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1、工程有限公司产品供应商调查表厂商名称(ColnPanyname)：产品名称(PrOdUCtname)：调查单位(SiIrVeycarriedoutby)：填表人(FOrmcompletedby)：填表年月日yearDateofcompletiondaymoth调查邀请InvitationtoCompleteaSurvey公司(单位)：根据XX工程股份有限公司发展需要，我公司拟与贵公司建立互信互惠的供求关系，以便于今后双方发展贸易合作，特邀请贵公司填写供应商调查表。填写此表时各栏不应为空，如无内容应填写“无”；若需添加附页，附页纸张大小必须与本调查表相同；表格格式、项目、内容等亦必须与调查表中的
2、完全一致，并在附件上加盖公章确认，附于调查表之后。感谢贵公司给予的大力支持！Company(Organization):Inordertomeettheneedfordevelopment,offshoreoilengineeringCo.,Ltdwishtoestablishavender-supplierrelationshiponthegroundofmutualtrustandmutualbenefitswishyourcompanysoastofacilitateourfuturecooperation,Wewouldthereforeliketoinviteyoutofillina
3、SupplierSurvey.Nofieldscanbeleftblank,ifafieldisnotapplicabletoyou,pleasewrite“N/A，ifyouneedtoattachadditionalsheetsofpaper,theirsize,formatandlayoutetcshouldbethesameasintheSurvey,thesesheetsshouldbestampedwithyourcommonsealbeforebeingattachedtotheSurvey.Thankyouforyourhelp!XX工程股份有限公司负责人(PerSoninch
4、arge)：年月日Daymonthyear注1：该表填写完毕后，请交递或快递到XX工程股份有限公司通讯地址：，邮编：，联系人：，电话：，传真：Notel:AfterfillingintheSurvey,pleasehandinorposttheformbyspecialdeliverytoOffshoreOilEngineeringCo.,Ltd.CorrespondenceAddress:XXXX,Tanggu,Tianjin,P.R.ChinaPostcode:300451Contactperson:XXXTel:XXX,Fax:XXX填表真实性承诺书(Declaration)XX工程股份
5、有限公司：To:OffshoreOi1EngineeringCo.,Ltd年月日，我单位(公司)向贵公司提交XX工程股份有限公司供应商调查表(包括复印件及有关附件资料)。现郑重承诺：供应商调查表中所涉及的文件、证件、复印件及有关附件资料是真实有效的，复印件与原件是一致的，并对因供应商调查表中虚假所引发的一切后果承担全部法律责任。WeherebysubmitourSupplierSurvey(includingrelevantphotocopiesandappendicesofrelatedinformationaregenuineandvalid,andthatthephotocopiesar
6、etruerepresentationsoftheiroriginals.Wewi11bearalllegalresponsibilitiesforanyconsequenceresultingformanfalseinformationsuppliedintheSupplierSurvey.承诺人(Signerby)：(公司印章)(sealofthecompany)一年一月日DayMonIhYear一、供应商基本信息Basicinformationofthesupplier中文名称(盖章)Chinesename(seal)英文名称(盖章)Englishname(seal)寄送/访问地址Mai
7、ling/VisitingAddress注册地址AddressforCompanyRegistration纳税地址AddressforTaxPurposes邮政编码Postcode传真Fax公司网址Website公司专用E-mailCompanyE-mail企业性质LegalStatus销售人员E-mailSaleteam,sE-mail注册日期/成立日Dateofregistration/incorporation注册机关/工商注册号RegistrationAuthorityZRegistrationNo.注册资本RegisteredCapital经营期限PeriodofBusinessOp
8、erationApproved上级主管部门OverseeingDepartment员工人数Numbersofemployees法人代表Legalrepresentative手机Mobilephone联系人Contractperson电话Telephone行业类型Typeofindustry企业规模CorporateScale营业收入OperatingRevenue净资产Netasset是否上市Listedornot上市地点Listedon上市号Stockcode是否有进出口权Authorizedimport&exportrightgrantedornot进出口许可证号Import/export
9、LicenseNumber年进出口额Annualimport&exportquotas经营范围BusinessScope公司发票专用章(盖章)：Company,ssealforinvoicing(seal)公司合同专用章(盖章)：Company,ssealforcontractpurposes(seal)注1：企业名称与注册名称要核对一致，以英文名称注册的同时列示中英文名称。Note1：Thecompanyname(given)shouldbeitsregisteredcompanyname,ifthecompanynamehasbeenregisteredinEnglish,bothitsE
