Electrolux Factory Profile Questionnaire

Date Issued:                                                               

Name of Licensee/Vendor:                                                 Licensee/Vendor #:                              

Region:                                                                                                                                         

Name of Factory:                                                             Factory #:                                          

Physical Address:                                                                                                                         

Mailing Address:                                                                                                                          

Telephone #:                                                                     Fax #:                                                

Name of Contact:                                                                                                                         

Facility Name:                                                                                                                              

Physical Address:                                                                                                                         

Mailing Address:                                                                                                                          

Telephone #:                                                                     Fax #:                                                

(Please review information above, make changes on form if necessary.)

FACTORY:

Ownership Type of Factory:

      Joint Venture _____ Partnership _____ Corporation _____ Privately Owned _____

      Foreign Investment _____ Other ________________________________________

Name of Broker/Agent (if applicable):                                                                                         

Mailing Address:                                                                                                                          

Telephone #:                                                                     Fax #:                                                

FACILITY (Note: Complete a questionnaire for each facility location)

Ownership Type of Facility:

      Joint Venture _____ Partnership _____ Corporation _____ Privately Owned _____

      Foreign Investment _____ Other _____________________________________________

Year Facility Established:                                           

Name of Plant Manager:                                                                                                              

Telephone #:                                                                     Fax #:                                                

Articles Produced:                                                                                                                        

Total Employees at this Facility: Contract:                      Local:                                    

If contract workers employed, length of contract:              

Street Address of Dormitories (if applicable):                                                                             

SUBCONTRACTING FACILITIES OR SISTER COMPANIES

Name(s)__________________________________________________________________________

Location(s)________________________________________________________________________           

Operations performed_______________________________________________________________

NUMBER OF MACHINES – Specify the following:

                                                                       Number of                   Estimated

                                                                       Employees on                Monthly                                      

Machine Type                         Number          Machine                        Production

Cutting Machines                      ­_______         _______                         _________                             

Cutting Tables                          _______          _______                         _________

Knitting Machines                    _______          _______                         _________                             

Sewing Machines                      _______          _______                         _________

Making Machines                      _______          _______                         _________

Looping Machines                     _______          _______                         _________

Processing Machines:

      Permapressing machines      _______          _______                         _________

      Dying machines                  _______          _______                         _________

      Stone washing machines      _______          _______                         _________

      Other                                  _______          _______                         _________

Weaving Machines                    _______          _______                         _________

Yarn making Machines              _______          _______                         _________