Form – PUR – 05
PHOENIX MEDICAL SYSTEMS (P) LTD
Issue: 06
Issue Date: 28/12/2019
NEW VENDOR EVALUATION FORM
Page 1 of 3
New Vendor Selection
Suguna Electroplaters
Supplier Name: __________________________________________ Date: ___14/02/2020_________
Address(HO) : Plot no: 31, 2nd Street, Thiruvengadam
Nature of Business Address(Factory) : Plot noJob
Material supply 2nd Street, Others
31, Work
Type of Organization Thiruvengadam
Private Public Others
nagar, kandanchavadi,
Industry size : Perungudi, nagar,Small
kandanchavadi, Perungudi,
Medium Large
Annual Turn Over 20 lakhs
Chennai-600096
Year Established Chennai-600096.
1993.
OE manufacturer : Yes No
Contact Person:
Authorised T.Parthasarathy.
Dealer/Stockiest/Service provider : Contact
YesPerson : T.Parthasarathy.
No
ROHS compliance Yes No
Designation : proprietor Designation: proprietor
ISO Certified company Yes No
ISO 9001/13485/16949/AS9100C If yes enclose certificate copy
Phone no: 9381045883 Phone no: 9381045883
E-mail : nil E-mail
Website: nil Website
Details of Materials Available / Job Work: List of Major Customers:
Gideon Automotive industries, Kappa electricals,
Nickel plating, Zinc plating, copper plating, Tin plating Balu auto components, Bharath Bio
products,Technomed electronics,Jayasree
Buffing and polishing. precision, Kjk meister honen, Industrial heators,
etc. more than 40+ customers.
Details of Raw Material Source: List of Processes : cleaning, oil removal, buffing
Chowhatia metals, Logu Chemics, maha Lakshmi polishing, soda dip, acid cleaning, water rinse,
chemical agencies, Keerthana traders. nickel deposition through electrolysis, water
rinse, passivation incase of zinc plating, water
rinse, lacquer , rinse, drying, packaging.
Details of Machineries/Tools: Details of Inspection / Testing Equipment :
Vat tank, cleaning tank, rectifier, acid tank, water tank,
Mechanical surface thickness measuring
Compressor, hot air heator, etc.
Equipment.
Details of Manpower Material Handling and Packing provisions
(Education/Experience/Skilled/Unskilled):
Trays, baskets, jiggs, etcs
Platers 2 person both 15 yrs experience
Polishers 2 person 10 yrs experience Packaging by plastic covers and papers.
3 unskilled labourers
Form – PUR – 05
PHOENIX MEDICAL SYSTEMS (P) LTD
Issue: 06
Issue Date: 28/12/2019
NEW VENDOR EVALUATION FORM
Page 2 of 3
PAN NO : AEVPP9710R Bank Account Details
Bank Name : Canara bank
Bank Branch : Perungudi sme branch
GST NO : 33AEVPP9710R1ZG
Account Type: Current account
Account NO: 2617201010485
TAN NO : nil
IFSC Code: CNRB0002617
Enclose (If Applicable):
Organisation Chart, Process details, QMS Certificate, Cancelled Cheque leaf, others
Note: All the above details must be filled by Vendor before approval. Technical approval must be obtained
from Phoenix before placing the first order for evaluation.
Vendor Seal and signature.
Onsite Evaluation ( Is Required) Yes No
Phoenix Technical Approval By_____________________________ (Signature / Date)
New Vendor Evaluation
Purchase Orders Details
Tr =
# Period Raised Completed (Qr) (DQr) (DSr) Sign
Qr+DQr+DSr/3
on on
1 Supply – I
2 Supply – II
Form – PUR – 05
PHOENIX MEDICAL SYSTEMS (P) LTD
Issue: 06
Issue Date: 28/12/2019
NEW VENDOR EVALUATION FORM
Page 3 of 3
3 Supply – III
OVERALL
Vendor rating formula:
Quality rating (Qr) = (Accepted Qty / Received Qty) x 100
Quantity rating (DQr) = (Received Qty / Scheduled Qty) x 100
Delivery Schedule rating (DSr) = 100%, if delivered on or before scheduled date
= 75%, if delivered between 1 - 5 days after scheduled date
= 50%, if delivered between 6 - 10 days after scheduled date
= 25%, if delivered between 11 - 13 days after scheduled date
= No rating to be given after 14 days of scheduled date
Quality rating, Quantity rating, Delivery Schedule rating for each individual PO is maintained in excel sheet as
soft copy. Total rating (Tr) is calculated using the above mentioned formula.
Evaluated by: ________________________ Approved by: ______________________
Date: ________________________ Date: ______________________
Note: After final approval, the above vendor should be included in “Approved Vendor List” by Purchase
executive.
Form Approval
Approved By:
Issued By:
