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,,00-MT80-1000-006,,Revision

,,,,H

,,SupplierSelfAssessmentForm,,DocumentationCategory

,,,,Mandatory

Approvals,,,Designation,

ErickPrause,,,SRDIRECTORSUPPLYCHAINMANAGEMENT,

Revision,,,,

Revision,ChangeDetails,,Originators,DateofRelease

A,InitialRelease-removedfrom04-MT80-2000-001,,ErickPrause,2010/6/22

B,"Addedchecklistforselectingrequiredelements,addedreview/approvalelements,updatedinstructions,movedfinancialelementstoseparateworksheet,incorporatedselfassessmentapprovalstep.",,ErickPrause,2011/1/26

C,CorrectiontoprotectedfieldsintheSystemsSelfAssessmentworksheet,,ErickPrause,2011/4/14

D,"Added15.8and15.9toSection15ofSystemsSelfAssessmenttorequestSupplierContactInformation,requestinformationonC-TPAT/AEOcerttificationandupdatedthee-mailaddressforsubmittingcompletedSAQ'sforreview.",,ErickPrause,DEC/01/11

E,Correctedpermissionssothatattachmentscanbeaddedinappropriatesections,,ErickPrause,DEC/20/11

F,"Addquestionsregardingoutsourcingtosection13.3oftheSystemsSelfAssessment

Revisedallquestionsinsection15ofSystemsSelfAssessment

AddedJabilLogisticsApprovalFormandinstructionsforcompletion

Updatedthetemplate",,ErickPrause,SEP/17/13

G,Unlockdataentryfieldsinsection15oftheSystemsSelfAssessment,,ErickPrause,NOV/05/13

H,"Addacolumn""DateofRelease""intheRevisionsection.

Updatedtheapprover",,RoneyAbraham,MAR/26/14

1.0Purpose,,,,

ToprovideatemplateforJabilSupplierstousetocompleteaselfassessment,,,,

2.0Scope,,,,

AppliestorequestsmadetoJabilSupplierstocompleteaselfassessment,,,,

3.0References,,,,

Thisdocumentistobeusedinconjunctionwiththefollowingprocedures:,,,,

DocumentNumber,,DocumentTitle,,

00-MT20-1000-006,,"SupplierSelection,ClassificationandDevelopmentProcess",,

4.0Instructions,,,,

"Whenitisdeterminedthatasupplierneedstocompleteaselfassessment,thefollowingstepsarefollowed:

1.JabilrequestorentersthefollowinginformationontheSelectionandReviewSheet:

-SupplierName

-SupplierLocation(Address)

-Commoditiesthatapplyfortheselfassessment

-Checktheappropriateboxforsupplierstatus(PotentialSupplier,ExistingApprovedSupplier)

-IfthestatusisPotentialSupplierandthesupplierisbeingconsideredforPCB's,checktheboxforPCBSelfAssessmentbelow

thePotentialSupplierheading

-IfanExistingApprovedSupplier,checktheapplicableboxesbelowExistingApprovedSupplierheadingforanysections/

elementsinadditiontotheSystemsSelfAssessment,thatyouarerequestingthesuppliertocomplete.

-TheJabilRequestorenterstheircontactinformationandrequestedcompletiondateinthespacesprovided

Note:TheSupplierInstructionssheetisautomaticallycompleted.Noinformationneedstobeenteredintoit.

2.TheJabilRequestorsendsthefollowingtothesupplier:

-ForaPotentialSupplier-thisform,SupplierRequirementsManual00-MT60-1000-00605andSupplierAcknowledgementForm

00-MT80-1000-001

-ForanExistingApprovedSupplier-thisform,SupplierRequirementsManual00-MT60-1000-00605andifitisrequestedthat

thesuppliercompleteaSupplierAcknowledgementForm,SupplierAcknowledgementForm00-MT80-1000-001.

3.JabilReview

-Uponreceiptofacompletedselfassessment,theJabilrequestorcoordinatesthecompletionofthereviewoftheinformation

provided.

-TherequestorsendsthecompletedselfassessmenttoJabilLogisticsforreviewandapprovalofSection15(C-TPAT)inthe

SystemsSelfAssessment

-FromthereviewidentifyanyconcernsorgapsanddocumenttheminthespacesprovidedontheSelectionandReviewSheet

-Followupwiththesuppliertoseektoaddressandcloseanyconcernsorgapsidentified

-ToacceptaselfassessmentforaPotentialSupplier,thefollowingelementsmustbefulfilled:

1.SignedNDA(NonDisclosureAgreement)inplace

2.Allinformationprovided-nogapsormissinginformation

3.Allrequestedattachmentsprovided

4.Allconcernsorgapsidentifiedhavebeenclosed

5.Section15(C-TPAT)inSystemsSelfAssessmentapprovalbyJabilLogistics-attachcopyofapprovaltoforminthespace

provided

6.SupplierAcknowledgementFormsignedandreturned

-ToacceptaselfassessmentforanExistingApprovedSupplier,thefollowingelementsmustbefulfilled:

1.Allinformationprovided-nogapsormissinginformation

2.Allrequestedattachmentsprovided

3.Allconcernsorgapsidentifiedhavebeenclosed

4.Section15(C-TPAT)inSystemsSelfAssessmentapprovalbyJabilLogistics-attachacopyofapprovaltoform

5.SupplierAcknowledgementFormsignedandreturned,ifrequested

4.Closure-FinalResult

-Fortheapplicablesuppliertype,checktheappropriateboxforthefinalresultoftheselfassessmentintheFinalResultAreaof

theSelectionandReviewSheet

-ForJabilsiterequestedselfassessments,thesiteSQELead/Managerand/orSitePurchasingManagerreviewsandprovides

finalapprovaloftheresultsfortheselfassessmentsrequiredtobecompleted

-ForRegionalorGlobalSCrequestedselfassessments,theRegionalCommodityManagerorGlobalCommodityManager

reviewsandprovidesapprovalfortheGeneral-Financialsection(whenthissectionisrequired

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