Select Language Preference Here：请选择你的语言:
사용할 언어를 선택하시오:
表示言語をここから選択してください:English Revision 1. July 18th 2011
tier level 1
Company Name (*):
Company Unique Identifier:
Address:
Authorized Management Reprentative (*):
Reprentative Title:
Reprentative Email (*):Reprentative Phone:
(If different than reprentative named above) Contact Name (*):
Contact Emai模模糊糊的近义词
l (*):Contact Phone:
Date of Completion (*):
Day: (*)Month: (*)Year: (*)1) Are any of the following metals necessary to the functionality or production of your
company's products that it manufactures or contracts to manufacture? If no for all metals,
you are done with this survey. (*)
Answer Tantalum (Ta) (*)
Tin (Sn) (*)
Gold (Au) (*)
Tungsten (W) (*)2) Do the following metals (necessary to the functionality or production of your
company's products) originate from the DRC or an adjoining country? (*)
Answer Tantalum (Ta) (*)
Tin (Sn) (*)
Gold (Au) (*)
Tungsten (W) (*)3) Do the following metals (necessary to the functionality or production of your products)
come from a recycler or scrap supplier? (*)
Answer Tantalum (Ta) (*)
Tin (Sn) (*)
Gold (Au) (*)
Tungsten (W) (*)
4) Have you id营销部经理
entified all the smelters your company 高兴的英语
and its suppliers u to supply the
following metals? (*)Answer Tantalum (Ta) (*)
Tin (Sn) (*)
Gold (Au) (*)
Tungsten (W) 熊猫慢递
(*)
5) Are all of the smelters your compa月亮双鱼女
ny and its suppliers u on the EICC-GeSI Conflict-
Free Smelter (CFS) list for the following metals? (*)
Answer Tantalum (Ta) (*)
Tin (Sn) (*)
Gold (Au) (*)
Tungsten (W) (*)
Answer the Following Questions:
Answer A. Do you have a policy in place that 辽国萧太后
includes DRC conflict-free sourcing? (*)
B. Is this policy publicl中国十大自然景观
y available on your website? (*)
C. Do you require your direct suppliers to be DRC conflict-free? (*)
D. Do you require your direct suppliers to source from smelters validated as DRC Conflict-Free
using the EICC-GeSI Conflict-Free Smelter (CFS) list? (*)
E. Have you imp绿色环保知识
lemented Conflict Minerals sourcing due diligence measures? (*)
F. Do you have completed Conflict Minerals reporting templates from all your suppliers? (*)
G. Do you request your suppliers to fill out this Conflict Minerals reporting template? (*)
H. Do you request smelter names from your suppliers? (*)
I. Do you verify Conflict Mineral Respons from your suppliers? (*)
J. Does your verification process include corrective action management? (*)
K. Are you subject to the SEC disclosure requirement rule? (*)2011 Electronic Industry Citizenship Coalition, Incorporated and Global e-Sustainability Initiative. All rights rerved.Comments Comments Conflict Minerals Reporting Template
The purpo of this document is to collect sourcing information on tin, tantalum, tungsten and gold ud in products
Mandatory fields are noted with an asterisk (*). The information collected in this template should be updated annually. Any changes within the annual cycle should be provided to your custo立刻英语短语
mers
Comments
Comments
Comments Comments and Attachments
