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<table border="1" cellpadding="1" cellspacing="1" style="width:100%">
	<tbody>
		<tr>
			<td colspan="2" style="text-align: center; vertical-align: middle; border-color: rgb(0, 0, 0); background-color: rgb(221, 221, 221);"><strong>SUPLIER DATA</strong></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Company Name</td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);"><input class="l100" info=" Inform the business name Ex: HTM Ind de Equipamentos Eletroeletronicos LTDA" maxlength="50" name="45de9dd640_77dade53d1" readonly size="50" type="text"></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Address</td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);"><input class="l100" info=" Inform the business name Ex: HTM Ind de Equipamentos Eletroeletronicos LTDA" maxlength="50" name="45de9dd640_79606baa00" readonly size="50" type="text"></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">City / Zip Code</td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);"><input class="l100" info=" Inform the business name Ex: HTM Ind de Equipamentos Eletroeletronicos LTDA" maxlength="50" name="45de9dd640_9597c4d93d" readonly size="50" type="text"></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Contact / E-mail</td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);"><input class="l100" info=" Inform the business name Ex: HTM Ind de Equipamentos Eletroeletronicos LTDA" maxlength="50" name="45de9dd640_b7c55c2dfb" readonly size="50" type="text"></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Phone number</td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);"><input class="l100" info=" Inform the business name Ex: HTM Ind de Equipamentos Eletroeletronicos LTDA" maxlength="50" name="45de9dd640_9d67c155e7" readonly size="50" type="text"></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Federal Tax ID</td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);"><input class="l100" info="Inform the Federal Tax ID " maxlength="50" name="45de9dd640_b9f03ee9a2" readonly required="true" size="50" type="text"></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Filling Data</td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);"><input info=" Inform the date of completion of this questionnaire. Ex: 10/04/17" maxlength="8" name="45de9dd640_44b9c15191" readonly size="8" type="text"></td>
		</tr>
	</tbody>
<table border="1" cellpadding="1" cellspacing="1">
	<tbody>
		<tr>
			<td colspan="2" style="text-align: center; vertical-align: middle; border-color: rgb(0, 0, 0); background-color: rgb(221, 221, 221);">
			<p><strong>DOES YOUR COMPANY HAS A QUALITY MANAGEMENT SYSTEM CERTIFICATE?</strong></p>
			</td>
		</tr>
		<tr>
			<td style="width: 445px; vertical-align: middle; border-color: rgb(0, 0, 0);">ISO 9001:&nbsp;<select name="45de9dd640_0393c50f79"><option selected value=""></option><option value="Yes">Yes</option><option value="No">No</option></select></td>
			<td style="width: 908px; vertical-align: middle; border-color: rgb(0, 0, 0);">Validity of ISO 9001 Certificate:&nbsp;<input maxlength="8" name="45de9dd640_3a2431920d" readonly size="8" type="text"></td>
		</tr>
		<tr>
			<td style="width: 445px; vertical-align: middle; border-color: rgb(0, 0, 0);">ISO 13485:&nbsp;<select name="45de9dd640_21ae8eec0d"><option selected value=""></option><option value="Yes">Yes</option><option value="No">No</option></select></td>
			<td style="width: 908px; vertical-align: middle; border-color: rgb(0, 0, 0);">Validity of ISO 13485 Certificate:&nbsp;<input maxlength="8" name="45de9dd640_7361b075b5" readonly size="8" type="text"></td>
		</tr>
		<tr>
			<td style="width: 445px; vertical-align: middle; border-color: rgb(0, 0, 0);">RDC N&ordm;16:&nbsp;<select name="45de9dd640_8226ddc139"><option selected value=""></option><option value="Yes">Yes</option><option value="No">No</option></select></td>
			<td style="width: 908px; vertical-align: middle; border-color: rgb(0, 0, 0);">Validity of RDC n&ordm;16 Certificate: &nbsp;<input maxlength="8" name="45de9dd640_20aa605633" readonly size="8" type="text"></td>
		</tr>
		<tr>
			<td style="width: 445px; vertical-align: middle; border-color: rgb(0, 0, 0);">Others:&nbsp;<textarea info="Describe the certificate Ex: ISO 14000" name="45de9dd640_be141f8ae7" readonly></textarea></td>
			<td style="width: 908px; vertical-align: middle; border-color: rgb(0, 0, 0);">&nbsp;Validity of Certificate: <input maxlength="8" name="45de9dd640_8b3e81ef73" readonly size="8" type="text"></td>
		</tr>
		<tr>
			<td colspan="2" style="vertical-align: middle; border-color: rgb(0, 0, 0);">
			<p align="center">If Yes, please forward copy of a valid Certificate to the following e-mail: compras01@htmeletronica.com.br</p>

<p align="center">Answer the questions below, with the pre established scoring criteria, analyzing how the issues are handled in your company</p>
