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									                                                    In The Name of God
                                         Borzouyeh Petrochemical Company
    Registry No:
                                         Customers Feedback Form
    Registry Date:
     Please Fill In The Fields Marked With Astrix
      1. Customers Specification
     *Company:                                                  *Country:
     *Agent name:                                               *Position:
     *E-mail:                                                   *Tel No:
     Fax:                                                       Company Activity:
      2. Please Specify The Name Of Purchased Product (S)
     Benzen                    Paraxylene              Heavy Aromatic           Light end             LPC
     Orthozylene               Mixed Xylene            Rafinate                 5S Cut                Heavy End
      3. Does Submitted Product Comply With The Order?                 Yes          No
     In case of any incompatibly please complete following requested information.
     Order No :                                              Loading Date :
     Order Quantity :                   Submitted Quantity :                    Difference:
      4. Does Quality Of the Product Comply With The Mentioned Specification?                    Yes          No
     In case of any incompatibly please complete following requested information
     Product quality incompatibility regarding to            Insufficient stability for quality of the submitted
     mentioned applications.                                 product.
     Insufficient technical information for the product
     Other :
      5. Loading And Product Delivery
     How Do You Evaluate The Loading And Delivery Of The Product From Borzouyeh Complex?
     Excellent        Good            Satisfactory          Poor
     Comment:

     How Do You Evaluate Delivery Time Of The Product From Borzouyeh Complex?
     Excellent       Good             Satisfactory          Poor
     Comment:

      6. Staff Approach
     How Do You Evaluate The Staff Approach With The Customers?
     Excellent          Good          Satisfactory         Poor
     Comment:

      7. Complaint Investigation
     Complaint investigation               Excellent       Good           Satisfactory                        Poor
     Response time to the complaint        Excellent       Good           Satisfactory                        Poor
      8. Safety And Environmental Requirement
     Safety requirement consideration        Excellent      Good       Satisfactory                    Poor
     Environment requirement consideration   Excellent      Good       Satisfactory                    Poor
      9. The Amount of Interest to Continue Purchasing From This Company?
      Very Much            Very          Satisfactory            Little
     Comment :

     Date of the form completion:
     Please specify the way of sending the reply.        Tel:                Fax:          E-mail:

Contact US:
E-mail: QA@bpciran.com         Tel: 00987727323250-5         Fax: 00987727323255
Address: P. O . Box 75391 – 115, Productivity and Quality Assurance Office, Borzouyeh Petrochemical Company,
Pars Special Economic and Energy Zone.

 BPC-F-QUA-06-01                                                                                 :‫تاريخ صدور و يرايش‬
                                                                                                 0831/10/10

								
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