SUPPLIER REGISTRATION & PUR/F/01-00

ASSESSMENT FORM

Name of
company
Type of company Partnership  Proprietary  Public Ltd.  Private Ltd. 

Details
Contact
Person

Designation

Address

Telephone

Fax

E-mail

Weekly Of

CST Reg. No.: TIN Reg. No.:

Income Tax No.: TDS No.:

SSI Reg. No.: (if Ex. Reg. No.: /
SSI) ECC no.:
Range of
products /
services ofered:

Selection Criteria:

Past History ISO Certified Authorized Dealer / Stockist

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ASSESSMENT FORM

Others, please specify ………………………………………………………………….

Type & Extent of Control:

Purchase Order Verbal Order Incoming Verification

Others, please specify ………………………………………………………………….

Packing & Delivery Terms:

Packing Condition…………………………………………;;;;……………………………………………

Delivery Conditions………………………………………………………………………………………….

Dispatch Conditions………………………………………………………………………………………..

Price Comparison ………………………………………………………………………………………..

No of Employee ………………………………………………………………………………………..

APPLICABLE EXCELLENT GOOD AVERAGE POOR

SI.NO PARAMETER
( YES / NO) (3) (2) (1) (0)
Material Storage & incoming
1
inspection
Mfg controls & on-line
2
inspection
Equipments & M/C
3
maintenance and tool controls
House keeping & working
4
environment

5 Utilities Support

Capacity utilization & Delivery

6
commitments
Identification & control of non-
7
conforming product

8 Infrastructure

Skill level of working personal

9
& Training

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Type and Machinery

10
available

a) Audit Rating Scale:

- System in place, compliance exceeds __________ 's
3 (Excellent)
requirements
2 (Good) - System in place and compliance is evident

1 (Average) - System in place and compliance is evident

0 (Poor) - No system in place

b) Audit Score Total points scored X 100 =

(% Rating)
No.of applicable elements x 3
c) Audit Grading :

Excellent (96 - 100) Average (75 - 89)

Good (90 - 95) Poor (less than 75)

Payment Terms:

Cash DD / Cheque Advance / Credit Terms ………………………………….

Comments:

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ASSESSMENT FORM

Supplier
YES NO
Approved:

Date of approval: …………………………

Signature:

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