does your Company expect from business relationships with GEMALTO?IV - Document to be enclosed: 附件Quarterly or Annual P&L 季度或者年度的损益表Annual Report 年终报告Organisation Flow Chart 组织流程图Production Process 生产方法或者加工程序Photocopies of Certification 资质证书的复印件Quality Assurance Manual 质量安全手册Equipment Assessment 设备评估。
Supplier Name(供应商名称) :Product(产品) :Date (日期) :Document No(文件编号) :Approval(承认者)Please Return the Questionnaire to SQEof Quality Reliability Assurance Dept. bye-mail to the Following Address (请将完成之问卷调查以电子邮件的方式寄至, 邮件地址如下):----------------------------------------------------COMPANY SIGNATURE(公司签章)Thank You for Your Time andEfforts in Completing ThisQuestionnaire.(感谢谢您配合完成此问卷调查)Purpose(目的)The purpose of the Prospective Supplier Profile Questionnaire is to provide Chi Mei top management with an initial supplier’s organization, infrastructure, and operational methods to determine if the supplier meet Chi Mei's requirements.(此份”未来供应商问卷调查”主要是让高阶管理人员了解该供应商之组织架构, 运作方式, 以确定该供应商是否满足求。
)Scope(适用范围)The intent of this questionnaire is a tool to be used in evaluating prospective suppliers in general. It should not be a binding agreement between the supplier andi. It is also not meant to replace the quality process or quality management audits used to audit existing supplier. (此份问卷调查是作为评定供应商的工具之一, 并不是代表供应商与之间的协定, 也不是意味此份问卷调查取代对贵公司之质量工程或质量管理之稽核。
