PUR/FO/01-09

QMS
FORMAT ISO/TS 16949:2009
EMS
ISO14001:2004
EPCOS India
SUPPLIER DATA SHEET/ INITIAL SURVEY
Private Limited Page 1 of 7
Nashik FORM

Expected Purchasing volume per annum –

(To be filled in by Supplier)

Supplier Self Assessment - Annex I

Identification

Supplier Name: C&S Electric Limited

Supplier Address: Corporate office: 222, Okhla Industrial Estate, Phase-3, New Delhi-110022

Complimented by:
Name Manmohan Singh
Position Head Quality Assurance
Email Manmohan.singh@cselectric.co.in
Phone 120-3894255
Date 1/3/17
Signature
QM-System
When Planned
Yes Register No. Issued Expiration
179984-2015-AQ-IND-
ISO 9001  RvA 11/6/15 10/6/18 
ISO TS 16949  NA 
IRIS  NA 
VDA 6.1/QS 9000  NA 
→ Please provide Copies of Certificates and fill in also Supplier Self Assessment questionnaire (sheet 2)
EM-System
Register
Yes No. Issued Expiration (*1) Which one
BE-13EMS
ISO 14001  6139 02/4/16 01/4/19 ISO 14001
BE-13
EMAS(*)/ OHSAS  HMS1699 02/4/16 01/4/19 ISO 18001
Comparable
systems(*1) 
(*) EMAS: Eco Management & Audit Scheme
(*1)Please provide Copies of Certificates. If not system, fill in Environmental management questionnaire
(sheet 3)
EPQM-System (Enviromental Product Quality Management System) - Please see Normative
A61213-A103
EPCOS Banned and Declarable Substances List (BAD-SL)

EPCOS India Private Limited. A Group Company of TDK-EPC Corporation

 PUR/FO/01-09
QMS
FORMAT ISO/TS 16949:2009
EMS
ISO14001:2004
EPCOS India
SUPPLIER DATA SHEET/ INITIAL SURVEY
Private Limited Page 2 of 7
Nashik FORM

Normative A61213-
Knowing (Y/N) Compatible (Y/N) Comments
A103
ROHS N
GADSL N
REACH N
ELV N
Epcos special CoC (Y/N) (*2) Freq Information included
requirements in CoC
Material Certificates
(*2): CoC: Certificate of conformity. Please send example
Social responsability-Labour Agreements (*2)
Yes
Code of conduct  Yes
Labour union
agreement  No
Govermmental
regulations  Yes
Certification
(SA8000;EICC;WRAP;ICTI)  No
(*2) Please provide
Copies

Result Supplier Self Assessment

questionnaire:

Supplier Self Assessment questionnaire Film Division –

Annex II
1. Quality Management System Y P N
1.1 Does a quality management system exist (in document or manual)?   
1.2 Does QM-system describe all important processes?   
1.3 Is the Product Quality Assurance independent from
Prodcution?   
1.4 Is zero-defect quality a
goal?   
1.5 Do you know and/or use toolings described in
ISO/TS?   

2. Tests
2.1 Is a Control Plan procedure established including tests from incoming goods to
delivery?   
2.2 Do you have an incoming raw material inspection or equivalent monitoring
measurement?   
2.3 Are (in production) tests being carried out, to avoid defects?   
2.4 Is Statistic Process Control (SPC) implemented?   
2.5 Does a final inspection exist, to ensure the demanded
quality?   
2.6 Are identity controls being carried out before goods are delivered?   

3. Analysis 
3.1 Does the necessary testing equipment exist and is it calibrated and capable ?   
3.2 Are measurement system analyses (MSA) being carried out?   
3.3 Are capability studies for processes and machines being carried out (Cpk)?   
EPCOS India Private Limited. A Group Company of TDK-EPC Corporation
 PUR/FO/01-09
QMS
FORMAT ISO/TS 16949:2009
EMS
ISO14001:2004
EPCOS India
SUPPLIER DATA SHEET/ INITIAL SURVEY
Private Limited Page 3 of 7
Nashik FORM

3.4 Is FMEA practised?   

3.5 Is PPAP practised?   
3.6 Are reliability studies carried out and documented?   
3.7 Is a procedure for new developments used (Advanced Product Quality Planning /
APQP)?   

