Manufacturing Corporation (Thailand) Ltd.
Supplier Assessment Request
(This form to be completed by Supplier)
Buyer : Anchalee S Ext : 4566
Please complete the following questions of your company. No.
New Vendor Changed Information Vendor
1. Supplier Name
Taxpayer ID BOI Zone Type
2. Company address
Office address :
City : State :
Country : Postal Code :
Telephone : Fax :
(Area Code - Number) (Area Code - Number)
Factory address :
City : State :
Country : Postal Code :
Telephone : Fax :
(Area Code - Number) (Area Code - Number)
Automatic PO to
E-mail address: 1) 2)
3) 4)
3. Contact Name
1.(President) Title : E-mail : Tel :
2.(Sales/Marketing) Title : E-mail : Tel :
3.(Account) Title : E-mail : Tel :
4.(Quality) Title : E-mail : Tel :
5.(Other) Title : E-mail : Tel :
4. Main Bank Reference
Bank Name :
Accounts Number : Accounts Number : Brach Name :
Bank Address : SWIFT Code :
City : State :
Province : Postal Code :
Telephone : Fax :
(Area Code - Number) (Area Code - Number)
5. Payment type
Payment Terms : Trade Terms :
Ship By : Freight Terms :
Invoice Currency : Payment Currency :
Invoice Tax Code : No Vat Vat
6. Year Of company Establish
7. Parent Company name
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8. Capital Investment
Authorized : Paid-up :
Please list the name of your top three shareholders
1. Title :
2. Title :
3. Title :
9. Employees
- Production workers / technicians : persons
- Engineering : persons
- Quality control staff : persons
- Business administration staff : persons
10. Products List
11. Your Material suppliers (Please list your main material supplier and state type of materials purchased.)
Name Materials
1.
2.
3.
12. Technical team for Service Yes No
13. Technological Partners (If you have, please specify the company's name)
14. Quality Standard
(If you acquired any standards such as ISO, UL and etc…., please specify the name)
15. Please provide us a copy of following together with this request.
1) Your Company Profile 2) Company's brochure or products catalogue.
16. FOR SUPPLIER SUPPLY MACHINE AND TOOLING USE ONLY
If you supply for machine or Tooling , Would you please provide us for document below
- Machine lists. - Environment system document
- Safety system document (Internal & External) - Quality report tfor final process of products
- Service Call Center Name Tel
We would like to thank you very much for your cooperation and valuable informantion.
Your information will be treated in strict confience.
Submitted by : Name
Title Date
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For MMCT only
Disposition Accept Reject
Audit Need No need
Disposition by :
(Procurement/Buyer name)
Approved by :
(Procurement/Purchasing Section Manager)
Approved date :
(D/M/Y)
Note : In case need audit must be follow instruction for supplier audit (TI-PIN-611)
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