10、nglishandChinesenameshouldbegiven.注2：一定要分清注册地址和通讯寄送地址。Notes2：Theaddressofregistrationandcorrespondenceaddress(ifdifferent)mustbeseparatelyindicated.注3：对经营场所不定或没有大型设备房产的供应商，要列出业务负责人和法人代表的私人电话。Note3：Forsupplierswhodonotoperateformfixedpremisesorasitewherelargeequipmentisinstalled,theprivatephonenumber
11、softhebusinessowner(s)andtheircorporaterepresentativesshouldbeincluded.注4：如果法人代表并非合同签字人，要证实合同签字人是否能代行职权。Note4：ifthesignatoryofcontractisnotalegalrepresentative,whetherthepersonisproperlyauthorizedtoactonbehalfofthecompanyshouldbeverified.注5：经营范围必须与现经营内容核对一致。Note5：Thedetailsgiveninthebusinessscope*fi
12、ledmustbereflectthecurrentscopeofoperationaccurately.二、供应商发展历史SupplierHistoryofDevelopment发展历史HistoryofDevelopment重大事件变更及拟发生重大事件变更Significantbusinesseventswhichhaveoccurredrecentlyorwilloccur近期重大经营事件及拟发生重大经营事件Significantbusinesseventswhichhaveoccurredrecentlyorwilloccur注1：重大事件包括供应商在所有权、企业性质、改制、合资合作、
13、并购拆分、注册名称、注册地点、法人代表、注册资本、经营范围、行业产品、经营地点、高级管理层方面的重大变动(和发生时间)。Note1：significanteventsincludesignificantchanges(andtheirdates)inownership,legalstatusofthefirm,restructuring,joint-ventureandcooperation,mergerandsplit,registeredcompanyname,addressofregistration,legalmanagement注2：重大经营事件包括可能导致供应商在融资、投资、产品开
14、发、市场开发、经济纠纷、现金流和利润等方面发生较大变化。Note2：Significantbusinesseventsincludeeventthatmightleadtorelativelybigchangeinfinancing,investment,productdevelopment,markerdevelopment,financialdispute,cashflow,profitandsoforth.三、供应商组织结构OrganizationalStructureofSupplier股东名称Nameofshareholders股份Share%实收资本额Actualreceiptca
15、pital内部组织结构简图Simplifieddiagramofinternalstructure可在“十四、附件资料清单”中附加Thediagramcanbeaddedto“XIVListofAppendicesw法人代表姓名Nameoflegalrepresentative性别Gender法人代表职务Titleoflegalrepresentative国籍Nationality学历AcademicQualification法人代表专业背景Professionalbackgroundofthelegalrepresentative法人代表在该职务任职时间Lengthofserviceasal
16、egalrepresentative法人代表在该企业工作时间totalLengthofserviceintheCompany法人代表工作经历简述Resumeoflegalrepresentative采购负责人姓名及电话Name&phonenumberofprocurementmanager设计研发负责人姓名及电话Name&phonenumberofdesignandR&DManager生产负责人姓名及电话Name&phonenumberofproductionmanager质检负责人姓名及电话Name&phonenumberofqualityinspectionmanager售后服务负责人姓名
17、及电话Name&phonenumberofafter-saleservicemanager产品物流负责人姓名及电话Name&phonenumberoflogisticsmanager四、经营状况OperationStatus主营业务Mainbusiness供应商主要产品名称Nameofmainproduct品牌brand比重（）percentage生产能力Productcapacity实际产量Actualproductionvolume生产年份Yearofproduction市场占有率Marketshare产品销1地域（国内,国外,省内%）Geographicareaofsales（domes
