Effective Date : 2 May 2018

COMPANY NAME
Doc No: MCI – P8.4B – F02

Rev: 00

EXTERNAL PROVIDER ASSESSMENT FORM

Supplier :

No. Criteria Max point Score

1 Quality (10 Points)
- Raw Materials / Goods / Parts meets specification 4
- Packaging / Finishes acceptable 3
- Visual Appearance 3
Subtotal 10

2 Delivery (10 Points)

- Delivery always on time 8
- Supplier is always flexible in schedule 2
Subtotal 10

3 Services (10 Points)

- Good response to changing needs 3
- Good support / effective communication 4
- Feedbacks are prompt 3
Subtotal 10

4 Credit Terms / Pricing (10 Points)

- Favorable credit terms 5
- Reasonable / negotiating in pricing 5
Subtotal 10

5 Technical Support (10 Points)

- Prompt response to technical issues 5
- Able to provide the “Know How” 5
Subtotal 10
Total 50

Evaluated by : ___________________________ Score rating:

Date :
1 – 20 Reject as Approved Supplier

21- 30 KIV

31- 50 Accepted as Approved Supplier