Sl.

No

1.5

1.7

1.10

1..11

2.1
 2.9

2.11

2.14

2.15

3.1

3.2

3.3

3.4
 3.5

3.6

3.7

3.8

3.9

3.10

4.1

5.1
5.2
 Question

General Info

Direct/Indirect/TT&L

"Indirect"represents Indirect Materials & Services! MDF(4D*, 5D*, 5E*, 5G*, 6**)
"TT&L"represents the MDF 5C*
"Direct" represents Direct + division IM&S (choose for all other MDF codes)

MDF Indirect: 4DA, 4DB, 4DC, 4DD, 4DE, 4DF, 4DJ, 4DL, 4DM, 4DW, 4DY, 5D, 5E, 5G,6
MDF TT&L: 5C*

Company Name (In English)

Name 2 (In English)

Address

Company Contact Person: (Name, email & phone number)

Vendor Information (for operational risk evaluation)

Please provide most representative MDF codes for the supplier business.

Digit into the searching bar the MDF 3rd level (3 digit code) and select it.

Do not use Company Qualifications MDF (XXX, FFF, LLL)!!!

Examples for MDF 3 digit code: MDF Navigator 3AA - correct, 5BC - correct, 3A* - wrong, 5* -
wrong, XXX - wrong *
Which country(s) should be chosen here

The supplier country location which you are onboarding (referring to the address information
in question 1.10)
Supplier HQ country

In case you expect that the manufacturing, service and/or shipping location are in a different
country than the country of the vendor where ABB will place the order, please list those
countries as well

Note:
The risk calculation is based on individual country risk score(s)
Always select individual country(ies)!!!
Never select levels such as: "All", "Americas", "Asia, Middle East & Africa" or "Europe"!!!

Estimated yearly spend

Supplier type

Company Type

Integrity

Is it anticipated that the supplier will interact with any Public Official(s) and/or ABB
customer(s) on ABB's behalf? If yes, please provide below in Question 3.5. details about the
Public Official/government entity or ABB customer (s), as applicable, and the type of services
involving representation on behalf of ABB

Was the supplier mandated or recommended by someone external to ABB (e.g., a Public
Official, customer, someone else)?

Please provide details on who recommended/mandated the supplier and any other relevant
information: *(In English) (Answer only if 3.2 question is answered "Yes", if not please ignore)

Does the compensation appear to be unusual for the type of goods or services to be provided
to ABB, or are the payment terms/compensation structure unclear? If Yes, please provide
details in Question 3.5. below. *
Please provide Details (In English): (Answer only if 3.1/3.4 question answered "Yes", if not please
ignore)

Was the supplier selected by procurement/SCM via a competitive process?

Please explain who selected the supplier and/or why the selection was not via competitive
process: (Descriptive in English): (Answer only if 3.6 question answered "No", if not please
ignore)

To your knowledge, is any shareholder, director, member of senior management or key

employees of the proposed Supplier who will be engaged in the provision of goods and/or
services to ABB a current or former Public Official or a Family Member of, or an individual with
a Close Personal Relationship with, a Public Official?

Please provide the following details (i) full name of the relevant individual(s), (ii) their position
within your company, (iii) the title/nature of their role as a Public Official and (iv) how long the
relevant person has held the Public Official position:(In English) * (Answer only if 3.8 question
answered "Yes")

Will the payments to the supplier be made outside of the country where goods and/or services
will be provided to ABB or the supplier's primary place of business?

For example, the Third party’s primary place of business and location where the
services/goods will be provided/sourced is London but payments will be made to an account in
the Cayman Islands.

Geography, Trade & Sustainability

List all primary countries where the supplier will provide goods and/or services to ABB.Check
the reference document for guidance! Note:
The risk calculation is based on individual country risk score(s)
Always select individual country(ies)!!!
Never select levels such as: "All", "Americas", "Asia, Middle East & Africa" or "Europe"!!!

Data privacy and Conflict of interest

I confirm that, to the extent I am aware, there is no undisclosed conflict of interest involving
me or any other ABB employee and the supplier.
If you are aware of a potential or actual conflict of interest in relation to the supplier, please
follow the guidance about the Conflict of Interests at the following link prior to submission of
the Supplier Request Form. You can also contact your Legal Counsel for assistance.
Please note : If the supplier is to process personal data on behalf of ABB or ABB is going to
transfer personal data to such supplier (except for standard contact details necessary to
communicate between parties for the purposes of execution of the contract itself) please
reach out to privacy@abb.com for necessary actions and assessments first! For Data
Protection, please see further guidance at the following

Payment terms in EM (end of month) days

 Answer

Direct

PT. WISMATATA
ELTRA PERKASA

Ewin Waluyo, ewin.waluyo@gmail.com, 082145349283

asia

>=100k$

Indirect – IM&S

Private

Don't know

No

No
Yes

No

No

asia

No
https://search.abb.com/library/Download.aspx?DocumentID=9AKK107992A2413&LanguageCode=en&DocumentPartId=&A

EM30
 Additional Info:

35 characters only
35 characters only

yo@gmail.com, 082145349283

https://abb.sharepoint.com/sites/GlobalPL/MDF/Lists/MDFLinkList/6%20%20Selling%20General
%20and%20Administration.aspx?id=%2Fsites%2FGlobalPL%2FMDF%2FLists
%2FMDFLinkList&useFiltersInViewXml=1
OR
http://masterdata-reports.abb.com/ReportServer/Pages/ReportViewer.aspx?%2fABB+Master+Data
%2fPublic%2fStandards%2fMDFWithLanguageSelection&rs:Command=Render
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realm=ABB&docId=Doc924308666&parentBid=B9lqAJzBMVC%2BEKl&attachmentBid=B9lqAI0BMVC
%2BELJ

https://go.insideplus.abb.com/corporate-functions/legal-and-integrity/integrity/policies-and-procedures/conflicts-of-inter