4. Processes
4.1 Is a system established for order review and order
processing?   
4.2 Is a documented procedure for new development and changes established?   
4.3 Is a procedure for review and exchange of technical documents implemented?   
4.4 Are customers being informed, before changes (of processes, materials, tools, locations)
are carried out?   
4.5 Are the important process steps carried out automated?   
4.6 Will the customer be informed immediately in case of shipment delays?   
4.7 Will the customer be informed immediately if quality problems are identified after
shipment?   
4.8 Is the 8D procedure know and use to handle complaints and
rejections?   
4.9 Are failures and complaints systematically eliminated by
improvements?   

5. Risk management
5.1 Do emergency plans exist (for lack of material, employees, machine downtime...)?   
sum answers ___ ___ ___
multiplicate sum with 2 1 0
result of multiplication ___ ___
Y = yes sum of results ________
P = partially
Result
N = no = sum of results x100%
56 ___________

Environmental Management questionnaire Film Division – Annex III

Complimented by:
Name : Mr. Duryodhan Parhi
Position : Sr. Manager HR
Email duryodhan.parhi@cselectric.co.in
Phone : 9958355581
Date : 1/3/17
Signature:
0.Do you have an environmental management system in
Y N
place
and is it validated or certified?  
ISO 14001 EMAS Comparable systems
If Yes: Please provide a copy of your environmental policy or of the certificate.
If No: Please answer the following questions.
1. No environmental system in place yet, but evaluation scheduled for:……………
Comparable systems
ISO 14001  EMAS  

EPCOS India Private Limited. A Group Company of TDK-EPC Corporation

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QMS
FORMAT ISO/TS 16949:2009
EMS
ISO14001:2004
EPCOS India
SUPPLIER DATA SHEET/ INITIAL SURVEY
Private Limited Page 4 of 7
Nashik FORM

2. Do you have an alternate management system in place which covers Y N

environmental issues?
If yes, please describe the system:  
3. Has your environmental system been audited? Y N
done by internal audits  
done by external audits  
4. Do you regularly analyze the following topics for effects on Y N
environmental
 
compatibility
manufacturing processes  
supply - and disposal processes  
for your products?  
5. Do you take into consideration environmental impacts Y N
during the process of product design and process engineering?  
6. Does your company pay attention to written guidelines and the law regarding Y N
environmental aspects (e.g. apply for equipment with major impact on the
environment, keep the rules for usage of hazardous material or waste disposal?  
7. Do you track usage of water and energy as well the Y N
amount of waste and waste water?  
8. Do you have records of environmental activities in your company and the results? Y N
 
9. Have you defined the goals for improvement in environmental protection Y N
and have you documented the activities completed?  
10. Do you train your staff on regular basis regarding environmental issues? Y N
 
11. Have you established activities for protection of resources? Y N
 
12. Do you have influence on environmental activities with your Y N
supply base and your contract partners?  

13. Have you received and studied the EPCOS standard A61213-A103 (Legal Provisions Y N
Control of Dangerous Substances) & can your company?  

14. Are your company able to fulfill A61213-A103 requirements? Y N

 
15. Are your company able to send the required documentation Y N
for A61213-A103?  
16. Are your company acknowledged the ‘Mandatory Safety Requirements Y N
for Supplier / Contractors / Processors / Transporters’?  

EPCOS India Private Limited. A Group Company of TDK-EPC Corporation

 PUR/FO/01-09
QMS
FORMAT ISO/TS 16949:2009
EMS
ISO14001:2004
EPCOS India
SUPPLIER DATA SHEET/ INITIAL SURVEY
Private Limited Page 5 of 7
Nashik FORM