18、tic%,overseas%,provincial%）产品销售渠道（批发,零售,代理%）Saleschannel（wholesale%,retail%,agent%）货款收款方式（现收乐赊销乐易货%）Paymentmethod（cashondelivery%,salesoncredit%,barter%）客户类型（国有,三资乐私营%）Customertype（sate-owned%,foreign-funded%,private%）五、生产状况ManufactureStatus原材料采购地域(国内%,国外%,省内)Originsofrawmaterials(domestic%,overseas
19、%,provincial%)采购支付方式(即付，赊账%,易货%)Methodofpaymentforprocurement(cashondelivery%,salesoncredit%,barter%)原材料Rawmaterials主要供应商名称Nameofmainsupplier联系人电话Contactpersonphone委外检验项目Itemswhichinspectedbyexternallycommissionedinstitution检验单位名称Nameofinspectioninstitution联系人电话Contractpersonphone工艺技术的先进性Technologic
20、aledges国际领先aworldleader 国际持平Onparwiththerestoftheworld 国内领先aleaderinthecountry 国内一般水平onparwithcountry*Saverage后续研发资金投入Capitalinvestmentinfollow-upR&D投入占总利润InVeStmentasapercentageoftotalprofit210%5%-10%1%5%口无None满足客户技术要求Customer*stechnicalrequirements口满足且能按要求改进canbemetandimprovedaccordingly口满足但不能改进ca
21、nbemetbutnotimproved不满足但改进后能满足canbeonlyafterimprovements不能满足cannotbemet人员组成staffing专家、管理、技术、检验、操作人员齐全fullteamsofexperts,aswcl1asmanagerial,technical,inspectionandoperationstaff无专家其他人员齐全fullteamsofstaffexpectexperts缺少人员lackofmembersstaff持证上岗情况Certifiedstaff全部上岗人员均有上岗证allmembersofstaffarecertified部分上岗
22、人员缺上岗证onlysomearecertified无上岗证制度noworkcertifiedsysteminplace-notapplicable固定生产设施Fixedproductionfacilities口较新且满足生产需要up-datedandcansatisfytheneedsofproduction口一般且基本满足生产需要averageandcansatisfytheneedsoftheproduction难以满足生产需要cannotsatisfytheneedsofproduction固定仓储设施Fixedwarehousingfacilities口满足生产销售需要cansati
23、sfytheneedsofproduction&sales口不满足生产销售需要cannotsatisfytheneedsofproduction&sales工艺流程简Processflowdiagram，AAA可在“十四、附件资料清单”中附加CanbeaddedtoXIV.ListofAppendixes主要生产设备及己投入运行时间Majorproductionequipmentanditslengthofservice可在“十四、附件资料清单”中附加CanbeaddedtoXIV.ListofAppendixes检验、试验设备已投入运行时间Inspection&trialequipmenta
24、nditslengthofservice可在“十四、附件资料清单”中附加CanbeaddedtoXIV.ListofAppendixes自有经营场所地址、面积、用途(办公/生产/仓储)Address,sizeandpurpose(officeproduction/Warehouse)ofownedsite(s)forbusinessoperation租用经营场所地址、面积、用途(办公/生产/仓储)Address,sizeandpurpose(officeproductionwarehouse)ofownedsite(s)forbusinessoperation六、交货能力Delivery正在执
25、行合同Contractbeingperformed50万元以上合同个NumberofcontractswithvalueoverRMB500k_30万元以上合同个NumberofcontractswithvalueoverRMB300k_10万元以上合同个NumberofcontractswithvalueoverRMB100k_前三年履约交货情况Deliveryinthelast3years交货及时率DeIiVeryontime：口295%93%94%91%92%其它noneoftheabove月平均交易额Averagemonthlytransactionamount货款回笼率(月平均回款额
26、/月平均交易额)Rateofpaymentrecoveryforgoods(averagemonthlypaymentamount/averagemonthlytransactionamount)货款回笼率Rateofpaymentrecoveryforgoods：295%90%94%85%89%其它noneoftheabove存货周转率Rateofstockturnover存货周转率Rateofturnover：212611口15其它noneoftheabove产品随机文件Accompanyingdocuments口证书及文件齐全随机交allproductsareaccompaniedwit
