Q SOP 011a 03 New Supplier Account Form

20 April 2015
Dear Supplier
We at the Munro Group strictly adhere to the principles of Good

Practice (GMP) and Good Distribution Practice (GDP) through a
Management System. Under GMP/GDP we have a responsibility
suppliers for their suitability to provide us with goods and/or services
and ethically compliant manner.
Manufacturing
robust Quality
to assess our
in a regulatory
Please find enclosed our New Supplier Account Application.

We would really
appreciate it if you could spare the time to complete and send back to us by post, fax
or email. Please note that a purchase order will not be placed prior to our receipt of a
completed questionnaire and a copy of all relevant certificates and/or licences.
If you have any questions regarding this questionnaire then please to not hesitate to
contact our Quality & Regulatory Department on 01355 574471.
We are looking forward to beginning a business relationship that will benefit us both.
Yours faithfully
Shirley Gorrell
Commercial Director
DETAILS OF PERSON COMPLETING THE QUESTIONNAIRE

NAME
Andrei Cristina
TITLE Sales representative

DATE 18.03.2015
GENERAL INFORMATION: This information shall be used to set up a payment account
on our Finance System
The Munro Group
Strathclyde Pharmaceuticals Limited | SPL (2004) Ltd | Munro Wholesale Medical Supplies Limited | Ecosse
Pharmaceuticals Limited
3 Young Place | Kelvin Industrial Estate | East Kilbride | Scotland | G75 0TD
: 01355 574450 | : 01355 266422 | : information@munro-group.eu | : www.munro-group.com
Q/SOP/011b/03
NEW SUPPLIER ACCOUNT APPLICATION

SUPPLIER NAME
ADDRESS
POST CODE
COUNTRY
Sc Depo Med srl

Str. Calea Domneasca, Bl . L2D, Targoviste,county Dambovita,
Romania
130145
Romania
TELEPHONE NUMBER
+4 0245 219 850
FAX NUMBER
+4 0245 219 850
EMAIL ADDRESS
contact@depo-med.ro
CURRENCY
COMPANY REG No.
(if
applicable)
VAT REG No.
(if
applicable)
WDL No.
(if applicable)
BANK NAME
BANK SORT CODE
BANK ACCOUNT
NUMBER
J15/409/1995
Vat RO 7489860
400D
Piraeus Bank
PIRBROBU
RO32 PIRB 1600 741 226 00 2000
KEY CONTACTS
NAME: Sorin Chiroiu
CHIEF EXECUTIVE
EMAIL: sorin.chiroiu@depo-med.ro
NAME: Farm Florea Cornelia
QUALITY ASSURANCE
REGULATORY
AFFAIRS
EMAIL: contact@depo-med.ro
NAME:
EMAIL:
NAME:
CUSTOMER SERVICE
EMAIL:
NAME: Mariuca Andrei
SALES
EMAIL: mariuca.andrei@depo-med.ro
ASSESSMENT OF QUALITY CAPABILITIES SECTION A

The Munro Group
Q/SOP/011a/03

WILL YOU ALLOW THE MUNRO GROUP TO PERFORM
AN INSPECTION OF YOUR FACILITY?
DO YOU INTEND TO SUPPLY PHARMACEUTICAL
PRODUCTS TO THE MUNRO GROUP?
YES
NO
YES
continue to next question
NO
skip to SECTION B
IS YOUR WAREHOUSE TEMPERATURE CONTROLLED

OR AIR-CONDITIONED?
YES
NO
DO YOU HAVE TEMPERATURE MONITORING

EQUIPMENT?
YES
NO
IS YOUR TEMPERATURE MONITORING EQUIPMENT

CALIBRATED?
YES
N/A
NO
DO YOU KEEP TEMPERATURE RECORDS?
YES
NO
DOES YOUR COMPANY HOLD A CURRENT

WHOLESALE DEALERS LICENCE, MANUFACTURERS
LICENCE OR EQUIVALENT LICENCE FOR YOUR
COUNTRY?
YES
NO
PLEASE ATTACH A COPY OF YOUR CURRENT

