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    Delta - Supplier's Accreditation

    Uploaded by

    Sandeep Nehra
    The document is a supplier accreditation form for Diffusion Wear Solutions Philippines, Inc. It contains information about the company such as address, contact details, type of ownership, nature of business, number of employees, major clients, and ISO certifications. It requests documents like registration certificates and financial statements. The form is to be filled out and submitted for accreditation evaluation based on criteria like years in business, certifications, document submission, sample submission if applicable, and payment terms. The completed form will be evaluated and approved conditionally or disapproved for accreditation based on the total score.

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    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd

    Delta - Supplier's Accreditation

    Uploaded by

    Sandeep Nehra
    76 views4 pages
    The document is a supplier accreditation form for Diffusion Wear Solutions Philippines, Inc. It contains information about the company such as address, contact details, type of ownership, nature of business, number of employees, major clients, and ISO certifications. It requests documents like registration certificates and financial statements. The form is to be filled out and submitted for accreditation evaluation based on criteria like years in business, certifications, document submission, sample submission if applicable, and payment terms. The completed form will be evaluated and approved conditionally or disapproved for accreditation based on the total score.

    Original Description:

    DELTA accredeation

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    © © All Rights Reserved

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    The document is a supplier accreditation form for Diffusion Wear Solutions Philippines, Inc. It contains information about the company such as address, contact details, type of ownership, nature of business, number of employees, major clients, and ISO certifications. It requests documents like registration certificates and financial statements. The form is to be filled out and submitted for accreditation evaluation based on criteria like years in business, certifications, document submission, sample submission if applicable, and payment terms. The completed form will be evaluated and approved conditionally or disapproved for accreditation based on the total score.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    76 views4 pages

    Delta - Supplier's Accreditation

    Uploaded by

    Sandeep Nehra
    The document is a supplier accreditation form for Diffusion Wear Solutions Philippines, Inc. It contains information about the company such as address, contact details, type of ownership, nature of business, number of employees, major clients, and ISO certifications. It requests documents like registration certificates and financial statements. The form is to be filled out and submitted for accreditation evaluation based on criteria like years in business, certifications, document submission, sample submission if applicable, and payment terms. The completed form will be evaluated and approved conditionally or disapproved for accreditation based on the total score.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    of 4

    SUPPLIER / SERVICE PROVIDER ACCREDITATION FORM

    Instruction: Please accomplish this form completely and submit the required documents
    listed below. The information given would serve as basis for accreditation.
    Company Name:
    DIFFUSION WEAR SOLUTIONS PHILIPPINES, INC.

    Address: Telephone No.:


    (1) +63 9164612972 (3) +63 9773824975
    286 BIGTE (OLD BARRIO) (2) +63 9167182413 (4) +63 9776812885
    NORZAGARAY, BULACAN 3013 Fax No.:
    None

    E-mail :
    [email protected]
    [email protected]
    [email protected]
    [email protected]

    Contact Person: Position:


    Maheshkumar Nambetiyathi Country Manager – Philippines
    Chandrasekhara Admin Assistant
    Maria Concordia C. Arizala Marketing Coordinator
    Sarah Jane L. Cruz Application Engineer
    Sandeep Nehra

    Type of ( ) Single Proprietorship ( ) Partnership ( / ) Corporation


    Ownershi
    p:

    Nature of Business/Industry: Other Wholesaling/ Other Services (Welding)

    No. of Years in Business:2 years and 5 months

    Products/Services: 1. Welding Electrodes 4. Cold Repair Compound


    2. Flux Cored Wires 5. Welding Services
    3. AR / Dua Plate
    Total No. of Employees: 4

    Payment Terms:
    ( ) COD ( / ) 30 days ( ) 60 days ( ) 120 days

    F-PUR-001
    Rev. 3; 03/10/15
    List down 4 Major Clients (Company Name/Contact#/Contact Person):

    1) Republic Cement (A CRH-Aboitiz Company) - formerly Lafarge Republic, Inc.

    2) HOLCIM Philippines, Inc.

    3) CEMEX

    4) TEAM ENERGY CORPORATION

    Bank Details:
    Account Name Diffusion Wear Solutions Philippines, Inc.

