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Supplier's Self-Information

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<strong>Supplier's</strong> <strong>Self</strong>-<strong>Information</strong><br />

1. General Data<br />

Supplier:<br />

Street address:<br />

Place:<br />

Telephone:<br />

e-mail:<br />

Facsimile:<br />

Contact:<br />

Management Sales Department Development<br />

Name: Name: Name<br />

Phone: Facsimile: Phone: Facsimile: Phone: Facsimile:<br />

e-mail: e-mail: e-mail:<br />

Quality Management QM Representative Production Department<br />

Name: Name: Name:<br />

Phone: Facsimile: Phone: Facsimile: Phone: Facsimile:<br />

e-mail: e-mail: e-mail:<br />

Number of employees: Permanently In temporary Casual workers<br />

Manufacturing/Production:<br />

Quality Management:<br />

Maintenance:<br />

Development:<br />

Administration:<br />

Others<br />

employed employment<br />

2. <strong>Information</strong> on QM / eco-management schemes<br />

QM system to:<br />

DIN EN ISO DIN EN ISO VDA 6.1 ISO TS 16949<br />

9001 / 2000 14001: 2004<br />

Certified by:<br />

Certificate valid until: Month Year<br />

Audited by: (Customer)<br />

Date:<br />

Certification planned for:<br />

Month: Year:<br />

Certified by:<br />

Certificate valid until: Month Year<br />

Audited by: (Customer)<br />

Certified by: Customer:<br />

Certificate valid until: Month Year<br />

Audited by: (Customer) Audited by: (Customer)<br />

Date: Date: Date:<br />

Certification planned for:<br />

Month: Year:<br />

Certification plann ed for:<br />

Month: Year:<br />

lieferantenauskunft_E.doc Seite 2 mfr/27.11.2006


3. <strong>Supplier's</strong> Statements<br />

Our company accepts the Fried Quality Directive:<br />

without any restrictions<br />

with the following restrictions:<br />

Our company accepts the Fried Environmental Policy:<br />

without any restrictions<br />

For details of the Fried environmental policy please refer to our homepage: www.fried.de<br />

We would like to meet you personally to discuss how to proceed further.<br />

__________________________<br />

Date and signature (supplier)<br />

Stamp<br />

4. Rating (by Fried)<br />

The supplier has the required quality capability and can be involved without restrictions<br />

in new projects if permitted by the current supplier rating.<br />

The supplier has restricted quality capability only. An audit is required.<br />

Date:<br />

The supplier has no quality capability. Until further notice he may not be taken into<br />

consideration for new projects.<br />

................................................... ................................<br />

(Head of Quality Management) (Purchasing)<br />

Remarks:<br />

lieferantenauskunft_E.doc Seite 2 mfr/27.11.2006

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