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Vendor Partnership Application

Company Overview

Please give a brief description of the company’s main activities.

Does the company have a training program in place for all staff? Describe.

Quality Assurance

Does the company have a system of standard operating procedures / work instructions?

Yes

Do you conduct regular training for your staff on product quality and safety?

Yes

Does the company have a procedure for dealing with complaints?

Yes

Describe your process for handling customer complaints and product issues.

Does the company have a system for recording quality deviations/incidents?

Yes

Have you ever been subject to a product recall?

Yes

Do you comply with the Drug Supply Chain Security Act (DSCSA)? If yes, please provide details on how you comply:

Yes

Please provide details on how you comply

Licenses and Certifications

List all relevant licenses and certifications held by your company (e.g., cGMP, ISO):

Financial Information

Annual Sales Volume

Finance Accounts Contact

Name

Telephone

Credit Reference 1:

Credit Reference 2:

Section 8: Acknowledgment and Signature

I, the undersigned, certify that the information provided in this application is true and accurate to the best of my knowledge. I authorize One Opus International LLC to verify the information provided herein.

Name

Title

Date

Signature

Clear

If you are human, leave this field blank.

Date

Event Introductions

Business Name

Alternative Business Name

Business Address

City

State

Zip

Country

Contact Name

Contact Title

Phone Number

Mobile Number

Website

Business Size

Primary Classification

Secondary Classification

Certified

Yes No

Secondary Classification

Company Information

Primary Contact

Responsible Person Contact

Business Details

Finance / Accounts Contact Name

Company Overview

Quality Assurance

Licenses and Certifications

List all relevant licenses and certifications held by your company (e.g., cGMP, ISO):

Financial Information

Finance Accounts Contact

Section 8: Acknowledgment and Signature

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Vendor Partnership Application

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