Supplier application
Your application as a supplier
Please fill out the mandatory fields (*). We will process your message as soon as possible.
headline
Formular
description
{{dsgvo_info_supplier}}
submit
{{btn_send}}
confirmation
{{response_success}}
cfPathEmail1
cfPathEmail2
key-value
true
{{generalinfo}}
headline_788
headline
false
[]
1
true
{{company}}
companyname
text
true
[]
{{validation_required}}
1
true
{{address}}
companyadress
text
true
[]
{{edit_userdata_mandatory}}
1
true
{{country}}
country
text
true
[]
{{edit_userdata_mandatory}}
1
true
{{website}}
website
text
true
[]
{{website_placeholder}}
{{edit_userdata_mandatory}}
1
true
{{founding_year}}
founding_year
text
true
[]
YYYY
{{edit_userdata_mandatory}}
1
true
{{legal_form}}
legal_form
text
true
[]
{{edit_userdata_mandatory}}
1
true
{{responsible_contactperson_jumo}}
headline_4510
headline
false
[]
1
true
{{salutation}}
salutation
radio
false
[{"label":"{{salutation_ms}}","value":"salutation_ms"},{"label":"{{salutation_mr}}","value":"salutation_mr"}]
{{validation_required}}
1
true
{{name}}
name
text
true
[]
{{edit_userdata_mandatory}}
1
true
{{email}}
email
email
true
[]
{{email_placeholder}}
^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,}$
{{validation_required}}
1
true
{{phone}}
phone
text
true
[]
{{phone_placeholder}}
{{validation_required}}
1
true
{{fax}}
fax
text
false
[]
{{phone_placeholder}}
{{validation_required}}
1
true
{{mobilephone}}
mobile
text
false
[]
{{phone_placeholder}}
{{validation_required}}
1
true
{{further_contactperson_jumo}}
headline_8215
headline
false
[]
1
true
{{managing_director}}
nameceo
text
false
[]
{{validation_required}}
1/3
true
{{phone_extension}}
telceo
text
false
[]
{{validation_required}}
1/3
true
{{email}}
emailceo
email
false
[]
{{email_placeholder}}
^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,}$
{{validation_required}}
1/3
true
{{sales_name}}
namesales
text
false
[]
{{validation_required}}
1/3
true
{{phone_extension}}
telsales
text
false
[]
{{validation_required}}
1/3
true
{{email}}
emailsales
email
false
[]
{{email_placeholder}}
^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,}$
{{validation_required}}
1/3
true
{{construction_name}}
nameconstruction
text
false
[]
{{validation_required}}
1/3
true
{{phone_extension}}
telconstruction
text
false
[]
{{validation_required}}
1/3
true
{{email}}
emailconstruction
email
false
[]
{{email_placeholder}}
^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,}$
{{validation_required}}
1/3
true
{{quality_management_name}}
namequality
text
false
[]
{{validation_required}}
1/3
true
{{phone_extension}}
telquality
text
false
[]
{{validation_required}}
1/3
true
{{email}}
emailquality
email
false
[]
{{email_placeholder}}
^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,}$
{{validation_required}}
1/3
true
{{it_management_name}}
nameit
text
false
[]
{{validation_required}}
1/3
true
{{phone_extension}}
telit
text
false
[]
{{validation_required}}
1/3
true
{{email}}
emailit
email
false
[]
{{email_placeholder}}
^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,}$
{{validation_required}}
1/3
true
{{personnel_development}}
headline_15405
headline
false
[]
1
true
{{current_business_year}}
hrcurrent
text
true
[]
{{edit_userdata_mandatory}}
1/3
true
{{last_business_year}}
hrlast
text
false
[]
{{validation_required}}
1/3
true
{{beforelast_business_year}}
hrbeforelast
text
false
[]
{{validation_required}}
1/3
true
{{sales_development}}
headline_17042
headline
false
[]
1
true
{{total_sales_current_year}}
totalturnovercurrent
text
true
[]
{{edit_userdata_mandatory}}
1/3
true
{{total_sales_last_year}}
totalturnoverlast
text
true
[]
{{edit_userdata_mandatory}}
1/3
true
{{total_sales_beforelast_year}}
totalturnoverbeforelast
text
true
[]
{{edit_userdata_mandatory}}
1/3
true
{{automotive_shares_sales_current_year}}
automotivesharecurrent
text
true
[]
{{edit_userdata_mandatory}}
1/3
true
{{automotive_shares_sales_last_year}}
automotivesharelast
text
false
[]
{{validation_required}}
1/3
true
{{automotive_shares_sales_beforelast_year}}
automotivesharebeforelast
text