WHOLESALE DEALERS LICENCE, MANUFACTURERS
LICENCE OR EQUIVALENT FOR YOUR COUNTRY.
ATTACHED
HAVE ALL PRODUCTS SUPPLIED BEEN PREVIOUSLY

QP RELEASED WITHIN THE EU?
YES
NO
ARE PRODUCTS CHECKED FOR COUNTERFEIT?
YES
NO
ARE ANY OF THE PRODUCTS SUPPLIED BY YOUR

COMPANY SOURCED FROM OUTSIDE OF THE EU?
YES
NO
IF YES, HAVE THEY BEEN QP RELEASED WITHIN THE

EU?
YES
NO
DO YOU OPERATE A FIRST IN, FIRST OUT AND/OR

A FIRST EXPIRY, FIRST OUT SYSTEM?
YES
NO
YES
NO
YES
NO
WHAT SYSTEM DO YOU USE TO MAINTAIN THE

TRACEABILITY OF PRODUCTS?
DO YOU PROVIDE GMP/GDP TRAINING TO YOUR
STAFF?
AT WHAT INTERVALS DO YOU RETRAIN STAFF?
ARE YOUR STAFF TRAINED TO HANDLE CHILLED
PRODUCTS?
DO YOU HAVE AN EMERGENCY PLAN PROCEDURE

YES
FOR PRODUCT RECALL?
ASSESSMENTY OF QUALITY CAPABILITIES SECTION B
DOES YOUR COMPANY HAVE A QUALITY MANUAL
AND/OR A SITE MASTER FILE?
YES
NO
NO
The Munro Group

Q/SOP/011a/03

DOES YOUR COMPANY WORK TO STANDARD
OPERATING PROCEDURES?
YES
IF YES, PLEASE ATTACH COPY OF YOUR SOP INDEX
NO
ATTACHED
WHO APPROVES SOPs?

IS THERE A FORMAL PROCESS FOR THE CONTROL,
REVIEW AND UPDATING OF SOPs?
YES
NO
HAS ANY HEALTH AUTHORITY OR REGULATORY

BODY INSPECTED YOUR FACILITY WITHIN THE PAST
12 MONTHS?
YES
NO
IF YES, PLEASE ATTACH A COPY OF THEIR REPORT
ATTACHED
DO YOU CARRY OUT SELF-INSPECTIONS OF YOUR

FACILITY AND SYSTEMS?
YES
NO
DO YOU MAINTAIN AN APPROVED SUPPLIERS LIST?
YES
NO
DOES YOUR SYSTEM ALLOW YOU TO USE

UNAPPROVED SUPPLIERS?
YES
NO
DO YOU HAVE A PEST CONTROL SYSTEM IN PLACE?
YES
NO
DO YOU OPERATE A QUARANTINE SYSTEM?
YES
NO
DO YOU OPERATE A CHANGE CONTROL SYSTEM

