Vendor self-assessment

Company information

Company name (incl. legal form):*

Founding year:
 

 Postal adressOffice adress

Street:*
Postcode:*
City:*
Country:*
 

Telephone switchboard:
Global fax no.:
Email:
Website:
 

Contact person

Name:*
Telephone:*
Fax:*
Email:*
 

  Contact person Telephone Mobile phone Email

Management:
Engineering:
Sales (head):
Sales (2. Contact person):

Production (head):
Logistics:
Quality management:
Accounting:

 

No. of employees:
 

Production location

National:
International:
 

References

Name of reference customer
Contact person Telephone EmailDelivered product(s)

 

Quality management

Certification (e.g. ISO, IPPC)
Since when?Comment

 

RoHS

not relevant no confirmation confirmation

Product range

Please select at least one product group.

 
Comment
 

* Mandatory fields