Supplier Application

If you want to become a Nissens supplier, please enter your information in the fields below.

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Filled in by the supplier
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COMPANY INFORMATION
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Company name:
Address:
PO box:
Zip code and city:
Country:
Phone:
Fax:
E-mail:
Web address:

Number of employees:
Salaried:
Hourly paid:

Responsible person for commercial issues:
Responsible person for quality issues:
Responsible person for technical issues:
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PRODUCT INFORMATION
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Manufacturing/trading company:
Primary line of business:
Primary products:
Primary raw materials:
Norms and standards which the product are produced according to DIN/ISO:
Costumer reference:
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QUALITY CONTROL SYSTEM
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System and certification bureau:
No. of certificate and date:
Issues date and period of validation:
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FINANCIAL CONDITIONS
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IBAN number:
SWIFT code:
Name of bank:
Account number:
Currency:

Accounting period:
Turnover and result for the latest financial year:
Turnover and result for the latest financial year - 1 year:
Turnover and result for the latest financial year - 2 year:

Accountancy firm:
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LEGAL INFORMATION
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VAT number:
Corporate form:
Ownership (majority holding):

Legal place of registration:
Insurance company:
Product liability insurance:
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QUALITY CONTROL SYSTEM
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System and certification bureau:
No. of certificate and date:
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CONFIDENTIALITY
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Both during the preliminary period and afterwards, both parties must handle all technical documents and information received from the other party, confidentially. Furthermore, each party must see to it that his employees and authorized persons accept the same obligations.
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Once we have received and processed your application, you will hear from us.