Supplier Application Form

- 1. Company information
- company name
- address 1
- Association No. / Registtration No.
- address 2
- phone
- Country
- website
- DUNS number
- VAT number
- 2. Contacts
- managing director
- Phone
- Email
- sales
- Phone
- Email
- quality
- Phone
- Email
- order receipt
- Phone
- Email
- forecast receipt
- Phone
- Email
- 3. Cooperation terms
- terms of payment
  
  Days, numbers only
- incoterms
- Untitled
- 4. Geographical footprint
- Geographical footprint
  - national
  - regional / continental
  - global
  National
  Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean eget nibh dictum, auctor ipsum in, cursus odio. In sit amet augue posuere, consequat erat vitae, facilisis leo. Nulla rhoncus semper condimentum. Morbi laoreet libero eget tempor euismod. Donec in tortor at augue porta mollis eget non nunc. Suspendisse ut auctor.
  
  regional / continental
  Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean eget nibh dictum, auctor ipsum in, cursus odio. In sit amet augue posuere, consequat erat vitae, facilisis leo. Nulla rhoncus semper condimentum.
  
  global
  Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean eget nibh dictum, auctor ipsum in, cursus odio. In sit amet augue posuere, consequat erat vitae, facilisis leo. Nulla rhoncus semper condimentum.
- 5. Certificates
  - ISO 9001
  - ISO 14001
  - ISO 13485
  - IATF 16949
  - ISO 45001
  - Others
- 6. A Type of Business
  - Manufacturing
  - Distribution
  - Indirect / Consumables
  - Services & consultancies
- 6. B Category area
  - Mechanics
  - Customized Electro-mechanics u000band Modules
  - Electronics
  - Others
- 7. Rohs, reach, conflict minerals
- 7.1 Do you have a system to ensure compliance to RoHS directive 2011/65/Eu or newer?
- 7.1 Do you have a system to ensure compliance to RoHS directive 2011/65/Eu or newer?
  - Yes
  - No
- comments
- 7.2 Can you provide of RoHS compliance, or all deliveries?
- 7.2 Can you provide of RoHS compliance, or all deliveries?
  - Yes
  - No
- comments
- 7.3 Do You have a system to ensure compliance to the REACH directive No 1907/2006 or newer?
- Do You have a system to ensure compliance to the REACH directive No 1907/2006 or newer?
  - Yes
  - No
- comments
- 7.4 Can Your company provide documentation for REACH compliance, for all deliveries?
- 7.4 Can Your company provide documentation for REACH compliance, for all deliveries?
  - Yes
  - No
- comments
- 7.5 Do You have a system to ensure compliance to the Dodd-Frank Act (Conflict minerals usage)
- Do You have a system to ensure compliance to the Dodd-Frank Act (Conflict minerals usage)
  - Yes
  - No
- comments
- 7.6 Can you provide CMRT to confim your compliance to Dodd-Frank act?
- Can you provide CMRT to confim your compliance to Dodd-Frank act?
  - Yes
  - No
- comments
- 8. Sustainability
- 8.1 Do You have a sustainability program ?
  - Yes
  - No
- 8.2 Can you provide Full MDS (Material Data Sheet) for all your products?
  - Yes
  - No
- 8.3 Can you declare Carbon Footprint for your products?
  - Yes
  - No
- - 9. A Ownership
  - ownership
    private
    
    joint venture
    
    state owned
    
    public
    
    other
- - 9. B Company Info
  - Main owners / shareholders
  - number of employees
  - year of establishment
- - 9. C Finance last Year (EUR)
  - net sales
  - ebit
  - Equity ratio %
    (Total Shareholders Equity/Total Assets)
- 9. D Your 3 main customers in % of Turn-over
- - #1
  - %
- - #2
  - %
- - #3
  - %
- 10. Bank information
- bank name
- account no. or iban
- bank address
- BIC-code (formerly Swift Code)
- 11. Scanfil Basic Requirement
- I have read and agree to the Terms in Scanfil Basic requirements*
  - I have read and agree to the Terms in Scanfil Basic requirements.
- 12. Scanfil Code of Conduct
- I have read and agree to the Terms in Scanfil Code of Conduct*
  - I have read and agree to the Terms in Scanfil Code of Conduct
- Date
  MM slash DD slash YYYY
- Name*
- position / title:
- Email*

Supplier Application Form

Supplier Application Form

1. Company information

2. Contacts

3. Cooperation terms

4. Geographical footprint

National

regional / continental

global

7. Rohs, reach, conflict minerals

7.1 Do you have a system to ensure compliance to RoHS directive 2011/65/Eu or newer?

7.2 Can you provide of RoHS compliance, or all deliveries?

7.3 Do You have a system to ensure compliance to the REACH directive No 1907/2006 or newer?

7.4 Can Your company provide documentation for REACH compliance, for all deliveries?

7.5 Do You have a system to ensure compliance to the Dodd-Frank Act (Conflict minerals usage)

7.6 Can you provide CMRT to confim your compliance to Dodd-Frank act?

8. Sustainability

9. A Ownership

9. B Company Info

9. C Finance last Year (EUR)

9. D Your 3 main customers in % of Turn-over

10. Bank information

11. Scanfil Basic Requirement

12. Scanfil Code of Conduct