REGISTRATION FOR SUPPLY OF: SL NO.

DATE:
(TO BE CARRIED OUT BY MACUREX SENSORS )
3. TEL. NO:
FAX NO:
E-MAIL:
4. CONTACT PERSON: NAME: DESIGNATION:
5. YOUR BANKERS:
6. LAST 2 YEARS TURN OVER:
7. COMPANY INCORPORATED AS: PARTERNSHIP/PVT LTD/PUBLIC LTD.
(TICK WHICHEVER IS APPLICABLE)
8. LAND & BUILDING : OWN / LEASE / RENTED.(TICK WHICHEVER IS APPLICABLE)
9. PRESENT NATURE OF BUSINESS:
(EG. 1. MANUFACTURE AND SUPPLY OF PRESS
COMPONENTS - IN CASE OF PRESS INDUSTRY.
2. MANUFACTURE AND SUPPLY OF INJECTION
MOULDED COMPONENTS )
OFFICE WORKS
SUPPLIER REGISTRATION FORM
1. NAME OF THE SUB-CONTRACTING COMPANY:
PRESS/TURN/ MOULDED/ASSEMBLY/SURFACE TREATMENT/ELECTRONIC/OTHERS (SPECIFY)
2. ADDRESS:
COMPANY NAME & ADDRESS
WORKS
OFFICE
WORKS OFFICE
1 of 3 FORM PUR 07 / R0 /21.6.02
10. TOTAL INSTALLED CAPACITY :
PRESENT UTILISATION: (%)
11. NO. OF EMPLOYEES: MANAGEMENT:
SUPERVISORY STAFF:
OPERATORS/WORKMEN:
TOTAL:
12. NO. OF SHIFTS:
13. WEEKLY OFF:
14. LIST OF PROMINENT CUSTOMERS:
15. LIST OF MACHINERIES : ( USE ENCLOSED FORMAT TO PROVIDE DETAILS)
16. LIST OF TESTING AND MEASURING EQUIPMENTS:
17. WHAT AMOUNT OF INCOMING MATERIAL INSPECTION YOU CARRY OUT?
( FOR RAW MATERIAL AND CUSTOMER SUPPLIED ITEM )
OWN MATERIAL(PURCHASED
MATERIAL)
CUSTOMER SUPPLIED
2 of 3 FORM PUR 07 / R0 /21.6.02
18. WHAT AMOUNT OF PROCESS INSPECTION YOU CARRY OUT DURING PRODUCTION ?
IF SO SPECIFY AS TO WHO CARRIES OUT - INSPECTOR/OPERATOR.
19. DO YOU CARRY OUT FINAL INSPECTION BEFORE DELIVERING THE PRODUCT TO
THE CUSTOMER ? IF SO SPECIFY WHO CARRIES OUT - INSPECTOR/OPERATORS.
20. HOW DO YOU IDENTIFY REJECTIONS ?
21. HOW DO YOU DISPOSE OF REJECTIONS ?
22. ANY OTHER DETAILS YOU LIKE TO PROVIDE.
FOR'---------------------(-COMPANY NAME).:
APPROVED FOR SAMPLE PROCUREMENT. YES / NO.
TOOLING DEVELOPMENT
TO BE ARRANGED BY MACUREX SENSOR /TO BE DEVELOPED BY SUPPLIER
(TICK WHICHEVER IS APPLICABLE)
SIGNATURE & DATE
3 of 3 FORM PUR 07 / R0 /21.6.02