27、hfullsetsofcertificatesanddocumentondelivery证书及文件齐全随后一周交齐allcertificatesandocumentsaresentintheweekfollowingdelivery口证书及文件齐全陆续交齐allcertificatesanddocumentsaresentinbatches其它noneoftheabove最快交货周期Shortestturn-around最大交付能力Maximumdeliverycapacity运输路程Freightdistance物流方式Logistics生产调节和扩充能力Abilitytoadjust&in
28、creaseproduction注1：最大交付能力指在正常交货期内，一批次交货的最大量。Note1：Maximumdeliverycapacityreferstothelargestamountofone-batchdeliveryduringanormaldeliveryperiod.注2：物流方式指供应商产品交付采用的物流组合(包括：输方式组合、运输价格、稳定物流联盟、物流时间等)。Note2：Logisticsmodereferstothelogisticscombination(includingfreightmodecombination,freightprice,long-term
29、logisticsalliance,logisticstimeetc.)adoptedbythesupplierforproductdelivery.七、产品质量保证和售后服务ProductQualityAssurance&After-saleService国家法规条例明确必须具备的资质证书Statelawsandregulationsmusthavecertificatesofqualification 工业产品生产许可证IndustrialProductionPermit口特种产品许可证SpecialProductlicense 经营许可证BusinessLicense 强制性认证Comp
30、ulsoryCertification 型式认可TypeApproval口辐射安全许可证RadiationSafetyLicense 特种行业许可证SpecialTradeLicense CCC认证CCCCertification 道路运输许可证TransportPermits 充装许可证FillingPermit 危险化学品生产单位登记证DangerousChemicalsProductionUnitRegistrationCertificate口货运代理资质证QualificationCertificateforFreightForwarders 国际船舶代理资质证Qualificatio
31、nCertificateforInternationalShippingAgency 报关/报检资质证CustomsDeclaration/InspectionQualificationCertificates 其它Others产品质量保证期Qualityassuranceperiod 质保期23年qualityassurancePeriod23years 1年W质保期V3年IyearWqUalityassuranceperiod3years 半年W质保期Vl年6monthsqualityassuranceperiod1year 其它others质量问题响应Responseonqualityi
32、ssues到达现场时间Arrivalonthescene23天1天2天口1天一次检验合格率Passratesinonego产品使用寿命Productlifespan免费培训Freeofchargetraining注1：免费培训指供应商对客户能做的培训项目及时间情况。Note1：Theafreeofchargetraining,ufreetraining”fieldreferstothetrainingprogrammerprovidedbythesuppliertocustomerandthelengths.八、资信情况CreditPosition开户(人民币和外币)银行名称和帐号Nameof
33、deposit(RMBandforeigncurrencies)bank&accountnumber银行信用评级(选择)Bankcreditrating(optional)AABBBBBBCCCCCC无none开户银行状况和评价Statusandratingofthedepositbank主诉、被诉记录(经济纠纷)Recordofcourtactionstakenandbeingtakentocourt(financialdisputes)付款和拖欠状况Paymentmadeanddefaultofpayment该企业和其他企业的担保抵押记录Recordsofcollateralspledge
34、dandothercompanies同业评价Peerreview银行资信评审报告摘要Summaryofreportsoncreditratingsgivenbythebank授信额度利用率Utilizationrateofcreditline行业排名Industryranking国际排名Internationalranking全国排名NationalrankingXX省内排名Rankinginprovince行业国际前5名RankingTop5inInternationalIndustry全国行业前5名RankingTop5inNationalIndustryXX省内行业前5名RankingT
35、op5inprovinceIndustry信誉不良记录Recordofpoorstanding注：付款和拖欠状况指供应商对其应付账款的付款及拖欠情况和对其应收账款的收款情况说明。Note：The4paymentmadedefaultofpayment*fieldrequiresadescriptionofthesuppliersaccountspayableandreceivableaswel1asthiefdefault.九、客户关系和业绩CustomerRelationship&Achievement近三年在海油系统主要业绩Majorachievementsintheoffshoreoil
