questionnaire.lksg.markant.services
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https://questionnaire.lksg.markant.services/dda4fcd9-cf20-4cf9-b658-3ec8a867e9d3
Submission: On March 07 via manual from DE — Scanned from ES
Submission: On March 07 via manual from DE — Scanned from ES
Form analysis 1 forms found in the DOM
<form _ngcontent-ng-c169778648="" novalidate="" class="questionnaire-form ng-untouched ng-pristine ng-invalid"><!----><!---->
<div _ngcontent-ng-c169778648="" class="head">
<div _ngcontent-ng-c169778648="" class="head-full">
<h2 _ngcontent-ng-c169778648="" class="questionnaire-title markant-primary"> LkSG Survey </h2>
</div>
</div>
<p _ngcontent-ng-c169778648=""> Your client J. Bünting Beteiligungs AG (Bünting Tee, Combi, Famila, Mytime) is required to protect human and environmental rights in the supply chain. In accordance with the German Supply Chain Due Diligence Act
(Lieferkettensorgfaltspflichtengesetz - LkSG), it risk-based analyses its due diligence obligations towards you as a business partner. Markant reviews and collects data together with your customer in order to fulfil its obligations. lease
complete and correct the data below that your customer already has. </p><!----><!----><!----><!----><!---->
<div _ngcontent-ng-c169778648="" class="form-content"><markant-expansion-panel _ngcontent-ng-c169778648="" class="hydrated"><markant-expansion-panel-item _ngcontent-ng-c169778648="" colormode="medium" expanded="" class="hydrated">
<div _ngcontent-ng-c169778648="" slot="header">
<div _ngcontent-ng-c169778648="" class="header-content">
<h3 _ngcontent-ng-c169778648="" class="form-section-title markant-primary"> Check your firm data </h3><lksg-tooltip _ngcontent-ng-c169778648=""><span class="container" id="lksg-tooltip-0"><markant-icon _ngcontent-ng-c169778648=""
icon="m_info" color-scheme="secondary" lksgstoppropagation="" class="text-base hydrated"></markant-icon></span><markant-tooltip trigger="mouseenter focus" colorscheme="dark" class="hydrated"></markant-tooltip></lksg-tooltip>
</div>
</div>
<div _ngcontent-ng-c169778648="" slot="content" class="content-wrapper">
<h2 _ngcontent-ng-c169778648="" class="markant-title-blue content-title"> Address and Data </h2>
<div _ngcontent-ng-c169778648="" class="content"><markant-input _ngcontent-ng-c169778648="" formcontrolname="businessPartner" type="text" name="BUSINESS_PARTNER_NAME" class="ng-untouched ng-pristine ng-valid hydrated" required=""
tabindex="-1"><!----><markant-label show-hint="" required="" class="hydrated"><span aria-required="" title="Company">Company</span></markant-label><label class="markant-input__composer mdc-text-field mdc-text-field--outlined">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" step="1" name="BUSINESS_PARTNER_NAME" required="" type="text" aria-controls="input-helper-text__0" aria-describedby="input-helper-text__0"
data-input="">
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__0" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Mandatory field, please fill out">Mandatory
field, please fill out</span></div>
</div>
</markant-input><markant-select _ngcontent-ng-c169778648="" formcontrolname="numberOfEmployees" name="NUMBER_OF_EMPLOYEES" class="ng-untouched ng-pristine ng-invalid hydrated" required=""><!----><markant-label
id="markant-select-id__iwdnbbjh9" show-hint="" required="" class="hydrated"><span aria-required="" title="Number of Employee">Number of Employee</span></markant-label>
<div class="mdc-select mdc-select--outlined mdc-select--required">
<div class="mdc-line-ripple"></div><input aria-hidden="" required="" type="hidden" value="">
<div class="mdc-select__anchor" role="button" aria-required="" aria-haspopup="listbox" aria-controls="markant-select-id__iwdnbbjh9" aria-describedby="markant-select-id__iwdnbbjh9" aria-labelledby="markant-select-id__iwdnbbjh9"
tabindex="0" aria-disabled="false" aria-invalid="false">
<div class="mdc-select__selected-text"></div><span class="mdc-select__dropdown-icon"><markant-icon class="mdc-select__dropdown-icon-inactive hydrated"></markant-icon><markant-icon
class="mdc-select__dropdown-icon-active hydrated"></markant-icon></span>
</div>
<div class="mdc-select__menu mdc-menu mdc-menu-surface mdc-menu-surface--fullwidth markant-select--is-open-below">
<ul class="mdc-deprecated-list"><markant-select-option _ngcontent-ng-c169778648="" class="hydrated"><!---->
