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COOPER CORPORATION PVT.

LTD
SUPPLIER EVALUATION FORM
I) GENERAL INFORMATION: -
1) NAME OF SUPPLIER: - HEMANT ENGINEERING WORKS (ANIL P BUREWAR)
ADDRESS FOR COMMUNICATION: HEMANT ENGGINEERING WORKS; GAT No-765 PAWAR ASTI
KUDALWADI CHIKALI PUNE-!1"11!
#) CONTACT PERSON $ CONTACT NO% : 9372456037/ 9371804139/02064108030
!) OTHER LOCATION $ IT&S ADDRESS IF AN' : SNO-1(($1 MUKATA PARK CHAKRAPANI ASAHAT
BHOSARI PUNE-#)
5) *UALIT' S'STEM (ISO: )+++ CERTIFICATION):
(IF CERFIFIED ATTACH COP' OF CERTIFICATE OR ATTACH PLAN FOR CERTIFICATION)
We are in process ISO 9000
6) SCOPE OF SUPPL':
(WRITE THE PRODUCT OR MANUFACTURING ACTIIT') :PERFORATION SHEETS, BENDING,
SHEARING, PRESS PARTS, WELDING, AUTO PRESS PARTS%
7) E-ISTING CUSTOMERS . THEIR SCOPE OF SUPPL'
SL%
NO% CUSTOMERS SCOPE OF SUPPL'
VENKYS !O"# $%& ' #"NE
!V E()*"S%S #V% $%&' KO$)*#"!
SUMESH INDUSTRIES PT LTD%-AHMEDNAGAR
MEHER INDUSTRIES -PUNE
MAHALASA ACOUSTICS PT LTD - GOA
SK'LINE INDUSTRIES - BHOSARI PUNE
PRESS PARTS
PERFORATION SHEETS
PRESS PARTS
PRESS PARTS
PERFORATION SHEETS
CCPL$F$+6+6-++ P/01 1 o2 #
II) INFORMATION ABOUT PROCESS / PRODUCT: -
1) MACHINES AAILABLE
(IF RE*UIRED ATTACH LIST)
ATTACHED IN PROFILE
") AAILABILIT' OF INSPECTION . TEST FACILITIES:
(IF RE*UIRED ATTACH LIST)
ATTACHED IN PROFILE
#) PRODUCTION CAPACIT': AS PER 'OUR RE*UIREMENT
!) E-ISTING S'STEM CONCERN FOR PRODUCTION: ATTACHED IN COMPAN' PROFILE
III) MANPOWER : -
1% TOTAL: 15
"% ADMINSTRATIE:"
#% PRODUCTION STAFF:"
!% *UALIT' CONTROL:"
5% OPERATORS:7
CCPL$F$+6+6-++ P/01 " o2 #
I) GENERAL INFORMATION ABOUT PRODUCT PROFILE . COMPAN': -
(WHENEER RE*UIRED ATTACH APPLICABLE ANNE-TURE $ PAMPLET ETC%)
(SIGNATURE OF REPRESENTATIE WITH STAMP)
( FOR COOPER USE ONLY)
) EALUATION COMMENTS B' COMPAN' REPRESENTATIE%
1) COMMENTS B' PRODUCTION DEPARTMENT REPRESENTATIE $ ISITED PERSON%
1) T31 14567580 9/:35816, 586;1:75o8 /8< 7167 2/:5=57516 >573 731 6?@ :o87A/:7oA /A1 2o?8< 7o @1 6?225:5187

7o 9117 :o9;/8B&6 ;Ao;o61< ;Ao<?:75o8 A1C?5A19187%
") S?;;=51A 1457580 ;Ao<?:75o8 :/;/:57B 2o?8< 7o @1 :/;/@=1 o2 :/71A580 731 :o9;/8B&6 14567580 <19/8<6%

SIGNATURE:
") COMMENTS B' *UALIT' CONTROL DEPARTMENT REPRESENTATIE $ ISITED PERSON: -
1) T31 14567580 586;1:75o8 /8< 7167 2/:5=57516 >573 731 6?@ D :o87A/:7oA /A1 2o?8< 7o @1 6?225:5187 7o 9117
Co9;/8B&6 C?/=57B A1C?5A19187%
") S?;;=51A ?8<1A67/8<580 /@o?7 731 C?/=57B A1C?5A19187 o2 :o9;/8516 ;Ao<?:76 2o?8< 7o @1 6/7562/:7oAB%
SIGNATURE:
#) CMD $ E-ECUTIE DIRECTOR COMMENTS FOR TIRAL ORDER $ FURTHER ACTION: -
SIGNATURE:
I) TRIAL ORDER DETAILS: -
TRIAL 1
1% TRIAL ORDER NO% . DATE:
"% PRODUCT DESCRIPTION:
SIGNATURE:
TRIAL-2
1% TRIAL ORDER NO% . DATE:
"% PRODUCT DESCRIPTION:
SIGNATURE:
II) TRIAL ORDER RESULT *UALIT' CONTROL DEPARTMENT: -
CCPL$F$+6+6-++ P/01 # o2 #
TRIAL 1
1% TRIAL BATCH INSPECTION REMARKS B'
*UALIT' CONTROL: -
"% INSPECTION RECORDS REF% NO%
(ATTACH NECESSAR' INSPECTION REPORT)

SIGNATURE:
TRIAL-2
1% TRIAL BATCH INSPECTION REMARKS B'
*UALIT' CONTROL: -
"% INSPECTION RECORDS REF% NO%
(ATTACH NECESSAR' INSPECTION REPORT)
SIGNATURE:
FINAL APPROAL REMARKS B' INCHARGE:
APPROED $ NOT APPROED%
DATE OF APPROAL: SIGNATURE:
CCPL$F$+6+6-++ P/01 ! o2 #

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