36、industryinthelast3years客户customer产品product年均交易金额(万元)Averageannualtransactionamount(IOk)交货及时率()Deliveryontimerate(%)交易笔数NumberoftransactionS客户评价Customerratings合作年限lengthofcooperation近三年在石化行业主要业绩Majorachievementsinthepetroleumandchemistryindustryinthelast3years客户customer产品product年均交易金额(万元)Averageannua
37、ltransactionamount(IOk)交货及时率()Deliveryontimerate(%)交易笔数NumberoftransactionS客户评价Customerratings合作年限lengthofcooperation近三年在其它行业主要业绩Majorachievementinotherindustriesinthe3years客户customer产品product年均交易金额(万元)Averageannualtransactionamount(IOk)交货及时率(%)Deliveryontimerate(%)交易笔数NumberoftransactionS客户评价Custom
38、erratings合作年限lengthofcooperation十、财务状况表FinancialStatements资产负债表Balancesheet今年Currentyear今年Currentyear货币资金Cashandcashequivalents短期借款Shorttermloans应收账款Accountsreceivable应付账款Accountspayable存货Inventories应付工资福利和税金Wages,welfareandtaxespayable其他流动资产Othercurrentassets其他流动负债Othercurrent1iabilities流动资产小计Total
39、currentassets流动负债小计Totalcurrentliabilities长期投资Long-terminvestment长期借款Longtermloans固定资产和在建工程Fixedassetsandconstructioninprogress长期应付款Longtermaccountspayable无形资产和递延资产Intangibleassetsanddeferredassets其他长期负债Otherlongtermliabilities其他非流动资产Otherlongtermassets长期负债小计Totallongtermliabilities非流动资产小计Totallongt
40、ermassets所有者权益小计Totalequity资产合计Totalassets负债与权益合计Totalliabilitiesanequity损益表前年去年今年InCOnleStatenIentTheyearbeforelastyearLastyearCurrentyear采购收入Incomeformpurchase经营利润Operatingprofit息税折旧前利润Earningbeforeinterest,taxesanddepreciation税前利润Earningsbeforetaxes财务比率(计算)FinanCiaIratio(calculated)今年Currentyear今
41、年Currentyear存货周转率Inventoryturnoverrates流动比率CurrentRatio流动资产周转率Currentassetsturnoverrates速动比率QuickRatio总资产周转率Totalassetsturnoverrates资产负债率Asset-liabilityratio总资产收益率Returnontotalassets应收账款周转率Accountsreceivableturnover净资产收益率Returnonnetassets卜一、价格信息PriceInformation产品价格在行业中水平口价格较低lowPricelevelinthe口价格居中a
42、verageindustry口价格较高high十二、质量控制QualityControl认证情况CertificationTS09000认证IS09001Certification认证机构Certificateissuedby管理者代表及职位Managementrepresentative&his/herposition质量目标Qualityobjective是yes否no其他认证OtherCertification采购物料的控制Controlofmaterialspurchased采购定单是否包含PurchaseOrdersIncludes要求的完整描述CompleteDescription
43、图纸与规格DrawingsandSpecifications检验要求InspectionRequirement检测报告InspectingReport包装要求PackingRequirements己认可供应商清单ListofApprovedSuppliers有yes按清单采购DePendentontheProcurementRequired定期维护UpdatedRegularly来料检验的抽样Samplingforincomingmaterialinspection来料检验标准与程序Standards&ProcessesforIncomingMaterialInspection有yes无no来料检验记录Recordsofincominginspection保存2年arekeptfor2years口保存1年arekeptfor1year不保存arenotkept检验物料的状态Statusofinspectedmaterial明确标识CIearIylabeled非明确标识notclearlylabeled遵循先进先出的原则Doyoufol
