SUPPLIER INFORMATION FORM

SUPPLIER INFORMATION FORM

DATE

SUPPLIER INFORMATION

TYPE OF ACTIVITY

TYPE OF SUPPLIER

SUPPLIER NAME

SUPPLIER ADDRESS

PROVINCE

REGION

TELEPHONE

FAX

SUPPLIER COMPANY INFORMATION

ESTABLISHMENT YEAR

COMPANY STRUCTURE

TAX OFFICE

TAX NUMBER

FIRST SIX COMPANIES WHICH HAVE BEEN WORKED WITH

SUPPLIER ORGANIZATION STRUCTURE

COMPANY OWNER

SALES REPRESENTATIVE

QUALITY

PLANNING

SUPPLIER QUALITY CONTROL TEST DEVICES

SUPPLIER QUALITY CERTIFICATES

PRODUCTS / PRODUCT GROUPS PRODUCED AND / OR SOLD

COMPANIES FOR WHICH IT IS DEALER OR DISTRIBUTOR