SELF APPRAISAL BY VENDOR

CATEGORY:MANUFACTURER / AUTHORISED DEALER/ DEALER/ SERVICE PROVIDER

MAJOR PRODUCT CATEGORY OFFERED :

GENERAL INFORMATION:

1. Name of Vendor:

2. Status of vendor Prop/ Pvt. Ltd.:

Partnership/Public Ltd./

Others (please specify)

2 a . Name of the promoter:

3. Address:

Office

Factory/Depot

- Telephone Nos.:

- Fax No.:

-Contact Person:

-Designation/Department:

Phone nos.:

Fax nos.:

Email:

4. Excise Registration no.:

5. E.C.C. code no.:

6. Sales Tax /CST no. :

7. Income tax no.(PAN):

8. Name of main Bankers :

9. Annual turnover (of last 3 years): 2004-05 : 2003-04: 2002-03:

10. Products/Product group:

11. Person responsible for

Quality control.Assurance:

Name

Designation

Direct line phone no.

Fax no.

12. Organisational Setup:

13. Technical Collaborations , if any :

14. Area of works, Covered:

Open:

QUALITY SYSTEM REQUIREMENTS

Kindly furnish the information requested below (Attach separate sheets if required).

( If any of the clauses indicated in this format is not applicable to you please indicate N.A. against that clause.)

1.0 Quality assurance system
1.1 Please specify quality assurance
system in your organisation.
1.2 Are there written detailed procedure
& instruction for manufacturing,
in process control etc. ?
1.3 Pl. specify the manpower in your
quality assurance dept.
1.4 List of instruments & facilities.
1.5 Stagewise inspecton
a) Raw materials
b) During processing
c) Finished goods
1.6 List of jobs undertaken under third
party inspection with the name , if any.
1.7 Testing facilities.
1.8 standards & codes followed.
2.0 Do you inform your customer
2.1 Changes of product quality
2.2 Production interuptions
2.3 Changes regarding delivery
quantity and schedule
2.4 Changes with respect to
packaging. / Yes / Partly / No / Comments , if any
3.0 Do you keep référence sample for
every despatched lot of your
product.
3.1 How long do you keep référence
samples ?
4.0 Do you have written
specifications for all
intermediates and products ?
5.0 Is inspection and testing planned
and carried out as per
documented procedure ?
6.0 Is there a written procedure for
handling of non conforming
product ?
7.0 Do you have documented
procedures for handling
customer complaints ?
8.0 Do you have procedures for
handling, Storage, Packaging,
preservation for incoming
material & also for delivery
products inprocess as well
as to the customer ?
9.0 Do you ensure that dangerous
goods are packed, labeled,
shipped and declared in
accordance with national/
international regulations ?
10.0 Do you conduct training
programs for your
employees with respect to the
quality process ?
11 Manufacturing
11.1 List of machinery with capacity &
make.
11.2 Manpower available
a. Engineers
b. Supervisors
c. Skilled labour
d. Unskilled labour
11.3 Planning & monitoring tools available / On company’s roll On contract
12.0Procurement
12.1 List of major raw materials procured
& their sources.
12.2 List of major bought out items &
their sources.
12.3 List of major imported items and
country from where imported.
12.4 List of major subcontractors.
13.0Marketing
13.1 List of major clients product wise
with date of commissioning and
order value.
13.2 List of special jobs undertaken with
value.
13.3 Specialisation, if any.
13.4 If already supplying to KPL details of orders executed.
14.0 After Sales Service
14.1 Location and strength of service
centres.
14.2 Facilities available at service centres.
14.3 Availabilty of spare parts.
15.0Documents to be enclosed .
15.1 The last Annual report.
15.2 Current Income Tax clearance
certificate

I/We declare that information furnished above is correct to best of my/our knowledge.

I/We undertake to inform you at the earliest of any changes in details mentioned above.

Signature :

Seal of the companyName :

Designation :