<li class="mdc-deprecated-list-item" data-value="1" tabindex="-1"><span class="mdc-deprecated-list-item__text"> < 250 </span><span class="mdc-deprecated-list-item__graphic"><markant-icon
class="hydrated"></markant-icon></span></li>
</markant-select-option><markant-select-option _ngcontent-ng-c169778648="" class="hydrated"><!---->
<li class="mdc-deprecated-list-item" data-value="2" tabindex="-1"><span class="mdc-deprecated-list-item__text"> < 500 </span><span class="mdc-deprecated-list-item__graphic"><markant-icon
class="hydrated"></markant-icon></span></li>
</markant-select-option><markant-select-option _ngcontent-ng-c169778648="" class="hydrated"><!---->
<li class="mdc-deprecated-list-item" data-value="3" tabindex="-1"><span class="mdc-deprecated-list-item__text"> < 1000 </span><span class="mdc-deprecated-list-item__graphic"><markant-icon
class="hydrated"></markant-icon></span></li>
</markant-select-option><markant-select-option _ngcontent-ng-c169778648="" class="hydrated"><!---->
<li class="mdc-deprecated-list-item" data-value="4" tabindex="-1"><span class="mdc-deprecated-list-item__text"> < 3000 </span><span class="mdc-deprecated-list-item__graphic"><markant-icon
class="hydrated"></markant-icon></span></li>
</markant-select-option><markant-select-option _ngcontent-ng-c169778648="" class="hydrated"><!---->
<li class="mdc-deprecated-list-item" data-value="5" tabindex="-1"><span class="mdc-deprecated-list-item__text"> >= 3000 </span><span class="mdc-deprecated-list-item__graphic"><markant-icon
class="hydrated"></markant-icon></span></li>
</markant-select-option><!----></ul>
</div>
</div>
<p class="mdc-select-helper-text mdc-select-helper-text--validation-msg" id="markant-select-id__iwdnbbjh9" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Mandatory field, please fill out">Mandatory field,
please fill out</span></p>
</markant-select><markant-input _ngcontent-ng-c169778648="" formcontrolname="annualRevenue" type="text" name="ANNUAL_REVENUE" unit="€" class="ng-untouched ng-pristine ng-invalid hydrated" required="" tabindex="-1"><!----><markant-label
show-hint="" required="" class="hydrated"><span aria-required="" title="Published external turnover in €">Published external turnover in €</span></markant-label><label
class="markant-input__composer mdc-text-field mdc-text-field--outlined mdc-text-field--with-trailing-icon">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" step="1" name="ANNUAL_REVENUE" required="" type="text" aria-controls="input-helper-text__1" aria-describedby="input-helper-text__1"
data-input=""><span class="mdc-text-field__affix mdc-text-field__affix--suffix">€</span>
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__1" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Please enter a whole number">Please enter a
whole number</span></div>
</div>
</markant-input><markant-input _ngcontent-ng-c169778648="" formcontrolname="street" type="text" name="street" class="ng-untouched ng-pristine ng-valid hydrated" required="" tabindex="-1"><!----><markant-label show-hint="" required=""
class="hydrated"><span aria-required="" title="Street">Street</span></markant-label><label class="markant-input__composer mdc-text-field mdc-text-field--outlined">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" step="1" name="street" required="" type="text" aria-controls="input-helper-text__2" aria-describedby="input-helper-text__2" data-input="">
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__2" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Mandatory field, please fill out">Mandatory
field, please fill out</span></div>
</div>
</markant-input>
<div _ngcontent-ng-c169778648="" class="splitted-content">
<div _ngcontent-ng-c169778648="" class="one-third"><markant-input _ngcontent-ng-c169778648="" formcontrolname="postalCode" type="text" name="postalCode" class="ng-untouched ng-pristine ng-valid hydrated" required=""
tabindex="-1"><!----><markant-label show-hint="" required="" class="hydrated"><span aria-required="" title="Postal Code">Postal Code</span></markant-label><label
class="markant-input__composer mdc-text-field mdc-text-field--outlined">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" step="1" name="postalCode" required="" type="text" aria-controls="input-helper-text__3" aria-describedby="input-helper-text__3"
data-input="">
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__3" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Mandatory field, please fill out">Mandatory