			</td>
		</tr>
		<tr>
			<td colspan="2" style="text-align: center; vertical-align: middle; border-color: rgb(0, 0, 0);">If you have any doubt, please contact the Purchasing Department, 55 (19) 3808.7741 or include e-mail</td>
		</tr>
	</tbody>
</table><table border="1" cellpadding="1" cellspacing="1" style="width:100%">
	<tbody>
		<tr>
			<td colspan="4" style="text-align: center; vertical-align: middle; border-color: rgb(0, 0, 0); background-color: rgb(221, 221, 221);">
			<p><strong>CRITERIA FOR SCORING</strong></p>
			</td>
		</tr>
		<tr>
			<td style="width: 127px; vertical-align: middle; border-color: rgb(0, 0, 0);">N.A.</td>
			<td colspan="3" style="width: 1225px; vertical-align: middle; border-color: rgb(0, 0, 0);">Not Applicable.</td>
		</tr>
		<tr>
			<td style="width: 127px; vertical-align: middle; border-color: rgb(0, 0, 0);">00</td>
			<td colspan="3" style="width: 1225px; vertical-align: middle; border-color: rgb(0, 0, 0);">There isn&rsquo;t possibility to perform as required.</td>
		</tr>
		<tr>
			<td style="width: 127px; vertical-align: middle; border-color: rgb(0, 0, 0);">01</td>
			<td colspan="3" style="width: 1225px; vertical-align: middle; border-color: rgb(0, 0, 0);">Requirements are possible to be partly met.</td>
		</tr>
		<tr>
			<td style="width: 127px; vertical-align: middle; border-color: rgb(0, 0, 0);">02</td>
			<td colspan="3" style="width: 1225px; vertical-align: middle; border-color: rgb(0, 0, 0);">Requirements will be met completely.</td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; text-align: center; vertical-align: middle; border-color: rgb(0, 0, 0); background-color: rgb(221, 221, 221);">
			<p><strong>QUESTIONS</strong></p>
			</td>
			<td style="width: 1px; text-align: center; vertical-align: middle; border-color: rgb(0, 0, 0); background-color: rgb(221, 221, 221);"><strong>SCORE&nbsp;</strong></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">1) Does the company have documented work instructions for activities that affect the quality of products / services provided?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_ac4f6edf41"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">2) Are there controls for the records of the results obtained in the critical activities?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_b6c9525020"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">3) Is there a procedure to control these records?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_ca4efa4ca1"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">4) Does the company ensure that there is environmental preservation conditions for the products / services provided?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_1f1bf08415"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">5) Does the company establish actions to ensure the delivery of the products / service within the lead time described in our Purchasing Order?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_f3e5d99723"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">6) Do the packages contain the necessary safety information for storage and transport of products?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_5261c6967c"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">7) Is there a critical review process to meet the specifications outlined in our Purchasing Order?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_542bdd3348"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">8) Does the company control the quality of raw materials purchased?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_c9dc442660"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">9) Does the company establish measures to segregate "nonconforming products" to prevent misuse and consequent delivery to the customer?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_eeb43f8b12"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">10) Has the company established a method to identify and track the products / services provided?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_1eca4a5e53"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">11) Is there a planning for production control?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_7868801c28"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">12) Are there work instructions for the production of the products / services to be provided?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_fc2ded36cb"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">13) Has the company established documented requirements for cleanliness and organization of the work environment?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_463b758c8a"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">14) Does the company have Customer Service Department?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_2812b339d2"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
