Supplier Evaluation Questionnaire

This Document will be used to maintain the Approved Supplier records of Cairn Energy India Ltd. When completed it should returned to the Procurement Department of the requesting Business Unit, address details can be found on page 5. If your company is registered with First Point Assessment (FPAL) ensure Section 1 includes the FPAL registration details on return. Whether your company is or is not registered with FPAL please complete the Questionnaire in full. Section 1: General Information

Name of Company: (Any Previous Name) Address Telephone: Fax: Contact Persons: Commercial Technical/Project Buyer/Sales Quality HSE

Company Type: Year of Registration: Managing Director: Financial Director: First Point Assessment Registration: Commercial Information

Section 2:

(Financial Figures to be specified in thousands of pounds Sterling.) Company Registration Number: VAT Registration Number: Bank and Address: Account and Sort Code for Payment: Company Auditors: Auditor Address:

Page 1 of 5

Supplier Evaluation Questionnaire

Share Capital: Name of Shareholders holding more than 20%: Annual Turnover and % Oil Industry related: Pre Tax Profit: Total Assets: Current Assets: Short Terms Liabilities: Total Shareholder Equity: Quality System Information

Section 3:

Does your company have a Documented quality policy Authorised by a senior officer: Do you have a document QA System? State Quality System(s) adopted Is the System Certified to eg ISO 9001/29001? Provide name of certifying authority:

Are you prepared to provide full inspection and expediting access to your and your Sub-contractors premises? List external reviews (excluding financial) of your Company performed during last 3 years:

Section 4:

HS&E Information

Does your Company have a documented health and Safety policy authorised by a senior officer? Does your Company operate in accordance with a documented Safety Management System? Does your System comply with any recognised standards or guidelines? In the past 5 years have you been prosecuted for a breach with regard HSE Issues? If yes please provide details In the past 5 years have you been served a governmental or regional authority improvement notice? If yes please provide details _______________________________________

_______________________________________

Page 2 of 5

Supplier Evaluation Questionnaire

Please provide your company statistics based on a frequency of 200,000 work hours for the following categories for the previous 5 years E.g. Number of LTI's X 200,000 Total hours worked

Fatalities - Any work related death

_______________________________________

LTI (Lost Time Injury or Illness) - Any work related Injury or illness, which results in the injured party to be away from work at least one normal shift after the shift on which the injury occurred. The injured party will be unfit to perform ANY duties _______________________________________ RWI (Restricted Work Injury or Illness) - An injury or illness that involves restricted duty. The injury or illness causes the injured person either: To be assigned to another job on a temporary basis, or to work at their permanent job on a temporary basis, or to work at their permanent job without undertaking all their normal duties _______________________________________

Does your Company have a documented Environmental Policy authorised by a senior officer? Does your Company implement a documented management system covering all activities/process having environmental impact? Does your system comply with any recognised standard or guidance? Please provide details of damage caused to the environment (land, water and air) due to any uncontrolled/unplanned/unauthorised release of a substance Does your Company have a documented drugs/ alcohol abuse policy authorised by a senior officer? Capacity Information

_______________________________________

Section 5:

Employee Information: Number of Employees % Permanent Employees: Location Information: Details of site

Page 3 of 5

Supplier Evaluation Questionnaire

Section 6:

Range of Products/Services Offered

(List, by product/services codes, of the range of products/ services being offered by the Registered Supplier)

Section 7:

Product/Service Category

Type of Product: Trade Name: QA Standard applicable to this Product/Service (e.g. ISO 9001, ISO 29001 etc): QA Certificate Number for this Product/Service: Certificate Expiry Date: Capacity Range: Manufacturer: % of this Product/Service, if any, which will be subcontracted: Contact Person, re. Product/Service: Telephone: Telefax:

REFERENCES AND EXPENSE OF SUPPLY FOR THIS

Type of Product/Services (from earlier deliveries): FIRST REFERENCE Company Supplied to: Project Involved: Department Involved: Contact Tel. & Fax: Short description of delivery/experience:

Page 4 of 5

Supplier Evaluation Questionnaire

SECOND REFERENCE Company Supplied to: Project Involved: Department Involved: Contact Tel. & Fax: Short description of delivery/experience:

For CEIL internal use only: Date of issue: Date of Receipt: FPAL Registered: FPAL Data Base and Capability profile Checked: HSEQ Audit Required: Other Action: Level of Acceptance: Approved By: Name: Date: Signature:

On completion of questionnaire please return to: Attention: Address:

Fax: Switchboard:

Page 5 of 5