field, please fill out</span></div>
</div>
</markant-input></div>
<div _ngcontent-ng-c169778648="" class="two-third"><markant-input _ngcontent-ng-c169778648="" formcontrolname="city" type="text" name="city" class="ng-untouched ng-pristine ng-valid hydrated" required=""
tabindex="-1"><!----><markant-label show-hint="" required="" class="hydrated"><span aria-required="" title="City">City</span></markant-label><label class="markant-input__composer mdc-text-field mdc-text-field--outlined">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" step="1" name="city" required="" type="text" aria-controls="input-helper-text__4" aria-describedby="input-helper-text__4" data-input="">
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__4" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Mandatory field, please fill out">Mandatory
field, please fill out</span></div>
</div>
</markant-input></div>
</div><lksg-country-selection _ngcontent-ng-c169778648="" formcontrolname="countryCode" class="ng-untouched ng-pristine ng-valid"><markant-combi-select class="ng-untouched ng-pristine ng-valid hydrated" tabindex="-1" required=""><!---->
<div class="markant-combi-select__container"><label><markant-input aria-controls="input-helper-text__0" aria-describedby="input-helper-text__0" type="text" class="hydrated" tabindex="-1"><!----><markant-label show-hint="" required=""
class="hydrated"><span aria-required="" title="Country">Country</span></markant-label><label class="markant-input__composer mdc-text-field mdc-text-field--outlined mdc-text-field--with-trailing-icon">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" step="1" placeholder="Select a country..." type="text" aria-controls="input-helper-text__15" aria-describedby="input-helper-text__15" data-input=""
required=""><span class="mdc-text-field__icon mdc-text-field__icon--trailing"><markant-icon slot="markant-icon-trailing" class="hydrated" style="display: none;"></markant-icon><markant-icon slot="markant-icon-trailing"
clickable="" class="hydrated"></markant-icon></span>
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__15" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span
title="Mandatory field, please fill out">Mandatory field, please fill out</span></div>
</div>
</markant-input></label>
<div class="datalist"><markant-combi-select-option class="hydrated"><!---->
<div class="option" title=""><span class="fi fi-de"></span> Germany </div>
</markant-combi-select-option><!----></div>
</div>
</markant-combi-select></lksg-country-selection>
</div><lksg-nace-selector _ngcontent-ng-c169778648="" formcontrolname="naceCodes" _nghost-ng-c2442200483="" class="ng-untouched ng-pristine ng-invalid"><!---->
<h3 _ngcontent-ng-c2442200483="" class="markant-title-blue industry-subtitle"> Add industries to the list your company cooperates with Bünting* </h3><small _ngcontent-ng-c2442200483="" class="info-text"> More information
<a _ngcontent-ng-c2442200483="" target="_blank" class="info-text-link" href="https://showvoc.op.europa.eu/#/datasets/ESTAT_Statistical_Classification_of_Economic_Activities_in_the_European_Community_Rev._2/data"> here </a></small><lksg-search-input
_ngcontent-ng-c2442200483="" class="searchbar ng-untouched ng-pristine ng-valid" _nghost-ng-c152735125="">
<div _ngcontent-ng-c152735125="" class="container"><markant-input _ngcontent-ng-c152735125="" data-markant-dialog-initial-focus="" type="text" class="hydrated" tabindex="-1"><!----><label
class="markant-input__composer markant-input__search-field mdc-text-field mdc-text-field--outlined mdc-text-field--with-leading-icon mdc-text-field--no-label" data-custom-layout=""><span
class="mdc-text-field__icon mdc-text-field__icon--leading"><markant-icon class="hydrated"></markant-icon></span><input class="mdc-text-field__input" step="1" placeholder="Search for a NACE-Code or an Industry" type="text"
data-input=""></label></markant-input><!----></div>
</lksg-search-input><!----><!----><!----><!---->
</lksg-nace-selector>
</div>
</markant-expansion-panel-item><markant-expansion-panel-item _ngcontent-ng-c169778648="" colormode="medium" class="hydrated">
<div _ngcontent-ng-c169778648="" slot="header">
<h3 _ngcontent-ng-c169778648="" class="form-section-title markant-primary"> Identify your firm </h3>
</div>
<div _ngcontent-ng-c169778648="" slot="content" class="content-wrapper">
<div _ngcontent-ng-c169778648="" class="content">