		<tr>
			<td colspan="2" rowspan="1" style="width: 916.238px; vertical-align: middle; border-color: rgb(0, 0, 0);">15) Does the company provide calibration plans for the instruments used to control the quality of the supplied products?</td>
			<td colspan="2" style="width: 436.762px; vertical-align: middle; border-color: rgb(0, 0, 0);"><select info="Enter the answer to the question according to the criteria for score Ex: 01" name="45de9dd640_388fa193bd"><option selected value=""></option><option value="N.A.">N.A.</option><option value="00">00</option><option value="01">01</option><option value="02">02</option></select></td>
		</tr>
	</tbody>
</table><table border="1" cellpadding="1" cellspacing="1" style="width:100%">
	<tbody>
		<tr>
			<td colspan="3" style="text-align: center; vertical-align: middle; border-color: rgb(0, 0, 0); background-color: rgb(221, 221, 221);">
			<p><strong>TO BE COMPLETED BY HTM&rsquo;S SUPPORT AREAS AND PURCHASING DEPARTMENT</strong></p>
			</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">To analyze this supplier was necessary to query the support areas?</td>
			<td colspan="2" rowspan="1" style="vertical-align: middle; border-color: rgb(0, 0, 0);"><select class="tem-permissao" data-permissao="g:85;137;63;193|u:146;19;14;41" name="45de9dd640_37dda24bc9"><option selected value=""></option><option value="Yes">Yes</option><option value="No">No</option></select>&nbsp;Each:&nbsp;<select class="__lista_nome_departamentos_htm tem-permissao" data-permissao="g:85;137;63;193|u:146;19;14;41" info="Inform which area was consulted as support Ex: Research and Development" name="45de9dd640_a876e2d834"><option></option>
<option>Administrativo</option>
<option>Almoxarifado</option>
<option>Assist&ecirc;ncia T&eacute;cnica</option>
<option>Cl&iacute;nico Cientifico</option>
<option>Comercial</option>
<option>Compras</option>
<option>Consultoria T&eacute;cnica</option>
<option>Controle de Qualidade</option>
<option>Diretoria</option>
<option>Estoque</option>
<option>Embalagem</option>
<option>Expedi&ccedil;&atilde;o</option>
<option>Garantia da Qualidade</option>
<option>Fiscal</option>
<option>Financeiro</option>
<option>Limpeza</option>
<option>Marketing</option>
<option>Mec&acirc;nica</option>
<option>Pesquisa e Desenvolvimento</option>
<option>P&oacute;s-Vendas</option>
<option>Produ&ccedil;&atilde;o</option>
<option>Qualidade</option>
<option>Recursos Humanos</option>
<option>Tecnologia da Informa&ccedil;&atilde;o</option>
<option>Testes e Aferi&ccedil;&otilde;es</option>
<option>Seguran&ccedil;a do Trabalho</option>
</select>&nbsp;/&nbsp;<select class="__lista_nome_departamentos_htm tem-permissao" data-permissao="g:85;137;63;193|u:146;19;14;41" info="Inform which area was consulted as support Ex: Research and Development" name="45de9dd640_9f7362a99b"><option></option>
<option>Administrativo</option>
<option>Almoxarifado</option>
<option>Assist&ecirc;ncia T&eacute;cnica</option>
<option>Cl&iacute;nico Cientifico</option>
<option>Comercial</option>
<option>Compras</option>
<option>Consultoria T&eacute;cnica</option>
<option>Controle de Qualidade</option>
<option>Diretoria</option>
<option>Estoque</option>
<option>Embalagem</option>
<option>Expedi&ccedil;&atilde;o</option>
<option>Garantia da Qualidade</option>
<option>Fiscal</option>
<option>Financeiro</option>
<option>Limpeza</option>
<option>Marketing</option>
<option>Mec&acirc;nica</option>
<option>Pesquisa e Desenvolvimento</option>
<option>P&oacute;s-Vendas</option>
<option>Produ&ccedil;&atilde;o</option>
<option>Qualidade</option>
<option>Recursos Humanos</option>
<option>Tecnologia da Informa&ccedil;&atilde;o</option>
<option>Testes e Aferi&ccedil;&otilde;es</option>
<option>Seguran&ccedil;a do Trabalho</option>
</select></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Possible total score for questions answered</td>
			<td colspan="2" rowspan="1" style="vertical-align: middle; border-color: rgb(0, 0, 0);"><input class="tem-permissao" data-permissao="g:85;137;63;193|u:146;19;14;41" info="Inform the sum of the questions that were not answered with " n.a. if all obtained the highest grade ex: maxlength="2" name="45de9dd640_3ed00cbe9c" readonly size="2" type="text"></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Achieved score by answered questions</td>
			<td colspan="2" rowspan="1" style="vertical-align: middle; border-color: rgb(0, 0, 0);"><input class="tem-permissao" data-permissao="g:85;137;63;193|u:146;19;14;41" info=" Inform the result of the sum of the questions that were not answered with " n.a. maxlength="2" name="45de9dd640_304b38c20c" readonly size="2" type="text">/<input class="tem-permissao" data-permissao="g:85;137;63;193|u:146;19;14;41" info=" Inform the percentage value of the total answered in relation to the maximum quantity Ex: 75%" maxlength="2" name="45de9dd640_7cdf4cedb7" readonly size="2" type="text">%</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Purchasing Department Recommendation Evalution</td>