AND ASSESS THE IMPACT OF CHANGE ON PRODUCT
QUALITY?
YES
NO
DO YOU HAVE A FORMAL COMPLAINTS

PROCEDURE?
YES
NO
DO YOU ANALYSE YOUR CUSTOMER COMPLAINTS?
YES
NO
HOW OFTEN IS YOUR FACILITY INSPECTED FOR

PESTS?
FURTHER RELEVANT INFORMATION OR COMMENTS
The Munro Group

Q/SOP/011a/03
THANK YOU FOR COMPLETING THIS QUESTIONNAIRE

PLEASE NOW SEND BACK TO THE MUNRO GROUP BY EMAIL, POST OR FAX
USING THE DETAILS AT THE FOOTER OF THIS PAGE
FOR MUNRO GROUP INTERNAL USE ONLY
OPEN ACCOUNTS
DATE
REQUIRED
A/C
P.O. PRINT GROUP
SUPPLIER TYPE
ACCOUNT NO.
SHORT NAME
COST CODE
LEDGER
CURRENCY CODE
DEFAULT TAX CODE
PAYEE ACCOUNT
CONTRA ACCOUNT
INTRASTAT
CODE
PAYMENT TERMS
PAYMENT
PRIORITY
EXPENSE CODE
PAYMENT
METHOD
BACS
TYPE
E.U. (Y/N)
ROLL NUMBER
BUYER
ACCOUNT
COUNTRY
AWARDS
CONTACT
DELIVERY TERMS
REVIEW DAY
LEAD TIME
INTERVAL
MIN. P.O. VALUE
DELIVERY
METHOD
P.O.METH
OD
PRINT
FAX
APPROVAL
APPROVED
(RP/QP)
DATE
ACCOUNT
AUTHORISED
DATE
ACCOUNT LOADED
DATE
The Munro Group

Q/SOP/011a/03

Q SOP 011a 03 New Supplier Account Form

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Q SOP 011a 03 New Supplier Account Form

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Verfügbare Formate

20 April 2015

We at the Munro Group strictly adhere to the principles of Good

Please find enclosed our New Supplier Account Application.

DETAILS OF PERSON COMPLETING THE QUESTIONNAIRE

TITLE Sales representative

NEW SUPPLIER ACCOUNT APPLICATION

Sc Depo Med srl

+4 0245 219 850

+4 0245 219 850

VAT REG No.

ASSESSMENT OF QUALITY CAPABILITIES SECTION A

NEW SUPPLIER ACCOUNT APPLICATION

continue to next question

IS YOUR WAREHOUSE TEMPERATURE CONTROLLED

DO YOU HAVE TEMPERATURE MONITORING

IS YOUR TEMPERATURE MONITORING EQUIPMENT

DO YOU KEEP TEMPERATURE RECORDS?

DOES YOUR COMPANY HOLD A CURRENT

PLEASE ATTACH A COPY OF YOUR CURRENT

HAVE ALL PRODUCTS SUPPLIED BEEN PREVIOUSLY

ARE PRODUCTS CHECKED FOR COUNTERFEIT?

ARE ANY OF THE PRODUCTS SUPPLIED BY YOUR

IF YES, HAVE THEY BEEN QP RELEASED WITHIN THE

DO YOU OPERATE A FIRST IN, FIRST OUT AND/OR

WHAT SYSTEM DO YOU USE TO MAINTAIN THE

DO YOU HAVE AN EMERGENCY PLAN PROCEDURE

The Munro Group

NEW SUPPLIER ACCOUNT APPLICATION

IF YES, PLEASE ATTACH COPY OF YOUR SOP INDEX

WHO APPROVES SOPs?

HAS ANY HEALTH AUTHORITY OR REGULATORY

IF YES, PLEASE ATTACH A COPY OF THEIR REPORT

DO YOU CARRY OUT SELF-INSPECTIONS OF YOUR

DO YOU MAINTAIN AN APPROVED SUPPLIERS LIST?

DOES YOUR SYSTEM ALLOW YOU TO USE

DO YOU HAVE A PEST CONTROL SYSTEM IN PLACE?

DO YOU OPERATE A QUARANTINE SYSTEM?

DO YOU OPERATE A CHANGE CONTROL SYSTEM

DO YOU HAVE A FORMAL COMPLAINTS

DO YOU ANALYSE YOUR CUSTOMER COMPLAINTS?

HOW OFTEN IS YOUR FACILITY INSPECTED FOR

FURTHER RELEVANT INFORMATION OR COMMENTS

The Munro Group

NEW SUPPLIER ACCOUNT APPLICATION

THANK YOU FOR COMPLETING THIS QUESTIONNAIRE

P.O. PRINT GROUP

DEFAULT TAX CODE

MIN. P.O. VALUE

The Munro Group

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