CENTRAL PURCHASING DIVISION

P.O. BOX 11, DAMMAM, SAUDI ARABIA

PHONE: +966-3-844 9111 FAX: +966-3-844 9433

VENDOR EVALUATION QUESTIONNAIRE

SECTION 1 = GENERAL INFORMATION
SUPPLIER NAME:
ADDRESS:
P.O. BOX :
POSTAL CODE:
CITY / STATE / PROVINCE:
EMAIL ADDRESS:
CONTACT NAME:
PHONE NO.:

STREET :
COUNTRY:

CELL NO.:
FAX NO.:

FACTORY ADDRESS:
CONTACT NAME:
PHONE NO.:

CELL NO.:
FAX NO.:

WAREHOUSE ADDRESS:
CONTACT NAME:
PHONE NO.:

CELL NO.:
FAX NO.:

BRANCHES:
CONTACT NAME :
PHONE NO. :
FAX NO. :

SECTION 2 = NATURE OF BUSINESS

NATURE OF
BUSINESS:

Manuf'g. Fabricat'n

SoleAgent Author'zd Distributor

Others (please specify)

Wholesaler

SECTION 3 = PRODUCT RANGE

PRODUCT RANGE:

SECTION 4 = C.R. NO. / ZAKAT NO.

DATE COMPANY ESTABLISHED

Certificate of Registration NO.

ZAKAT NO.:

SECTION 5 = CONTACT DETAILS

CONTACT DETAILS:
NAMES

POSITION

Sales
Marketing

Stores
QA/QC

SECTION 6 = KEY OFFICIALS

KEY OFFICIALS
NAME
1)
2)
3)
4)
5)
6)
7)
8)
CPD-4-003, Rev.4, 15-Jun-11

POSITION
OWNER / CHAIRMAN
PRESIDENT / CHIEF EXECUTIVE
VICE PRESIDENT / GENERAL MANAGER
SALES MANAGER
MARKETING MANAGER
QA/QC MANAGER
FINANCE & ACCOUNTS MANAGER
STORES / WAREHOUSE MANAGER
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SECTION 7 = MAJOR CUSTOMERS

LIST OF MAJOR CUSTOMERS
NO.
1)
2)
3)
4)
5)

NAME

VENDOR ID

SECTION 8 = THIRD PARTY ACCREDITATION

DOES THE COMPANY HOLD APPROVAL FROM AN ACCREDITATION AUTHORITY TO ANY
RECOGNISED STANDARDS?
YES
NO
APPROVAL NUMBER
1)
ISO 9001 : 2008
2)
ASME
3)
SASO
4)
OTHERS (Please specify)
IF NOT, ARE YOU IN THE PROCESS OF
BEING ACCREDITED TO ANY OF ABOVE
STANDARDS?

SECTION 9 = QUALITY MANUAL

DO YOU HAVE A QUALITY MANUAL?

YES

NO

IF NO, PLEASE PROVIDE FLOW CHART TO DESCRIBE YOUR QUALITY SYSTEM FOR
VARIOUS PROCESSES.

SECTION 10 = BANK REFERENCES

YOUR BANK
REFERENCES:

Bank Name :
Beneficiary Name:
Account IBAN No. :

Form filled by :

Position:

Sign :

Date :

STAMP

FOR MMG USE ONLY

COMMENTS:

AUDIT REQUIRED
YES
NO

EXTRA SURVEILLANCE REQ'D

YES /
NO

AUDIT RESULT :

APPROVAL STATUS:

APPROVED

APPROVED
CONDITIONAL

DISQUALIFIED

QUALITY ASSURANCE
Signature: _________________________
CENTRAL PURCHASING
Signature: _________________________

REMARKS :

CPD-4-003, Rev.4, 15-Jun-11

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CPD-4-003, Rev.4, 15-Jun-11

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