			<td colspan="2" rowspan="1" style="vertical-align: middle; border-color: rgb(0, 0, 0);"><select class="tem-permissao" data-permissao="g:85;137;63;193|u:146;19;14;41" info=" Inform the evaluation of the Purchasing Department." name="45de9dd640_eecf5f851c"><option selected value=""></option><option value="Approved">Approved</option><option value="Disapproved">Disapproved</option></select></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Responsible person for the evaluation of the answered questionnaire (Purchasing Department).</td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Resp.&nbsp;<input class="tem-permissao" data-permissao="g:85;137;63;193|u:146;19;14;41" info=" Enter the registration number of the person in charge of the evaluation of the Purchasing Department Questionnaire Ex: 000" maxlength="3" name="45de9dd640_8ce3e2dd35" readonly size="3" type="text"></td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Date:&nbsp;<input class="tem-permissao" data-permissao="g:85;137;63;193|u:146;19;14;41" info=" Inform the date of completion of the person responsible for the evaluation of the Purchasing department Ex: 04/10/17" maxlength="8" name="45de9dd640_200c7f6595" readonly size="8" type="text"></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Responsible person for the evaluation of the answered questionnaire (Quality Assurance Department).</td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Resp.&nbsp;<input class="tem-permissao" data-permissao="g:202|u:48" info=" Enter the registration number of the person in charge of the evaluation of the Quality Questionnaire Ex: 000" maxlength="3" name="45de9dd640_756d537d9c" readonly size="3" type="text"></td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Date:&nbsp;<input class="tem-permissao" data-permissao="g:202|u:48" info=" Inform the date of completion of the person responsible for the evaluation of the Quality department Ex: 04/10/17" maxlength="8" name="45de9dd640_d235212221" readonly size="8" type="text"></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Responsible person for the evaluation of the answered questionnaire (Mechanics Department).</td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Resp.&nbsp;<input class="tem-permissao" data-permissao="g:201|u:46" info=" Enter the registration number of the person in charge of the evaluation of the Questionnaire of the Mechanical Department Ex: 000" maxlength="3" name="45de9dd640_9f3b590d61" readonly size="3" type="text"></td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Date:&nbsp;<input class="tem-permissao" data-permissao="g:201|u:46" info=" Inform the date of completion of the person responsible for the evaluation of the Mechanical Department Ex: 04/10/17" maxlength="8" name="45de9dd640_6a5915f650" readonly size="8" type="text"></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Responsible person for the evaluation of the answered questionnaire (Engineering Department).</td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Resp.&nbsp;<input class="tem-permissao" data-permissao="g:187;144|u:34;24" info=" Enter the registration number of the person in charge of the evaluation of the Research and Development Department's Ex-Questionnaire: 000" maxlength="3" name="45de9dd640_67a475526b" readonly size="3" type="text"></td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Date:&nbsp;<input class="tem-permissao" data-permissao="g:187;144|u:34;24" info=" Inform the date of completion of the person responsible for the evaluation of the Department of Research and Development Ex: 04/10/17" maxlength="8" name="45de9dd640_0456f5aa7e" readonly size="8" type="text"></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Responsible person for the evaluation of the answered questionnaire (Scientific Consulting Department).</td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Resp.&nbsp;<input class="tem-permissao" data-permissao="g:175|u:80" info=" Inform the registration number of the person in charge of the evaluation of the Questionnaire of the Department of Scientific Consulting Ex: 000" maxlength="3" name="45de9dd640_5c165b3984" readonly size="3" type="text"></td>
			<td style="vertical-align: middle; border-color: rgb(0, 0, 0);">Date:&nbsp;<input class="tem-permissao" data-permissao="g:175|u:80" info=" Inform the date of completion of the person responsible for the evaluation of the Department of Scientific Consulting Ex: 04/10/17" maxlength="8" name="45de9dd640_54a74ccd6b" readonly size="8" type="text"></td>
		</tr>
	</tbody>
</table></table>

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