1、Auditee Compa ny 申請類型：Assessme nt Type 申請日期：口復評口 Re- AssessmentApplication dateTeALmiA AJIIante質量華納質i n a T e 驗聯技術中心A I I i a nApplicatio n date 申請日期CTA Supplier Assessme nt RequestCTA供應商評價申CTA/J/SA- 01CTA供應商評價申請書CT A Supplier Assessment Request申請方：Con sig nerofAssessme nt受評方:口首次口監督口口 Follow-Initial

2、upConsigner of Assessment:請申請方Address :地址Postal code :郵編Qty:城市Country:國家Name of contact:聯系人Position :職位Phone:電話Fax:傳真E-Mail:郵件Assessment Type:評價類型Initial Follow-up Re-Assessment首次監督復評Certificate :證書English version 英文版Numbers:數量Chinese version 中文版Numbers:數量Report:報告English version 英文版Numbers:數量Chines

3、e version 中文版Numbers:數量(1) This contact will receive the Assessment reports.這個機構將收到評價報告Auditee Company :受評方Address:地址Corporative representative:法人代表Date of Foundation 成立日期Registration numbe匚工商注冊號Registered capital in RMB 注冊資金（人民幣）Register Trademark:注冊商標Postal code:郵編City:城市Country:國家Name of contact:

4、聯系人Position:職位Web Site :網址Phone:電話Fax:傳真E-Mail:郵件Are you currently certified 是否已經認證過其它體系？ Yes NoIf yes, to which standard (右肩, 認證哪 個體系？)P roducer of/trade of products生產的產品/經銷的產品Type and specificati ons :型號規格Production lines concerned: 相關的生產線：Staff 全體職員Department 部門Number of employees 員工數Administrati

5、ve staff 行政人員Quality Management, Quality Control and laboratory staff 質量管 理，質量控制和實驗室人員Production staff 生產人員Maintenance/Housekeeping staff 維修人員Logistic/Storage staff后勤/倉儲管理人員TOTAL總計Description and surface area of the site場地的外 觀描述Area區域Number of buildings 建筑物 數量Surface area 面積Raw materials 原料(includin

6、g reception and storage)包括接收和存儲)Production 生產Finished products 成品(including storage and loading)包括存貯和裝運Total area of the site 總數Honor ：資質榮譽Name, position and signature:名字，職立和 簽名：附件材料(Attachments ):(1 )CTA供應商評價申請書；汽TA Supplier Assessme nt Request(2)加蓋供應商原章的工商登記證書復印件；Busin ess Lice nse(copy with offic

7、ial seal)(3 )加蓋供應商原章的組織機構代碼證復印件；Organizations code certificate(copy with official seal)(4)加蓋供應商原章的稅務登記證復印件；Tax Lice nse (copy with official seal)(5)加蓋供應商原章的法律法規要求的資質證書復印件；Lease Agreeme nt (copy with official seal)(6)加蓋供應商原章的有效的產品質量抽樣檢驗報告復印件(申請日前一年內);Sample In specti on Report Within one year (copy with official seal)(7)質量管理體系文件；Quality Man ageme nt System(8)加蓋供應商原章的典型業績清單；