1、XXX公司供应商调查表BASIC CONDITION QUESTIONARY OF XXX SUPPLIER声明 Statement1.本调查旨在了解企业信息，按照国际采购通行的供应商选择标准进行潜在供应商的选择。2.本公司对填表企业提供的信息承担保密责任，这些信息不会被用于本公司供应商选择以外的其它商业目的。3.填表企业明确了解并同意接受本公司或由本公司安排的现场考察。4.填表企业对所填内容的真实性负责.。1. The form is designed to collect the company information of XXXs potential suppliers. 2.All
2、the information will be kept confidential by XXX and will not be utilized for any commercial purpose other than for supplier evaluation of XXX3.The company who completes the form understands and agrees to accept the on-site visits from XXX or arranged by XXX.4.The company who completes the form is r
3、esponsible for the authenticity of information filled in the form.1企业基本信息Company Basic Information企业名称Company Name注册资本Registered Capital行业类别Sector业务性质Business Type 生产企业 Manufacturing 销售公司 Sales Company 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 & Export 商会、协会 Chamber, assoc
4、iation 政府或其它公共机构 Government or other public institution 其他 Others资本类型Capital Type投资控股公司 Investment holding company有限责任公司Limited liability company 上市公司 Listed company全资子（分）公司Wholly owned subsidiary股份公司 Share holding company中外合资公司 Joint-venture其他 Others主要工艺能力 Main Processing企业注册地址Address企业成立时间Establis
5、hed Since主要材料供应商Main suppliers外协厂家名称Name of copreated年产值Last Annual Output销售额Last Annual Sales员工人数Employees2联系人信息Contacts姓名Name性别Sex职务/职别Title部门Department办公电话Telephone手机Mobile传真 Fax电子邮箱 E-mail3主要产品/服务Main Products /Services主要产品服务名称年生产数量年销售额该产品/服务占企业总销售额的 %剩余产能（每月可生产的数量）产品交付的时间优势概述Name of Main Produc
6、t/ ServiceAnnual OutputAnnual TurnoverPercentage of the Total Production/ ServiceSurplus Productivity (Monthly Quantity)Time-to-deliveryAdvantages4主要客户/市场 Main Customers / Markets主要客户名行业销售给该地区/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Main CustomerSectorMain Products /Services takenPercentage of the Total
7、TurnoverTime of Business StartingNote5关键生产设备 Key Equipments设备名称/型号生产商技术指标或优势简述设备生产时间数量同级设备购买计划Equipment Name/ ModelManufacturerTechnical Specifications/ AdvantagesManufacturing DateQuantityPurchasing Plan of more Equipments of the Same Type6关键试验、检测设备 Key Testing & Inspection Equipments设备名称/型号生产商技术指标
8、或优势简述设备生产时间数量同级设备购买计划Equipment Name/ ModelManufacturerTechnical Specifications/ AdvantagesManufacturing DateQuantityPurchasing Plan of more Equipments of the Same Type7经营性建筑、设施 Buildings and Facilities总占地面积Covering Area 总建筑面积Total Construction Area厂房面积 Plant Buildings厂房使用率Utilization Ratio of Plant电
9、力设施(面积与配电容量KW)Power Facilities(Area and Capacity KW)仓储设施（类型、面积）Logistics Facilities (Type,Area)研发、试验、检测设施占地面积Area of R & D,Testing & Inspection Facilities行政、服务设施面积Area of Administrative & Service Facilities预留发展用地面积Reserved Area for future Development预留建筑性质、面积Usage and Area forReserved Building8企业通过的
10、认证 Certificates证书名称类型 Certificate Name(Type)认证机构 Certified by适用于 Applies to签发日期 Acquired on有效期至 Expires9专利/专有技术/许可 Patents/Licenses专利/专用技术/许可名称 Patent Name授予机构 Certified by适用于 Applies to有效期 Expires特点与价值 Features & Value10财务信息 Financial Data公司总投资额(万人民币)Total Investment (10,000 yuan)总资产额(万人民币)Total As
11、set (10,000 yuan)年份Year公司研究与开发经费(万人民币)Annual Budget for R & D占总销售额的比重Percentage to total Sales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、市场占有率提高的信息 Other financial data which can show the company capability , such as capital increase, important customer development, increase of market share.11人员信息 Employment管理人员数M
12、anaging team工程技术人员数No. of Engineers业务人员数No. of Salesmen事务性人员Office clerks工人Workers总人数Total平均工资/月PAY/MONTH12企业作为供应商可接受的产品/生产过程 Subcontracting Products as Supplier产品/工艺名称 Product/Process Name计量单位 Unit每月可生产数量Quantity/per month特殊工艺优势 Special Process/Know- how理由Reasons理由 Reasons: 1. 正在转型，需要新业务Business transforming 2. 生产能力有一定余量 Having productivity surplus 3. 技术优势明显Having special know-how 4. 产能扩大计划正在实施，需要新业务Capacity expansion 5. 国际市场发展战略需要Developing international market填表人: 日期:
