Vendor Information Report(for Initial and Renewal)

To : ( ) Purchasing Team

Doosan Heavy Industries &Construction Co., Ltd.

22, DoosanVolvo-ro, Seongsan-gu, Changwon, Gyeongnam, 642-792, Republic of Korea

Note : Vendor shall use this Format to prepare the requested information report and related documents and submit to the Procurement Team after obtaining blank format from e-sourcing of internet homepage () or from responsible personnel of procurement Team or QA Team.

1.0General

1.1General Information of the Company

Vendor Name / Name of the
responsible Company Officer
Address
(including Zip Code) / Head Office
Shop(s)
Contact Point
Name & Position
Tel. Number / Fax. Number
Registration Number of the Company / Capacity of Plant
(m2)
Capital (USD) / Company Established Year/Month/Date
Internet Homepage
Address (URL) / Contact Point
e-mail address

1.2 Status of any Licensing Agreements (Describe Name of Company, Country, Agreement Period etc.,)

1.3Identify the Major Projects and Names of the Customers (the performance for recent 3 years)

Customer / Project / Item / NCR/CAR / Nuclear/
Non-Nuclear / Date of Shipment

1.4Sales Amount for the Last Three Years :

2.0Work Scope

2.1Items and Services that Vendor desires to supply (item types, forms etc.)

2.2Submit Inspection Report related Doosan PJT(Only for SC Class)

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3.0Employee Status

3.1 Submit an organization chart that includes major (key) employee names, positions and reporting relationships and interfaces

Department / Design / Engineering / Production / QA / QC / Others / Total
Number of Employee

3.2Identify the status of qualified and certified personnel (Submit personnel qualification and certification status for each person that the applicant is using for each of the following activities) :

(1)Registered Professional Engineer(RPE)

[Describe the Name of each RPE individual, registered Engineering field (e.g. : Mechanical, Civil Construction etc.), Registration/Certification Number, Registration/Certification Expiration Date, Professional Registration Authority (Issuing organization) etc. and attach a copy of certification.] Note: This category is only applicable to activities of ASME Sect. III, ASME Sect. VIII. Div.2, KEPIC MN/SN, etc. in which the RPE is involved.

(2)Nondestructive (NDE) Personnel

[Describe Name of each NDE individual, applicable Standards and/or Codes including issue year of standards/Codes or authority used as a basis for certification. Identify the certification body (ASNT, Company Internal Procedure etc.), NDE Type and Level of Certification (UT Level I, MT Level III, RT, PT, VT, ECT etc.), Certification Expiration Date, etc. and attach a copy of each certification and current physical examination record.].

Note: This category is only applicable when NDE is performed by the vendor’s own employee.

(3)Welders/Welding Operators

The list of certified welders/welding operators that includes name of each qualified individual, welder unique identification number, grade, applicable Code or Standard to which qualified, welding process/method, welding positions, thickness range, and other applicable process parameters for which qualified, and the qualification expiration dates shall be submitted.

(4)Submit the information of the status of personnel for Inspection/Test, Auditor, Heat Treatment, Painting, Calibration etc. as applicable including the appropriate information such as identification number, grade, applicable Code or Standard etc.

4.0 Facility and Equipment Status

4.1Manufacturing Facilities/Equipment List [Describe Item/Equipment Name, Size, Manufacturer, used year, quantity, usage/purpose, Calibration Due Date, if applicable]

5.0Quality Assurance System Status

5.1Describe the current QA Manual in the below and submit controlled copy of one set by hard copy or
electronic file. (It is not required to submit the QA manual if it is the same with currently submitted
and approved by Doosan)

QA Manual Doc. No. / Rev. No. / Rev. Date

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5.2List of the QC Procedures which are used to implement the Quality System (Describe Procedure Number, Procedure Title, Revision Number, Revision Date)

5.3 Certificates Status (Such as Quality Assurance / Quality Management System Certificates)
Describe Certification Body, Certified Type, Applicable Codes/Standards, Initial acquired date, Expiration Date, Certificate Number, Certified Address etc.

I, as a representative of the applicant Company identified below, hereby submit this application and vendor information report. I hereby state that all information submitted with herein and attached is correct and accurate. I also commit with below signature that if DHICO requests additional information I will comply with the Doosan Heavy Industries & Construction Co., Ltd. request.

Submitted By: ______Signature: ______

Title/Position: ______Date: ______

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