Vendor Ref & Evaluation Form

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Vendor / Supplier Information Update / Registration

PT. Trisno Mitra Bali Type of


Vendor / Company Name PT
Business
Office & Warehouse Address Jl. Kebo Iwa Selatan Ruko Sudarma No.8 Padangsambian.
Ph / Fax
Lingdia Martanto
Owner Fax
Neiki Eko Wahyudi Neiki.eko@tmb-bali.com
PIC/ Sales Email
BCA 08123929925
Bank Name Mobile Ph
6485-777770
Bank Account TOP
PT. TRISNO MITRA BALI Delivery One day before
Account Name
Schedule

Company
Owner Sign
Stamp

Vendor / Supplier Evaluation Periode:


Very
Excellent Satisfied Moderate Dissatisfied
No Criteria Dissatisfied
(5) (4) (3) (2)
(1)
Administration Documents , Bank account
1 /Akta/SIUP/NPWP/NPPBKC/TDP
2 Office / Storage / Site Check Same With Address

3 Timeliness of Deliveries

4 Quality on Parts/Products/Material/Service Provided Upon Delivery

5 Competitiveness of Price

6 Competitiveness of Term and Conditions

7 Credit Rating

8 Expertise of Sales/Technical Support Staff

9 Reputation of Company / Portofolio

10 Compliance with Local / International Standards of Quality

Total Evaluation Score :

REMARK/
NOTE :

Evaluator Information
Dept Name Title/ Dept Signature Date & Time

Purchasing

User

ETTY ACCOUNTING 12 JANUARI 2023

Finance

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