1. General Data

Name of company*   Street*   Zipcode, City*   Country*   Please select...ArgentinaAustraliaAustriaBahrainBelgiumBrazilBulgariaCanadaChileChinaColumbiaCroatiaCzech RepublicDenmarkDubaiEgyptEl SalvadorEstoniaFinlandFranceGermanyGreat BritainGreeceGuatemalaHong KongHungaryIcelandIndiaIndonesiaIranIrelandIsraelItalyJapanKazakhstanKenyaKoreaLatviaLithuaniaLuxemburgMacedoniaMalaysiaMexicoMontenegroNetherlandsNew ZealandNorwayPeruPolandPortugalRumaniaRussiaSerbia/MontenegroSingaporeSlovakiaSloveniaSouth AfricaSpainSwedenSwitzerlandSyrianTaiwanThailandTurkeyUkraineUnited Arab EmiratesUruguayUSAVenezuela Telephone*   Fax*   Homepage*   E-Mail*

2. Company Profile

Production Company Trading Company Service Company Please give a short description of the strategy of your company* Foundation   Group to which the company belongs*   Subsidiaries*   Export experience*   Yes No

3. Commercial Data

Company registration number   Place of jurisdiction   Eequity ratio   Turnover within the last three years Year* Turnover in Thousand-EUR* Turnover with IMO in Thousand-EUR Please list three customer references Name* % of turnover*

4. Number of Employes

Year* Total* Production Administration Shifts 1 2 3 1 2 3 1 2 3

5. Contact

Name* Extension E-Mail Managing Director*   Head of Sales*   Head of Production*   Head of Development   Head of Quality Management   Head of the Receiving Department   Head of Shipping

6. Quality Management

Are you certified according to recognized, international standards?* DIN EN ISO 9001 Yes No Planned until: DIN EN ISO 14001 Yes No Planned until: ISO TS 16949, QS 9000, VDA Yes No Planned until: Other Yes No Planned until: To whom the Head of Quality Management reports?   Is there a written quality policy you follow?*   Yes No Do you use preventive Quality Assurance methods like FMEA, SPC or others?*   Yes No Do you have a system with guidelines for meeting environmental protection requirements?*   Yes No Is the work safety and work protection part of your Management?*   Yes No Do you have a product liability insurance?*   Yes No If yes, max. amount of cover in EUR   Do you have a business interruption insurance?*   Yes No If yes, max. amount of cover in EUR   Do you have a credit insurance?*   Yes No If yes, with which company   When you are certified, please enclose a copy of the certificate (Data upload or fax). Per data upload: If you are certified, the following questions to point 5 do not have to be answered. Please continue with point 6 production and products. Are there regulations for... ...the selection and ranking of your supplier?*   Yes No ...the control of your measuring instruments?*   Yes No ...the verification of contracts and orders?*   Yes No ...the usage and controlling of documents?*   Yes No Are the responsibilities and authorities of the employees stated in written form?*   Yes No Are there any regulations for the qualification of the employees?*   Yes No Is there a planning and implementation system for quality tests?*   Yes No Are production and test results documented?*   Yes No Are quality documents accessible for the customer, if required?*   Yes No Are your employees acquainted with providing certificates according to customer specifications?*   Yes No

7. Products

What are your main products?*   Please inform us about the maximum dimensions of parts you are able to manufacture?*   Plase list your production machines (Type, Brand, Age)?   (Please add a seperate sheet in case the space is not sufficient) Which loading/unloading devices do you have at your facility?   Fork lift up to max.: Gantry crane up to max.: Other What are the operation hours of your shipping department?   Daily from / to: Saturday from / to: Other CAD-Data exchange is possible?*   Yes No: Format: This questionnaire was answered by:*   Department/ Function*   Place*, Date