false
[]
{{validation_required}}
1/3
true
{{industry_shares_sales_current_year}}
industrysharecurrent
text
false
[]
{{validation_required}}
1/3
true
{{industry_shares_sales_last_year}}
industrysharelast
text
false
[]
{{validation_required}}
1/3
true
{{industry_shares_sales_beforelast_year}}
industrysharebeforelast
text
false
[]
{{validation_required}}
1/3
true
{{medicine_shares_sales_current_year}}
medicinesharecurrent
text
false
[]
{{validation_required}}
1/3
true
{{medicine_shares_sales_last_year}}
medicinesharelast
text
false
[]
{{validation_required}}
1/3
true
{{medicine_shares_sales_beforelast_year}}
medicinesharebeforelast
text
false
[]
{{validation_required}}
1/3
true
{{consumer_shares_sales_current_year}}
consumersharecurrent
text
false
[]
{{validation_required}}
1/3
true
{{consumer_shares_sales_last_year}}
consumersharelast
text
false
[]
{{validation_required}}
1/3
true
{{consumer_shares_sales_beforelast_year}}
consumersharebeforelast
text
false
[]
{{validation_required}}
1/3
true
{{manufacturer_dealer}}
manufacturer_dealer
radio
true
[{"label":"{{manufacturer}}","value":"manufacturer"},{"label":"{{dealer}}","value":"dealer"}]
{{validation_required}}
1
true
{{locations}}
locations
radio
true
[{"label":"1","value":"1"},{"label":"2-3","value":"2-3"},{"label":"4-5","value":"4-5"},{"label":"{{more_than_5}}","value":"5"}]
{{validation_required}}
1
true
{{certificates}}
headline_27480
headline
false
[]
1
true
{{certificate}}
certificate
checkbox
false
[{"label":"IATF 16949","value":"IATF 16949"},{"label":"DIN EN ISO 9001","value":"DIN EN ISO 9001"},{"label":"DIN EN ISO 14001","value":"DIN EN ISO 14001"},{"label":"DIN EN ISO 27001","value":"DIN EN ISO 27001"},{"label":"DIN ISO 45001","value":"DIN ISO 45001"},{"label":"DIN EN ISO 50001","value":"DIN EN ISO 50001"},{"label":"EMAS","value":"EMAS"},{"label":"{{tisax}}","value":"tisax"},{"label":"{{none}}","value":"none"}]
{{validation_required}}
1
true
certificate2
checkbox
false
[]
{{validation_required}}
1
true
certificate3
checkbox
false
[]
{{validation_required}}
1
true
certificate4
checkbox
false
[]
{{validation_required}}
1
true
certificate5
checkbox
false
[]
{{validation_required}}
1
true
certificate6
checkbox
false
[]
{{validation_required}}
1
true
certificate7
checkbox
false
[]
{{validation_required}}
1
true
certificate8
checkbox
false
[]
{{validation_required}}
1
true
certificate9
checkbox
false
[]
{{validation_required}}
1
true
{{more}}
morecertificates
text
false
[]
{{validation_required}}
1
true
{{attach_document}}
upload1
text
false
[]
{{validation_required}}
1
true
{{product_spectrum}}
headline_30841
headline
false
[]
1
true
{{product_spectrum}}
product_spectrum
checkbox
false
[{"label":"{{product_spectrum_electronics}}","value":"product_spectrum_electronics"},{"label":"{{product_spectrum_electromechanics}}","value":"product_spectrum_electromechanics"},{"label":"{{product_spectrum_pcb}}","value":"product_spectrum_pcb"},{"label":"{{product_spectrum_cables}}","value":"product_spectrum_cables"},{"label":"{{product_spectrum_plastic}}","value":"product_spectrum_plastic"},{"label":"{{product_spectrum_die_casted}}","value":"product_spectrum_die_casted"},{"label":"{{product_spectrum_turned_parts}}","value":"product_spectrum_turned_parts"},{"label":"{{product_spectrum_cable_assembling}}","value":"product_spectrum_cable_assembling"},{"label":"{{product_spectrum_tubes}}","value":"product_spectrum_tubes"},{"label":"{{product_spectrum_ceramic_parts}}","value":"product_spectrum_ceramic_parts"},{"label":"{{product_spectrum_packaging_labels}}","value":"product_spectrum_packaging_labels"},{"label":"{{product_spectrum_other}}","value":"product_spectrum_other"}]
{{validation_required}}
1
true
product_spectrum2
checkbox
false
[]
{{validation_required}}
1
true
product_spectrum3
checkbox
false
[]
{{validation_required}}
1
true
product_spectrum4
checkbox
false
[]
{{validation_required}}
1
true
product_spectrum5
checkbox
false
[]
{{validation_required}}
1
true
product_spectrum6
checkbox
false
[]
{{validation_required}}
1
true
product_spectrum7
checkbox
false
[]
{{validation_required}}
