SP-EP-F-02
Issuer: SBOR
Issue date : 16/07/2013
*PLEASE SEND THE FILLED FORM BACK IN EXCEL FORMAT ONLY, NO SIGNATURES REQUIRED
Lubrizol New Employee - SAP Profile Form
PURCHASE FROM ADDRESS REMIT TO ADDRESS (if different)
Name
Name 2
Street
PO Box
Town/City
Postal Code
Country
Contact Name
Telephone Number
Fax Number
E-mail address
VAT Number
Internet address
BANK DETAILS: (This can be obtained from your Bank) IBAN Structure
IBAN (MANDATORY):
Bank Code / Branch Code (MANDATORY):
Code for RTGS/NEFT (MANDATORY - INDIA ONLY) IFSC CODE
Account Number:
Key
Bank Account Currency:
BIC / SWIFT code (8 or 11 digits long) (MANDATORY):
Bank Name (MANDATORY):
Street
City (MANDATORY):
Country
Remittance Communication:
E-Mail address (location where remittance advice will be sent)
Contact Person
Statutory Registration (FOR INDIA ONLY)
1. PAN
2. CST
3. VAT
4. Service Tax
5. Excise Details (ECC)
5a. Range
5b. Division
5c. Commissionerate
6. SME/MSME
General information
Turnover (legal entity or business unit)
Number of employees (legal entity or business unit)
Nature of work sub-contracted (if applicable)
Quality Accreditations (Please Include Copy of Certificate)
List Quality Accreditations Held
Expiry Date
Health, Safety and Environment
Does your Company have a HSE Policy? (if yes, please provide a copy)
Does your Company have an EH&S Certification or Commitment ?
Which one(s) ? Please provide a copy
Are you VCA accredited ? (Belgium contractors only)
If yes, please provide a copy
Are you "MASE-UIC" accredited or other ? (France contractors only)
If yes, please provide a copy
Industrial accidents (rate of frequency/rate of severity)
please provide information of the last 12 rolling months
SP-EP-F-02
Issuer: SBOR
Issue date : 16/07/2013
Industrial accidents (rate of frequency/rate of severity)
please provide information of the last 12 rolling months
Training Policy
Do you have a training policy ?
% spend on training / turnover
Subcontractors-Public Liability Required for all work carried out on site at Lubrizol-Please include copy of certificate
Insurance Expiry Date
Value of Cover
Completed By:
Authorised By:
Position:
Date : ________________________
For Lubrizol only
SUPPLIER ACCEPTED (Y/N) (E200/E500) (MANDATORY) Y
CRITICAL SUPPLIER? (Y/N) (MANDATORY FOR LZA)
CRITERIA FOR SELECTING SUPPLIER COMPLETED (R200 MANDATORY)
IF AMENDMENT TO EXISTING SUPPLIER DETAILS :
PURCHASING SAP VENDOR NUMBER
REMIT TO VENDOR NUMBER
COMPANY CODE (FRAN/LLTD/DEUT/SAFR/
NVBG/LXSA/INDI/MSSL/MUKL/NRBV/NEUR/NPRL) (MANDATORY) NPRL
PURCHASING ORGANISATION (E200/R200/T200/E500/R500/T500) (MANDATORY) E500
RAW MATERIAL (MANDATORY if R200/R500)
BUYER OR FINANCE INITIALS APPROVER (E200/R200/T200) (MANDATORY LZA/LZAM)
BUSINESS SECTOR (E200/E500) (MANDATORY)
STATE WHY THE SUPPLIER WAS CHOSEN (E200/E500)
WHAT DO THEY SUPPLY? (E200/E500)
FINANCE VALIDATION FOR WHT
Compnay Code Data - Withholding tax
WH Tax Country
WTH.T.TYPE
W/TAX CODE
LIABLE
REC.TY #REF!
WTH.T.TYPE
W/TAX CODE
LIABLE
REC.TY #REF!
PAYMENT TERMS (MANDATORY) Immediate
PAYMENT METHOD T
SP-EP-F-02
Issuer: SBOR
Issue date : 16/07/2013