FRMRev:00

Suplier Approval/Annual Reassessment Form

Filled in by C&S ELECTRIC LIMITED.:
Supplier no:      
Supplier name:      
Address:      
City:      
Country:      
Phone:       Fax:      

Requested by: Department: Date:

Reason: New Supplier Information update New product

Item no.: Item description: Purchase Specification no.:

                 
                 
                 
                 

Following to be filled in by the Supplier:

S 01 Name of Headquarters:      
Address of Headquarters:      
City:       Country:      
Phone:       Fax:      
No of employees in total:      
Website:      
VAT No/       License      
Tax ID: No:
Working      
Languages:

Management:
1

S 02 Title:       Name:      

Page

           
           
           
           

DOCUMENTATION
ISSUE DATE ORIGINATOR REVIEWED BY APPROVED BY DCN No:
 FRMRev:00

Ownership:

S 03 Year of foundation:      

Description of      
Ownership:
State share holders with
more than 20%
Parent Company:      
Subsidiaries, joint      
ventures or
representatives:
Chairman of the board:      

Commercial information :
S 04 Describe your      
Business Plans for
the next 3 years:
Describe your key      
market strategies:
What methods do      
you use to evaluate
your competitive
position:

Financial information  :
S 05 Name of Bankers:      
Turnover for the Year:            Year:            Year:          
last 3 years:       
Enclose the last
Annual Report:
Investment (% of Year:           % Year:           % Year:          %
turnover) for the       
last 3 years:
Expectation of
turnover over the Year:           % Year:           % Year:          %
2

next 3 years:       
Page

Expectation of
investment over the Year:           % Year:           % Year:          %
next 3 years:       
Source of Capital:      
Capital availability, in case of a      
sudden investment:

DOCUMENTATION
ISSUE DATE ORIGINATOR REVIEWED BY APPROVED BY DCN No:
 FRMRev:00

Name & Percentage of

sales of the 5 biggest            %
customers
(last fiscal year):            %

           %

           %

Quarterly/Annual P&L-      

(Please Enclose a Copy):
Company rated by Yes No
D&B?- (If yes, please
Enclose a Copy):
Value of the business      
and product liability
insurance in USD and or
EURO (Please enclose a
Copy):
Name of the insurance      
company:
General Contact information:

S 06 Sales Manager:      

Direct phone:      
e-mail address:      
Customer Service Manager:      
Direct phone:      
e-mail address:      
Financial Manager:      
Direct phone:      
e-mail address:      
Purchasing Manager:      
Direct phone:      
e-mail address:      
3

R & D Manager:      

Page

Direct phone:      

e-mail address:      
Quality Manager:      
Direct phone:      
e-mail address:      
Environment Manager:      
Direct phone:      
e-mail address:      
Logistics Manager:      
Direct phone:      

DOCUMENTATION
ISSUE DATE ORIGINATOR REVIEWED BY APPROVED BY DCN No:
 FRMRev:00

e-mail address:      

Human Resource Manager:      
Direct phone:      
e-mail address:      
General Human Resource info:
S 07 Average Age of Employees:      
Percentage of Managers:      %
Percentage of Qualified Staff:      %
Percentage of Production Staff:      %
Percentage of R&D Staff:      %
Percentage of Quality Staff:      %
Union Representation: Yes No
Union Affiliation:      
Contract Expiration date:      
Cause of Last Strike:      
Date:      
How many person involved:      
Training programs:      
What percentage of turnover is      
utilized for training?

General Manufacturing info:

Name and address (if more than one, or different from the above mentioned address):
No of employees
S 08 Name: Address on the shop floor:
                 
Production capacity:      
                 
Production capacity:      
                 
Production capacity:      
Does your company produce their Yes No
own raw materials?
Who are your key raw material      
suppliers?
4

Percentage of raw material in      

Page

total expenditure:
Main drivers of cost:      
Method of tracking market trends      
for materials:
Supply vision for the next 2 years:      
Do you have sub-contractors? If Yes No
yes, for which products?      
Do you keep consignment stock? Yes No
Manufacturing & Service (about the present plant):

DOCUMENTATION
ISSUE DATE ORIGINATOR REVIEWED BY APPROVED BY DCN No:
 FRMRev:00

S 09 Production capacity:      