1
true
product_spectrum8
checkbox
false
[]
{{validation_required}}
1
true
product_spectrum9
checkbox
false
[]
{{validation_required}}
1
true
product_spectrum10
checkbox
false
[]
{{validation_required}}
1
true
product_spectrum11
checkbox
false
[]
{{validation_required}}
1
true
product_spectrum12
checkbox
false
[]
{{validation_required}}
1
true
{{customer_base}}
headline_35179
headline
false
[]
1
true
{{reference}}
reference
text
false
[]
{{validation_required}}
1
true
{{export_part}}
export_part
radio
true
[{"label":"0-25%","value":"export_0_25"},{"label":"25-50%","value":"export_25_50"},{"label":">50%","value":"export_50"}]
{{validation_required}}
1
true
{{code_of_conduct}}
headline_36652
headline
false
[]
1
true
{{is_there_code_of_conduct}}
codeofconduct
radio
true
[{"label":"{{yes_send_please}}","value":"yes"},{"label":"{{no}}","value":"no"}]
{{validation_required}}
1
true
{{codeofconduct}}
codeofconduct
checkbox
false
[{"label":"{{health_safety}}","value":"health_safety"},{"label":"{{compensation_work_hours}}","value":"compensation_work_hours"},{"label":"{{compliance_human_right}}","value":"compliance_human_right"},{"label":"{{environment_energy_climate}}","value":"environment_energy_climate"},{"label":"{{conflict_materials}}","value":"conflict_materials"},{"label":"{{supply_chain}}","value":"supply_chain"},{"label":"{{consumer_interest}}","value":"consumer_interest"}]
{{validation_required}}
1
true
codeofconduct4
checkbox
false
[]
{{validation_required}}
1
true
codeofconduct5
checkbox
false
[]
{{validation_required}}
1
true
codeofconduct6
checkbox
false
[]
{{validation_required}}
1
true
codeofconduct7
checkbox
false
[]
{{validation_required}}
1
true
codeofconduct8
checkbox
false
[]
{{validation_required}}
1
true
codeofconduct9
checkbox
false
[]
{{validation_required}}
1
true
{{compliance_legal}}
headline_39837
headline
false
[]
1
true
{{conflict}}
conflict
checkbox
true
[{"label":"{{do_imds_entrys}}","value":"do_imds_entrys"},{"label":"{{compliance_directives_regulations}}","value":"compliance_directives_regulations"}]
{{validation_required}}
1
true
conflict2
checkbox
true
[]
{{validation_required}}
1
true
{{insurances}}
headline_40710
headline
false
[]
1
true
{{insurance}}
insurance
checkbox
false
[{"label":"{{extended_liability_insurance}}","value":"extended_liability_insurance"},{"label":"{{recall_cost_coverage}}","value":"recall_cost_coverage"}]
{{validation_required}}
1
true
insurance2
checkbox
false
[]
{{validation_required}}
1
true
{{usa_risk_insured}}
usarisk
radio
true
[{"label":"{{yes}}","value":"yes"},{"label":"{{no}}","value":"no"}]
{{validation_required}}
1
true
{{sustainability}}
headline_43664
headline
false
[]
1
true
{{measures_against_energy_greenhouse}}
sustainability
radio
true
[{"label":"{{yes}}","value":"yes"},{"label":"{{no}}","value":"no"}]
{{validation_required}}
1
true
{{requirements_reach_rohs}}
sustainabilityreach
radio
true
[{"label":"{{yes}}","value":"yes"},{"label":"{{no}}","value":"no"}]
{{validation_required}}
1
true
{{environment_friendly_material_production}}
sustainabilityenv
radio
true
[{"label":"{{yes}}","value":"yes"},{"label":"{{no}}","value":"no"}]
{{validation_required}}
1
true
{{environment_impact_known}}
sustainabilityenvprod
radio
true
[{"label":"{{yes}}","value":"yes"},{"label":"{{no}}","value":"no"}]
{{validation_required}}
1
true
{{contact_origin}}
headline_47013
headline
false
[]
1
true
{{no}}
contact_origin
radio
false
[{"label":"{{contact_origin_fair}}","value":"contact_origin_fair"},{"label":"{{contact_origin_web}}","value":"contact_origin_web"},{"label":"{{contact_origin_phone}}","value":"contact_origin_phone"},{"label":"{{contact_origin_flyer}}","value":"contact_origin_flyer"},{"label":"{{contact_origin_tech_magazine}}","value":"contact_origin_tech_magazine"}]
{{validation_required}}
1
true
{{upload_supplier}}
upload2
text
false
[]
{{validation_required}}
1
true
DSGVO_1
checkbox
true
[{"label":"{{dsgvo_1}}","value":"dsgvo_1"}]
{{validation_required}}
1
true
DSGVO_3
checkbox
true
[{"label":"{{dsgvo_3}}","value":"dsgvo_3"}]
{{validation_required}}
1
true