SUPPLIER EVALUATION QUESTIONNAIRE
MANUFACTURER
JOB WORKER
AUTHORIZED DEALER
GENERAL TRADER
Vendor Name :
*
Address (Office) :
Phone :
*
Fax :
Email :
*
Contact Person :
*
Mobile :
Address (Works) :
Phone :
*
Fax :
Email :
Contact Person :
Mobile :
List of Branches / Service / Support Centers Enclosed :
Yes
No
Sales Tax Registration No:
Date :
Central Sales Tax Registration No:
Date :
Covered under Excise Regulation E.C.C. No if applicable :
Yes
No
Items / Materials Supplied
SN
Item Description
Part / Model No.
Make
Remarks
1
2
3
4
5
6
7
8
1
DETAIL CATALOGUE / DATA SHEET ATTACHED
Yes
No
2
LATEST PRICE LIST ATTACHED
Yes
No
3
PRODUCT APPROVAL CERTIFICATION (ENCLOSE COPY)
IS / NIL
4
QUALITY SYSTEM APPROVAL (ENCLOSE COPY) IF YES CERTIFIED BY:
ISO 9001 / 9002
Applicable mainly for manufactures / Job Worker (Dealers / Traders may omit this portion 5-14 of below)
IF ANSWER IS 'NO' TO ABOVE (1 TO 4) PROVIDE DETAILED INFORMATION AS BELOW
Kindly provide correct (True) information. Audit may be carried out to finalize the assessment of Vendor. If not applicable tick "Not Applicable"
5
PROCEDURE AVAILABLE FOR MANUFACTURING/INSPECTION
Yes
No
Not Applicable
6
IDENTIFICATION AND TRACEBILITY MAINTAINED DURING PRODUCTION / INSPECTION.
Yes
No
Not Applicable
7
REJECTED ITEMS IDENTIFIED. PROCEDURES AVAILABLE TO ENSURE REJECTED PARTS ARE NOT USED / SHIPPED
Yes
No
Not Applicable
8
VENDORS SUPPLIERS EVALUATED / ASSESSED / REGISTERED
Yes
No
Not Applicable
9
SPECIFICATION / DRAWING AVAILABLE FOR ALL RAW MATERIAL
Yes
No
Not Applicable
10
LIST OF ENQUIPMENT / FACILITY AVAILABLE FOR TESTING ENCLOSED
Yes
No
Not Applicable
11
RECORDS MAINTAINED FOR REJECTED MATERIALS
Yes
No
Not Applicable
12
TOOLS / GAUGES WHICH MEASURE DIMENSION CALIBRATED
Yes
No
Not Applicable
13
RECORDS OF CALIBRATION AVAILABLE
Yes
No
Not Applicable
14
RECORDS OF INSPECTION AND TEST AVAILABLE
Yes
No
Not Applicable
ANY OTHER ADDITIONAL INFORMATION
The information given above is true to the best of my knowledge and belief.
DATE :
SIGNATURE :
NAME :
*
DESIGNATION :
(SEAL OF THE FIRM)
For ETHOS Use
Received by :
Date :