<div _ngcontent-ng-c169778648="" class="vat-id-wrapper"><markant-input _ngcontent-ng-c169778648="" formcontrolname="vatId" type="text" name="vatId" class="vat-id ng-untouched ng-pristine ng-valid hydrated" required=""
tabindex="-1"><!----><markant-label show-hint="" required="" class="hydrated"><span aria-required="" title="Value added tax ID">Value added tax ID</span></markant-label><label
class="markant-input__composer mdc-text-field mdc-text-field--outlined">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" step="1" name="vatId" required="" type="text" aria-controls="input-helper-text__5" aria-describedby="input-helper-text__5" data-input="">
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__5" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Wrong input, please use a valid VAT ID">Wrong
input, please use a valid VAT ID</span></div>
</div>
</markant-input><markant-checkbox _ngcontent-ng-c169778648="" formcontrolname="vatIdNotAvailable" class="vat-id-toggle ng-untouched ng-pristine ng-valid hydrated"> no Value added tax ID available <input type="hidden" class="aux-input"
name="undefined" value=""></markant-checkbox></div><markant-input _ngcontent-ng-c169778648="" formcontrolname="nationalTaxId" type="text" name="nationalTaxId" class="ng-untouched ng-pristine ng-valid hydrated"
tabindex="-1"><!----><markant-label show-hint="" class="hydrated"><span title="National Tax ID">National Tax ID</span></markant-label><label class="markant-input__composer mdc-text-field mdc-text-field--outlined">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" step="1" name="nationalTaxId" type="text" aria-controls="input-helper-text__6" aria-describedby="input-helper-text__6" data-input="">
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__6" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Wrong input, please use a Tax ID">Wrong input,
please use a Tax ID</span></div>
</div>
</markant-input>
<div _ngcontent-ng-c169778648="" formarrayname="gln" class="ng-untouched ng-pristine ng-valid">
<div _ngcontent-ng-c169778648="" class="gln-control"><markant-input _ngcontent-ng-c169778648="" name="gln" type="text" class="gln-input ng-untouched ng-pristine ng-valid hydrated" maxlength="13" tabindex="-1"><!----><markant-label
show-hint="" class="hydrated"><span title="Global Location Number (GLN)">Global Location Number (GLN)</span></markant-label><label class="markant-input__composer mdc-text-field mdc-text-field--outlined">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" maxlength="13" step="1" name="gln" type="text" aria-controls="input-helper-text__12" aria-describedby="input-helper-text__12"
data-input="">
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__12" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span
title="Wrong input, please use a valid 13-digit GLN">Wrong input, please use a valid 13-digit GLN</span></div>
</div>
</markant-input><markant-icon-button _ngcontent-ng-c169778648="" icon="m_trash" colorscheme="dark" class="gln-remove-btn hydrated"><!----><button
class="mdc-icon-button markant-icon-button--scheme-dark markant-icon-button--disabled mdc-ripple-upgraded--unbounded mdc-ripple-upgraded" disabled="" type="button"
style="--mdc-ripple-fg-size: 28px; --mdc-ripple-fg-scale: 1.7142857142857142; --mdc-ripple-left: 10px; --mdc-ripple-top: 10px;">
<div class="mdc-icon-button__ripple"></div><markant-icon class="mdc-icon-button__icon hydrated"></markant-icon>
</button></markant-icon-button></div><!---->
</div>
<div _ngcontent-ng-c169778648="" class="add-gln"><markant-button _ngcontent-ng-c169778648="" fill="inverse" colorscheme="secondary" class="hydrated"> + Add GLN </markant-button><small _ngcontent-ng-c169778648="" class="gln-information">
More information <a _ngcontent-ng-c169778648="" target="_blank" class="gln-information-link" href="https://www.gs1.org/docs/idkeys/GS1_GLN_Executive_Summary.pdf"> here </a></small></div>
</div>
</div>
</markant-expansion-panel-item><markant-expansion-panel-item _ngcontent-ng-c169778648="" colormode="medium" class="hydrated">
<div _ngcontent-ng-c169778648="" slot="header">
<div _ngcontent-ng-c169778648="" class="header-content">
<h3 _ngcontent-ng-c169778648="" class="form-section-title markant-primary"> LkSG contact person </h3><lksg-tooltip _ngcontent-ng-c169778648=""><span class="container" id="lksg-tooltip-1"><markant-icon _ngcontent-ng-c169778648=""