    Account Number SAVINGS ACCOUNT - 005340076270

    Bank Address and Branch BDO – GC Corporate Plaza Legaspi Street Branch 150 G/F Corporate

    Plaza Legaspi St., Legaspi Village Makati City, Philippines

    Swift Code

     
    1. What systems/programs are applied in your company?
     
    ( / ) ISO 9001:2008 ( / ) 5S
    ( / ) ISO 14001:2004 ( ) Others, please specify ____________________

    ( / ) OHSAS 18001:2007
     
    2. Are you certified/ aligned to these systems?
     
    ( / ) Yes ( ) Planning/In the Process ( ) No

    Registration No. Expected Certification Date:


    1. IRQS/1410203 Originally Certified : 2/25/2016 Current Issue Date: 2/25/2014 Valid Till Date:
    2/24/2017
    2. IRQS/1440474 Originally Certified :7/20/2011 Current Issue Date: 7/20/2014 Valid Till Date:
    7/19/2017
    3. IRQS/143047 Originally Certified :7/20/2011 Current Issue Date: 7/20/2014 Valid Till Date:
    7/19/2017

     
    Please submit the following documents (those marked with x only):
     
    ( x ) Certificate of Registration with SEC/DTI Registration
    ( x ) City/Municipal Permit *
    ( x ) Company Profile/Brochure with Picture of the Facilities & Offices, List of Equipment and
    Machineries, etc.
    ( x ) Audited Financial Statement for the last 3 (three) years^
    ( x ) Income Tax Return for the last 3 (three) years duly stamped received by BIR^
    ( ) Certificate of Product/MSDS
    ( ) Certificate of Dealership/Distributorship
    ( ) DENR Permits
    ( ) Trade Test Results
    F-PUR-001
    Rev. 3; 03/10/15
    ( ) Price List/Quotation
    ( ) Others Business Permit

    Notes: * - MANDATORY To Be Submitted; ^ - For more than 200K volume of orders.


     
    I/We hereby certify that the information furnished are in all respect true and correct. It is agreed that DELTA may
    inquire into the accuracy of the information submitted. It is further agreed that these information shall remain the
    property of DELTA whether or not the accreditation applied for is granted.

    Any information/document found to be false and incorrect shall be sufficient ground for disapproval of this application
    for accreditation.
     
      Maheshkumar N. Chandrasekhara Country Manager – Philippines July 25, 2016
    _______________________________ _________________________ ____________

    Please sign above printed name Designation Date

    FOR DELTA
    Complete ( ) No ( ) Yes
    Requirements?
    Evaluated by: ___________________

    Date: ___________________

    Remarks: ___________________

    Criteria Score
    Number of years in the business  
    3      - if more than 10 years
    2      - if between 5 to 10 years
    1      - if less than 5 years
    Have existing or certified to ISO (or other programs)  
    3      - if certified to or practicing at least 2 or more programs
    2      - if certified to or practicing at least 1 program
    1      - if not certified to or practicing any program
    Have submitted required documents  
    3      - if submitted all of the required documents
    2      - if submitted incomplete documents
    1      - if did not submit any documents
    Have submitted samples (if applicable)  
    3      - if submitted sample satisfactorily passed the evaluation
    2      - if sample did not satisfy some of the requirements of the purchaser/end-user
    1      - if sample did not satisfy all of the requirements of the purchaser; if sample have not
    been submitted even if required by the purchaser; or if the purchaser did not require any
    submission
    Payment Terms:  
    3      - 120 days
    2      - 30 days or 60 days
    1      - COD / PDC
    TOTAL SCORE:  

    F-PUR-001
    Rev. 3; 03/10/15
    Comments/Recommendations:
    ( ) Approved of accreditation → 11 and above; or if supplier is a sole supplier and/or preferred by DELTA’s
    client but did not get a score of 7 and above

    ( ) Conditional → 6 - 10, full accreditation depending on their performance

    ( ) Disapproved for accreditation → 5 and below


     
     
     
     
    Approved by: _______________________________ Date: _________________________________

    F-PUR-001
    Rev. 3; 03/10/15

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