Available capacity:      
Allocated capacity to C&S      
ELECTRIC LIMITED:
No of employees:      
No of shifts on shop floor:      
Annual shut down periods:      
What is your company’s business On time      %
performance? delivery:
Quality:      %
Lead-      
time:
Others:      
What is your sales process or customer order management?      
Is the customer service area divided Client Product
by client or by product?
Is the Delivery service provided by a Yes No
Subcontractor? If yes, did you audit their Yes No
process and measure their performance?
What are your company’s standard delivery      
terms: ex-works, FOB, C+F, CIF, DAP, DDP,
etc?
Does your company have experience in Yes No
importing and exporting?
With which      
country/region?
In what quantity?      
What frequency?      
Manufacturing Lead time (from PO to      
ready-to-ship date):

Quality information:
Q 01 Quality system approvals:      
Certifying company:      
Date and year of approval: Date:       Year:      
5 Page

It is not necessary to answer questions Q 02-Q 04 if the company is certified according to

ISO 9001:2000 or similar Quality systems. If so please enclose a copy of your certificate.

Q 02 Is the company described Yes No

in an organisation chart? If yes please enclose a Copy:
Q 03 Is the quality department Yes No
described separately in the If yes please enclose a Copy:
organisation chart?
Q 04 Does the company have a Yes No
quality improvement plan If yes please enclose a Copy:

DOCUMENTATION
ISSUE DATE ORIGINATOR REVIEWED BY APPROVED BY DCN No:
 FRMRev:00

for processes?

Environmental information
E 01 Environmental      
Management Systems:
Certifying company:      
Date and year of approval: Date       Year:      
:

It is not necessary to answer questions E 02-E 10 if the company is certified according to

ISO 14001 or similar Environmental Management System. If so please enclose a copy of
your certificate.

E 02 Does the company have an Yes No

environmental Policy? If
yes, please enclose a Copy:
E 03 Does the company make Yes No
systematic data collection
of energy consumption? If      
yes, please explain.
E 04 Does the company make a Yes No
systematic data collection
of water consumption? If      
yes, please explain.
E 05 Does the company work Yes No
out a systematic survey of
the consumption of raw      
materials and subsidiary
materials? If yes, please
explain.
E 06 Does the company have an Yes No
objective about replacing
materials, which are      
dangerous to the
environment or injurious
6

to the health? If yes, please

Page

explain.
E 07 Has there through Yes No
analyses and/or
calculations been any      
mapping, which shows the
load of the company on the
environment? If yes, please
explain.
E 08 Does the company have Yes No
any disagreement with the
environmental authorities?      

DOCUMENTATION
ISSUE DATE ORIGINATOR REVIEWED BY APPROVED BY DCN No:
 FRMRev:00

If yes, please explain.

E 09 Does the company have a Yes No
survey of the waste
production?
E 10 Is the waste sorted Yes No
according to the local
national laws and      
regulations? If no, please
explain.
E 11 Has the company worked Yes No
out a policy for the
working environment? If      
yes, please explain.

Other relevant information:

GI 01 Does the company employ Yes No
persons under the legal
age?
GI 02 If your answers to question Yes No
GI 01 is “Yes”, is the work
then performed in
accordance with the
UNICEF convention about
child labour: “The
Convention on the rights
of the Child”?
GI 03 Does the company use Yes No
forced labour in
accordance with the ILO-
convention No. 29, article 2
and No. 105, article 1?
GI 04 Does the company have an Yes No
equal rights/non-
discrimination policy?
GI 05 Is the company willing to Yes No
7

accept that C&S

Page

ELECTRIC LIMITED
maintains the right to
verify the validity of the
above-described answers
by audits at the company?

Documents to be enclosed:
Quarterly or Annual P&L Enclosed

Annual Report Enclosed

DOCUMENTATION
ISSUE DATE ORIGINATOR REVIEWED BY APPROVED BY DCN No:
 FRMRev:00

Organisation Flow Chart Enclosed

Production Process Flow Enclosed

Diagram

Technology Roadmap of New Enclosed

Product Introductions
Photocopies of Certification Enclosed

Name and position of person completing above questionnaire (in printing):

Title:      Name:      Date:      

Signature of the person responsible:

___________________________________________

C&S ELECTRIC LIMITED Evaluation (to be filled in byC&S ELECTRIC LIMITED):

Based on the above questionnaires the Supplier is Yes:       No:      
approved

Signature of Supplier Development representative Initial:

If no purchasing has been carried out in an uninterrupted 12 months period the Supplier
Approval is terminated and a new approval process has to be carried out.

Remarks:     
8
Page

DOCUMENTATION
ISSUE DATE ORIGINATOR REVIEWED BY APPROVED BY DCN No: