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					      APUC SUPPLIER INFORMATION CAPTURE FORM (SICF)
                                                                                                                                                                                                                Email   Catalogue       Yes   1
         PLEASE ANSWER QUESTIONS 1 - 60                                                         For internal use only:                                                                                          Fax     Non-catalogue   No    2
       Mandatory Fields* - Your data w ill not be                                               Supplier Number                                                                                                 cXML    Punchout              3
        v alidated and therefore you w ill not be                                                                                                                                                               cXML
           enetered onto PECOS if you do not
                 complete these fields.



                                                                             Max
 #                 Field Description                                      characters                       Your Information                                    Sample data
      Supplier Name Details
 1    *Supplier Name                                                             30                                                              123
 2    Full Trading Name                                                          30                                                              123 Ltd
 3    Parent Company Name                                                        30                                                              Massive (UK) Ltd
      Order Address Details
  4   *Address Name                                                              30                                                              123 Ltd
  5   *Number and Street Name(Address Line 1)                                    40                                                              68 John Street
  6   Address Line 2 - additional lines if required                              40                                                              Off Regent Street
  7   Address Line 3 - additional lines if required                              10                                                              Govan
  8   *Tow n/City                                                                20                                                              Glasgow
  9   Region/County                                                              20                                                              Strathclyde
 10   *Country                                                                   20                                                              GB
 11   *Post Code                                                                 10                                                              G1 1TR
      Remittance (Accounts) Address Details
 12   *Address Name                                                              30                                                              123 Ltd
 13   *Number and Street Name(Address Line 1)                                    40                                                              35 Holborn
 14   Address Line 2 - additional lines if required                              40                                                              Holborn
 15   Address Line 3 - additional lines if required                              10
 16   *Tow n/City                                                                20                                                              London
 17   Region/County                                                              20
 18   *Country                                                                   20                                                              GB
 19   *Post Code                                                                 10                                                              EC1M 2HT
      Main Contact
 20   *Account/sales contact                                                     40                                                              Andrew Sackie
 21   Account/sales contact's position                                           20                                                              Account Manager
 22   *Account/sales contact's email                                             30                                                             andrew.sackie@123.co.uk
 23   *Account/sales contact's phone number                                      20                                                              01524 222222
 24   Account/sales contact's fax number                                         20                                                              01524 222223
      Order Details
 25   *Preferred Method of receiv ing orders                                     20                                                              Email/fax/cXML
      *Preferred Method of Content (refer to                                                                                                     Catalogue/Non-catalogue/Punch
 26   briefing presentation for more info.)                                      20                                                              Out
 27   *Direct Phone Order for Purchase Orders                                    20                                                              01524 222222
 28   *Direct Fax Order for Purchase Orders                                      20                                                              01524 222223
 29   *Direct Email Address for Purchase Orders                                  30                                                             sales@123.co.uk
      Change/Cancelled Orders Details

      If Orders need to be Changed / Cancelled,
 30   please prov ide a contact name                                             40                                                              Joanne Briggs
 31   Change/Cancelled Orders Phone number                                       20                                                              01524 123456
 32   Change/Cancelled Orders Fax number                                         20                                                              01524 123457
 33   Change/Cancelled Orders Email address                                      30                                                             andrea.sackie@123.co.uk
      Returns Details
      If Orders need to be Returned, please
 34   prov ide a contact name                                                    40                                                              Joanne Briggs
 35   Returned Orders Phone number                                               20                                                              01524 123456
 36   Returned Orders Fax number                                                 20                                                              01524 123457
 37   Returned Orders Email address                                              30                                                             andrea.sackie@123.co.uk
      Other Company Details
 38   Company VAT Number                                                         10                                                                                   12345678
 39   DUNS Number #(see note below )                                             10                                                                                   87654321
 40   Company w eb page                                                          20                                                              www.123.com
 41   Does this w eb site allow electronic Purchasing?                            3                                                              Yes/No
 42   Company's main products                                                    30                                                              Books, magazines & periodicals
 43   Company's products that it supplies to institution                         30                                                              Books & Periodicals
 44   *Account Number/Code for institution                                       20                                                              EdinUni12345
      Other Contacts e.g. technical contact
 45   Other contact                                                              40                                                              Andrea Sackie
 46   Other contact's position                                                   20                                                              Technical Manager
 47   Other contact's email                                                      30                                                             andrea.sackie@123.co.uk
 48   Other contact's phone number                                               20                                                              01524 123456
 49   Other contact's fax number                                                 20                                                              01524 123457
      Other Useful Details
      Are you currently trading w ith other
      Scottish Public Sector Organisations v ia
 50   ePS?                                                                        3                                                              Yes/No
 51   If so, please list main customers:                                         50                                                              NHS, Glasgow Council
      Are you currently trading w ith other
 52   Scottish Univ ersities & Colleges?                                          3                                                              Yes/No
 53   If so, please list main Institutions:                                      50                                                              University of Aberdeen/RGU
 54   Does Supplier Accept Pcards                                                 3                                                              Yes/No
 55   If Yes, w hat lev el (1, 2 or 3)                                           1                                                               1,2 or 3
                                                                                                                                                 expanding into university sector
                                                                                                                                                 2009; punchout capability by
 56 Any other comments                                                   100                                                                     2010
    Bank Details for BACS Payments
 57 *Name of Bank                                                         50
 58 *Sort Code                                                             8
 59 *Account Number                                                       20
 60 *Email Address for Remittances                                        30                                                                    andrea.sackie@123.co.uk
NB1 # Get your DUNS number quickly and for free at www.dnb.co.uk/About/DUNS_Number.asp




      APUC Data Protection:
      The information you have provided on this form is being collected by APUC (the "data controller" for the purposes of the Data Protection Act 1998) on behalf of its customers in Scottish HE/FE sector.

      Declaration
      I confirm that the information I have provided is correct to the best of my knowledge and authorise APUC and its customers to use my information for the purposes outlined above.

      Signed:                                                                                                                                    Role:



      Print Name:                                                                                                                                Date:

      Telephone Number:
email

fax




HE
PS
XL
RG
No
                                                                                                                                    APUC - Supplier Information Capture Form




       Buying Organisation Information:
       Buying Organisation Name                        Address Line 1                 Address Line 2                              Address Line 3                                       City                       Postcode



        Supplier eEnablement Contact Name              Email Address                  Phone Number                                                             eProcurement Project Sponsor Name


                    Supplier Name                                                                                             Account / Sales Contact                               Position                        Email                     Phone Number                      Fax No.
       0                                                                                                      0                                                           0                               0                           0                             0

                  Full Trading Name                Parent Company Name                                                           Technical Contact                                  Position                        Email                     Phone Number                      Fax No.
       0                                       0                                                              0                                                           0                               0                           0                             0


              Company Web Page (URL):                                                                                  Companies Main Products / Services:                0


       0                                                                                                          Main Products / Services Supplied to Institution:       0


                                                                                                                                                                                                              Supplier Content /
                                                                                                                                                                               Preferred Method of                                    If this is liable to change
  Does this web site allow electronic Purchasing?                            0                                                                                                                                Prefered method of
                                                                                                                                                                                Receiving Orders                                      soon, please comment?
                                                                                                                                                                                                                    trading

                                 Comment:                                                                                                                                 0                               0


        FOR ORDERS:
                    Address Name                       Address Line 1                 Address Line 2                              Address Line 3                                   Town / City                 District / Region                 Country                    Post Code
       0                                       0                             0                                0                                                           0                               0                           0                             0
        FOR REMITTANCES:
                    Address Name                       Address Line 1                 Address Line 2                              Address Line 3                                   Town / City                 District / Region                 Country                    Post Code
       0                                       0                             0                                0                                                           0                               0                           0                             0


                                                                                                                                                                          If Orders need to be Changed
           Supplier Direct Phone Number for        Supplier Fax Number for       Supplier Email Address for
                                                                                                                                                                              / Cancelled, is there an                                                              0
                   Purchase Orders                    Purchase Orders                Purchase Orders
                                                                                                                                                                                Alternative Contact?
                                                                                                                                                                                                                                                                         Supplier email (for
                                                                                                                                                                              If Yes, please provide                                  Supplier Fax (for Receiving
       0                                       01144                         0                                                                                                                            Supplier Phone Number                                         Receiving Purchase
                                                                                                                                                                               relevant information                                       Purchase Orders)
                                                                                                                                                                                                                                                                             Orders)
                                                                                                                                                                                                          0                           01144                         0                                   01144
                                               01144
                                                                                 Account Number/Code for                                                                  If Items need to be Returned,
                     VAT Number                        DUNS Number                 institution (customer                                                                       is there an Alternative                                                              0
                                                                                          number)                                                                                     Contact?
                                                                                                                                                                                                                                                                         Supplier email (for
                                                                                                                                                                              If Yes, please provide                            Supplier Fax (for Receiving
       0                                       0                             0                                                                                                                            Supplier Phone Number                                         Receiving Purchase
                                                                                                                                                                               relevant information                                 Purchase Orders)
                                                                                                                                                                                                                                                                             Orders)
                                                                                                                                                                                                          0                           01144                         0
                                                                                                                                                                                                                                                                                                        01144

                      Are you currently trading with other Scottish Public Sector Organisations via ePS?                                                              0        First ePS Customer:                          Is pricing stanard for ALL Scottish Institutions?

       If so, please list main customers:      0
                                                                                                                                                                                                                                          Details / Comments:
                                    Are you currently trading with other Scottish Universities & Colleges?                                0                               First ePS Institution / APUC:

       If so, please list main Institutions:   0


                Does Supplier Accept Pcards 0                                                                               If Yes, what level (1, 2 or 3)                                                0

General Comments / Additional Relevant Information:

                                               0




                   APUC USE ONLY
        Supplier Number (how institution's
         finance system knows supplier)




                                                                                                                                                                                                                                                                                               Page 3 of 6
                Created by: Sean Keatings                                                                                                                        Version 1.6
Guidance Information for Completing Form:
Aims and Objectives of the Supplier Information Capture Form:

In order to assist us in engaging with your organisation as part of our implementation of the eProcurement Scotl@nd service,
be that you have already provided this information as part of an engagement with another eProcurement Scotl@nd customer o
form, but please confirm that the individual contact details in particular are correct for our organisation.
This form provides us with:

• Essential contact names and contact details within supplier organisations to ensure that effective and regular communicatio

• Confirmation of supplier details for the set up of your supplier profile by our Systems Administrator on the correct instan

• Confirmation of the Purchase Order route of transmission by the PECOS eProcurement system to you

• Details of your e-business plans and capabilities that will help us to engage effectively with you and assess more accurately




Completing this Form:

The form is designed to capture a high-level overview of your organisation’s existing capability and future plans for Procureme
be either difficult or time-consuming: it is more important to give an indication of the answer to each question quickly, rather

Unless impossible, we would like to receive completed forms by e-mail to procurement@gcal.ac.uk




Completion Date and Contact:

We would like the information to be provided as soon as is practicable. As a guide however, we would be grateful if a complet
If you have any questions concerning the completion of this questionnaire, please contact the Buying Organisation’s eProcurem
this questionnaire.
e eProcurement Scotl@nd service, we would like you to answer the questions on the Information Capture worksheet. It may
 eProcurement Scotl@nd customer organisation. If so, it is quite acceptable to forward to us a copy of a previously completed
organisation.


effective and regular communication is maintained between both parties

ministrator on the correct instance of PECOS

system to you

 th you and assess more accurately the effort required on both sides to implement a trading connection.




bility and future plans for Procurement via electronic trading systems. We do not envisage that the completion of this form will
 r to each question quickly, rather than to leave a blank response or spend significant time to find the precisely accurate detail.




 r, we would be grateful if a completed form could be returned as quickly as possible following receipt.
 the Buying Organisation’s eProcurement Supplier Adoption Contact or Project Manager as detailed on the covering email with
 re worksheet. It may
a previously completed




pletion of this form will
ecisely accurate detail.




the covering email with

				
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