BM-11-03

phiu nh gi nh cung cp
Tn nh cung
cp: ......................................................................................................................
a
ch: ..........................................................................................................................
..............
in thoi: ................................................Fax:
Ngi lin
h: ............................................................................................................................
..
Lnh vc cung
cp: ......................................................................................................................

Yu cu nh gi

TT

Ni dung

nh gi/Nhn nh

Uy tn

Cht lng

Ga c

Kh nng cung
cp ti thiu

Phng thc thanh

ton

iu kin
hng

Ch bo hnh

Nhng
khc

tiu

Kt lun
Chp
nhn

Khng

giao

ch

Kt
lun
chung: ..............................................................................................................
L
do: ............................................................................................................................
.

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Ngy........thng........nm......
Ngi nh gi

Ngi ph duyt