icon="m_info" color-scheme="secondary" lksgstoppropagation="" class="text-base hydrated"></markant-icon></span><markant-tooltip trigger="mouseenter focus" colorscheme="dark" class="hydrated"></markant-tooltip></lksg-tooltip>
</div>
</div>
<div _ngcontent-ng-c169778648="" slot="content" class="content-wrapper">
<div _ngcontent-ng-c169778648="" class="contact-content">
<div _ngcontent-ng-c169778648="" class="contact-overarching"><markant-label _ngcontent-ng-c169778648="" class="hydrated">contact person for*</markant-label><markant-radio _ngcontent-ng-c169778648=""
formcontrolname="hasContactPersonOverarching" class="ng-untouched ng-pristine ng-invalid hydrated" value="true">all customers<input type="hidden" class="aux-input" name="undefined" value=""></markant-radio><markant-radio
_ngcontent-ng-c169778648="" formcontrolname="hasContactPersonOverarching" class="ng-untouched ng-pristine ng-invalid hydrated" value="false">Bünting<input type="hidden" class="aux-input" name="undefined"
value=""></markant-radio><!----></div><markant-select _ngcontent-ng-c169778648="" formcontrolname="contactTitle" class="ng-untouched ng-pristine ng-invalid hydrated" required=""><!----><markant-label
id="markant-select-id__4482al9mm" show-hint="" required="" class="hydrated"><span aria-required="" title="Salutation">Salutation</span></markant-label>
<div class="mdc-select mdc-select--outlined mdc-select--required">
<div class="mdc-line-ripple"></div><input aria-hidden="" required="" type="hidden" value="">
<div class="mdc-select__anchor" role="button" aria-required="" aria-haspopup="listbox" aria-controls="markant-select-id__4482al9mm" aria-describedby="markant-select-id__4482al9mm" aria-labelledby="markant-select-id__4482al9mm"
tabindex="0" aria-disabled="false" aria-invalid="false">
<div class="mdc-select__selected-text"></div><span class="mdc-select__dropdown-icon"><markant-icon class="mdc-select__dropdown-icon-inactive hydrated"></markant-icon><markant-icon
class="mdc-select__dropdown-icon-active hydrated"></markant-icon></span>
</div>
<div class="mdc-select__menu mdc-menu mdc-menu-surface mdc-menu-surface--fullwidth markant-select--is-open-below">
<ul class="mdc-deprecated-list"><markant-select-option _ngcontent-ng-c169778648="" class="hydrated"><!---->
<li class="mdc-deprecated-list-item" data-value="0" tabindex="-1"><span class="mdc-deprecated-list-item__text"> </span><span class="mdc-deprecated-list-item__graphic"><markant-icon class="hydrated"></markant-icon></span></li>
</markant-select-option><markant-select-option _ngcontent-ng-c169778648="" class="hydrated"><!---->
<li class="mdc-deprecated-list-item" data-value="1" tabindex="-1"><span class="mdc-deprecated-list-item__text"> Ms </span><span class="mdc-deprecated-list-item__graphic"><markant-icon class="hydrated"></markant-icon></span></li>
</markant-select-option><markant-select-option _ngcontent-ng-c169778648="" class="hydrated"><!---->
<li class="mdc-deprecated-list-item" data-value="2" tabindex="-1"><span class="mdc-deprecated-list-item__text"> Mr </span><span class="mdc-deprecated-list-item__graphic"><markant-icon class="hydrated"></markant-icon></span></li>
</markant-select-option><!----></ul>
</div>
</div>
<p class="mdc-select-helper-text mdc-select-helper-text--validation-msg" id="markant-select-id__4482al9mm" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Mandatory field, please fill out">Mandatory field,
please fill out</span></p>
</markant-select><markant-input _ngcontent-ng-c169778648="" formcontrolname="contactFirstName" name="firstname" type="text" class="ng-untouched ng-pristine ng-invalid hydrated" required="" tabindex="-1"><!----><markant-label show-hint=""
required="" class="hydrated"><span aria-required="" title="First name">First name</span></markant-label><label class="markant-input__composer mdc-text-field mdc-text-field--outlined">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" step="1" name="firstname" required="" type="text" aria-controls="input-helper-text__7" aria-describedby="input-helper-text__7" data-input="">
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__7" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Mandatory field, please fill out">Mandatory
field, please fill out</span></div>
</div>
</markant-input><markant-input _ngcontent-ng-c169778648="" formcontrolname="contactLastName" name="lastName" type="text" class="ng-untouched ng-pristine ng-invalid hydrated" required="" tabindex="-1"><!----><markant-label show-hint=""
