COMPANY NAME & ADDRESS

SUPPLIER REGISTRATION FORM

REGISTRATION FOR SUPPLY OF: SL NO.

DATE:

PRESS/TURN/ MOULDED/ASSEMBLY/SURFACE TREATMENT/ELECTRONIC/OTHERS (SPECIFY)

(TO BE CARRIED OUT BY MACUREX SENSORS )

1. NAME OF THE SUB-CONTRACTING COMPANY:

2. ADDRESS:

WORKS

OFFICE

3. TEL. NO: WORKS OFFICE

FAX NO: WORKS OFFICE

E-MAIL:

4. CONTACT PERSON: NAME: DESIGNATION:

5. YOUR BANKERS:

6. LAST 2 YEARS TURN OVER:

7. COMPANY INCORPORATED AS: PARTERNSHIP/PVT LTD/PUBLIC LTD.

(TICK WHICHEVER IS APPLICABLE)

8. LAND & BUILDING : OWN / LEASE / RENTED.(TICK WHICHEVER IS APPLICABLE)

9. PRESENT NATURE OF BUSINESS:

(EG. 1. MANUFACTURE AND SUPPLY OF PRESS

COMPONENTS - IN CASE OF PRESS INDUSTRY.

2. MANUFACTURE AND SUPPLY OF INJECTION

MOULDED COMPONENTS )

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10. TOTAL INSTALLED CAPACITY :

PRESENT UTILISATION: (%)

11. NO. OF EMPLOYEES: MANAGEMENT:

SUPERVISORY STAFF:

OPERATORS/WORKMEN:

TOTAL:

12. NO. OF SHIFTS:

13. WEEKLY OFF:

14. LIST OF PROMINENT CUSTOMERS:

15. LIST OF MACHINERIES : ( USE ENCLOSED FORMAT TO PROVIDE DETAILS)

16. LIST OF TESTING AND MEASURING EQUIPMENTS:

17. WHAT AMOUNT OF INCOMING MATERIAL INSPECTION YOU CARRY OUT?

( FOR RAW MATERIAL AND CUSTOMER SUPPLIED ITEM )

OWN MATERIAL(PURCHASED

MATERIAL)

CUSTOMER SUPPLIED

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18. WHAT AMOUNT OF PROCESS INSPECTION YOU CARRY OUT DURING PRODUCTION ?

IF SO SPECIFY AS TO WHO CARRIES OUT - INSPECTOR/OPERATOR.

19. DO YOU CARRY OUT FINAL INSPECTION BEFORE DELIVERING THE PRODUCT TO

THE CUSTOMER ? IF SO SPECIFY WHO CARRIES OUT - INSPECTOR/OPERATORS.

20. HOW DO YOU IDENTIFY REJECTIONS ?

21. HOW DO YOU DISPOSE OF REJECTIONS ?

22. ANY OTHER DETAILS YOU LIKE TO PROVIDE.

FOR'---------------------(-COMPANY NAME).:

APPROVED FOR SAMPLE PROCUREMENT. YES / NO. SIGNATURE & DATE

TOOLING DEVELOPMENT

TO BE ARRANGED BY MACUREX SENSOR /TO BE DEVELOPED BY SUPPLIER

(TICK WHICHEVER IS APPLICABLE)

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