Supplier Company Profile incl. Risk Assessment

General Information

Company’s Name:      C&S Electrical Limited

VAT No.:      09465800042

Address*:      222, Okhla Industrial Estate, Phase-3, New Delhi-110022

Type of Ownership:      Limited company

Ordering Address (if different than *):      same

ZIP Code:      201305

City:      New Delhi

State:      New Delhi

Website:      www.CSelectric.co.in

Banking Data

Bank Name:      Standard Chartered Bank

IBAN (International Bank Account No.):      522-0-577118-8

SWIFT (or BIC) Code:      SCBLINBBXXX

Payment terms:      50 Days

Delivery terms:      -

Currency:      INR

Organisation
Site involved in the EPCOS FK-business
Number of Employees Foundation
Name/Description (Year)
Total Prod Quality R&D Purchasing Sales Administration
TC Noida 436 299 52 30 25 16 14 1990

Organisation chart annexed: Yes No

Contact (Key communication partners for EPCOS FK)

Sales Logistics Quality Environment /

RoHs and IMDS
Contact
Name Rakesh Singh Neeraj Gupta Manmohan Singh Duryodhan Parhi
Position Manager Sales LVC Manager Sr. Manager Sr. Manager
Phone 9860574515 9891801328 9988090733 9958355581
Mailto rakesh.singh@ Neeraj.gupta@ Manmohan.singh@ Duryodhan.parhi@
cselectric.co.in cselectric.co.in cselectric.co.in cselectric.co.in

Language English, Hindi English, Hindi English, Hindi Hindi, English

EPCOS India Private Limited. A Group Company of TDK-EPC Corporation

 PUR/FO/01-09
QMS
FORMAT ISO/TS 16949:2009
EMS
ISO14001:2004
EPCOS India
SUPPLIER DATA SHEET/ INITIAL SURVEY
Private Limited Page 6 of 7
Nashik FORM

Business Information
Orders Volumen (last 3 years)-K€ or K$
Year 2 Years ago Previous Year This year (expected)
EUR                  
Customer Business structure
EUROPE ASIAN PACIFIC NAFTA
Customer stucture acc. turnover (%)                  
Supplier structure acc. purchasing volume (%)                  

Type of Business

Automotive Yes No Non-Automotive Yes No

Product description       Contactor, Relay, starter, DP

contactor, capacitor duty contactor
Supplied to       GE, Elgi, others OEM
Since       1990
Internal PPM / Scrap % 2000
Customer PPM 277
Main Products for EPCOS FK Business

Product 1 Product 2 Product 3 Product 4

Cap Duty
Description                  
Contactor
Lead time 15 days                  
Capacity Constraints Nil                  
Yield / ppm -                  

Risk Management

Risk Concept Financial related risk

available available
Identification of Risks Annual report
Avoidance of Risks Company Brochure
Minimization of Risks
Risk Transfer to Insurance Company

→Limit of Third Party Insurance:       € → Please provide copies of the documents

Production related risk Business related risk

available available
Fire Prevention Security Concept Risk Analysis Suppliers Breakdown
Risk Analysis Production Breakdown Analysis of single sources
Protection of Production Bottlenecks
Possibilty of Switch over Facilities
Sub-Contractors Breakdown
Risk in terms of Dangerous Substances
EPCOS-Specific Information
Contracting – Willness to close/confirm
yes no

EPCOS India Private Limited. A Group Company of TDK-EPC Corporation

 PUR/FO/01-09
QMS
FORMAT ISO/TS 16949:2009
EMS
ISO14001:2004
EPCOS India
SUPPLIER DATA SHEET/ INITIAL SURVEY
Private Limited Page 7 of 7
Nashik FORM

General Technical Specification

A61213-A103 Legal provisions on
Control of Dangerous substances
Purchase Agreement
QAA
Consignment Contract
Tooling Contract (*)
NDA (non-disclosure agreement) (*)
(*) If applicable
Business with other EPCOS Legal Entities (please specify Name/Division and Yearly Purchase Volume):
          
Signature and Acceptance
Name:       Position:      
Phone:       Email:      
Date:       Signature:      

I certify herewith that this information is true and correct

Recommendations -

Buyer Functional Head Divisional Head CFO / MD

(Note – As per Delegation of Authority –

1. Signature of Either of the signatories mandatory – CFO, MD
2. For BOM Items - Min. level of sanctioning authority – Divisional Head)

EPCOS India Private Limited. A Group Company of TDK-EPC Corporation