1、供應(yīng)商登記表Supplier Registration Questionnaire北京京港地鐵有限公司日期：Beijing MTR CorporationLimited.Date:1.基本信息General Information1.1公司名稱Company Name1.2營業(yè)執(zhí)照號Registration No.1.3公司成立時間Date Business Established1.4注冊地址Registered Address1.5聯(lián)系地址Correspondence Address1.6電話號碼Telephone Number1.7電子郵箱E-mail Address1.8網(wǎng)址Web S

2、ite1.9企業(yè)性質(zhì)附屬機構(gòu)聯(lián)合體Form of BusinessSubsidiaryJoint Venture分支機構(gòu)合伙企業(yè)BranchPartnership有限公司上市公司Limited CompanyListed Company其他Others1.10母公司、分支機構(gòu)、附屬公司等的名稱及其注冊地點Name and registeredaddress of ParentHolding Company / Branch/ Subsidiary etc.1.11工廠的名稱及其地點( 如有 )Name and location ofFactories / Plantif any ）財務(wù)資料Fi

3、nancial Information2.1注冊資本1Register Capital2.2股份持有人（企業(yè) / 個人）持有量 (%)Name of ShareholdersHolding (%)(Company/Individuals)2.3銀行資料Banker Information銀行名稱支行Name of BankBranch地址電話AddressTelephone No.管理及組織架構(gòu)Management and Organization3.1主要管理人員及組織架構(gòu)( 含姓名電話 / 地址（若與 1.5及 1.6 不一致）安全管理組織架構(gòu) )NameTel.No. / Address

4、(if different from 1.5 & 1.6)Principal Members ofOrganization(IncludingSafety Management Organization)主管 / 主要管理人員 ( 含安全 )Directors/PrincipalOfficers(Including Safety)技術(shù)人員Technical Personnel3.2主要管理 ( 含安全 ) 人員及技術(shù)姓名資質(zhì)從事該專業(yè)工作的年數(shù)人員的經(jīng)驗及資質(zhì)NameQualificationsYears of experienceExperience and Qualification of

5、 Principal/Technical Members ofOrganization(IncludingSafety)3.3雇員數(shù)量（所有部門）Number of Employees(AllDepartments)23.4實施技術(shù)支持、售后服務(wù)、維護的組織架構(gòu)（如有） Organization of technical support / after-sales / maintenance, if any3.5現(xiàn)行雇員培訓(xùn)及發(fā)展計劃（如有）Human Resource Training &Development System in place, if any3.6供應(yīng)商近兩年的安全事件發(fā)生情

6、況Safety events ofsuppliers in the last twoyears3.7是否接受過政府部門的安全處罰，或安全違法方面的起訴去年前年Last YearYear before Last輕傷人數(shù)Number of SlightWound重傷人數(shù)Number of SevereWound死亡人數(shù)Number of DeathPlease confirm whetheryour company has securitypunishment of the government department orprosecution of securitylaw供應(yīng)商資質(zhì)Supplie

7、r Capability4.1業(yè)務(wù)類型及發(fā)展歷史Nature and History of Business4.1.1業(yè)務(wù)類型Nature of Business4.1.2可向京港地鐵提供的產(chǎn)品 / 服務(wù)Products/Services Available to MTR(BJ)4.1.4從事該領(lǐng)域業(yè)務(wù)的時間Length of Experience in the Field4.2與所提供服務(wù)有關(guān)的工廠及工業(yè)設(shè)備清單List of Plant / Industrial Equipment related to theServices4.3持有哪些許可證Government Licenses an

8、d Permits34.4管理體系Management System質(zhì)量系統(tǒng)（請簡述貴司的質(zhì)量管理系統(tǒng)。京港地鐵預(yù)期所有供應(yīng)商實施一個基于 ISO9000 的質(zhì)量管理系統(tǒng)。 ） Quality System (Please indicate a brief description ofthe companys QualitySystem and organization.MTR(BJ)expects all contractors or suppliers to implement aCertified Qualification System based on ISO 9000.)4.4.2

9、環(huán)境管理系統(tǒng)及環(huán)保措施（請確認貴司是否已確立環(huán)保政策及計劃；如有，請?zhí)峁┫嚓P(guān)證據(jù)并填寫附件1 EHS合規(guī)承諾書。Environmental Management System & Arrangement（Pleaseconfirm whetheryour company has an Environmentalpolicyand Environmentalplan.If yes, please provide evidencesand fill outappendix A Letter of EHS Commitment .4.4.3安全管理系統(tǒng)（請列出現(xiàn)行的安全政策及安全計劃并提供相關(guān)證明）

10、Safety Management System (PleaseindicateSafety PolicyStatementandSafetyPlan inplace.Pleaseprovideevidences.)聲明Declaration本公司在此鄭重聲明本登記表所填的所有內(nèi)容屬實無誤。I hereby declare that the contents contained in this questionnaire are true and accurate.姓名職務(wù)NameTitle簽署日期SignatureDate公章Company Chop4申請登記文件清單序號應(yīng)提交文件如提交，請

11、Please,SectionRequired Documentsif Submitted1.2營業(yè)執(zhí)照復(fù)印件Copy of Business License3.1組織架構(gòu)圖Organization Chart3.2主要人員簡歷CV of key personnel3.4技術(shù)支持 / 售后服務(wù)的組織架構(gòu)Organization of technical support/after-sales/maintenance, if any3.5雇員培訓(xùn)及發(fā)展計劃Training & Development Plan4.1.1公司業(yè)務(wù)介紹Company profile4.1.2產(chǎn)品 / 服務(wù)清單Produ

12、ct/services list4.2設(shè)備清單Equipment List4.3許可證復(fù)印件Copy of License and Permit4.4.1質(zhì)量體系認證證書復(fù)印件Copy of Quality System Certificate4.4.2環(huán)境管理體系認證證書復(fù)印件（如有，請?zhí)峁?，環(huán)境管理系統(tǒng)及環(huán)保措施Copy of Environmental ManagementSystem Certificate(if any) ,Environmental Management System &Arrangement EHS合規(guī)承諾書 Letter of EHS Commitment4.4.3安全健康管理體系認證證書復(fù)印件（如有，請?zhí)峁?，安全政策及計劃?fù)印件Copy ofSafety andHealthManagementSystemCertificate(ifany),