required="" class="hydrated"><span aria-required="" title="Last name">Last name</span></markant-label><label class="markant-input__composer mdc-text-field mdc-text-field--outlined">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" step="1" name="lastName" required="" type="text" aria-controls="input-helper-text__8" aria-describedby="input-helper-text__8" data-input="">
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__8" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Mandatory field, please fill out">Mandatory
field, please fill out</span></div>
</div>
</markant-input><markant-select _ngcontent-ng-c169778648="" formcontrolname="contactLanguage" class="ng-untouched ng-pristine ng-invalid hydrated" required=""><!----><markant-label id="markant-select-id__1hxzyrn9x" show-hint=""
required="" class="hydrated"><span aria-required="" title="Preferred language used">Preferred language used</span></markant-label>
<div class="mdc-select mdc-select--outlined mdc-select--required">
<div class="mdc-line-ripple"></div><input aria-hidden="" required="" type="hidden" value="">
<div class="mdc-select__anchor" role="button" aria-required="" aria-haspopup="listbox" aria-controls="markant-select-id__1hxzyrn9x" aria-describedby="markant-select-id__1hxzyrn9x" aria-labelledby="markant-select-id__1hxzyrn9x"
tabindex="0" aria-disabled="false" aria-invalid="false">
<div class="mdc-select__selected-text"></div><span class="mdc-select__dropdown-icon"><markant-icon class="mdc-select__dropdown-icon-inactive hydrated"></markant-icon><markant-icon
class="mdc-select__dropdown-icon-active hydrated"></markant-icon></span>
</div>
<div class="mdc-select__menu mdc-menu mdc-menu-surface mdc-menu-surface--fullwidth markant-select--is-open-below">
<ul class="mdc-deprecated-list"><markant-select-option _ngcontent-ng-c169778648="" class="hydrated"><!---->
<li class="mdc-deprecated-list-item" data-value="de" tabindex="-1"><span class="mdc-deprecated-list-item__text"> German </span><span class="mdc-deprecated-list-item__graphic"><markant-icon class="hydrated"></markant-icon></span>
</li>
</markant-select-option><markant-select-option _ngcontent-ng-c169778648="" class="hydrated"><!---->
<li class="mdc-deprecated-list-item" data-value="en" tabindex="-1"><span class="mdc-deprecated-list-item__text"> English </span><span class="mdc-deprecated-list-item__graphic"><markant-icon
class="hydrated"></markant-icon></span></li>
</markant-select-option><!----></ul>
</div>
</div>
<p class="mdc-select-helper-text mdc-select-helper-text--validation-msg" id="markant-select-id__1hxzyrn9x" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Mandatory field, please fill out">Mandatory field,
please fill out</span></p>
</markant-select><markant-input _ngcontent-ng-c169778648="" formcontrolname="contactEmail" name="email" class="ng-untouched ng-pristine ng-invalid hydrated" required="" type="text" tabindex="-1"><!----><markant-label show-hint=""
required="" class="hydrated"><span aria-required="" title="E-Mail">E-Mail</span></markant-label><label class="markant-input__composer mdc-text-field mdc-text-field--outlined">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" step="1" name="email" required="" type="text" aria-controls="input-helper-text__9" aria-describedby="input-helper-text__9" data-input="">
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__9" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Please insert a valid email">Please insert a
valid email</span></div>
</div>
</markant-input><markant-input _ngcontent-ng-c169778648="" formcontrolname="contactLandlinePhone" name="landlinePhone" type="tel" class="ng-untouched ng-pristine ng-valid hydrated" tabindex="-1"><!----><markant-label show-hint=""
class="hydrated"><span title="Landline">Landline</span></markant-label><label class="markant-input__composer mdc-text-field mdc-text-field--outlined">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" step="1" name="landlinePhone" type="tel" aria-controls="input-helper-text__10" aria-describedby="input-helper-text__10" data-input="">
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__10" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Mandatory field, please fill out">Mandatory
field, please fill out</span></div>
</div>
</markant-input><markant-input _ngcontent-ng-c169778648="" formcontrolname="contactMobilePhone" name="mobilePhone" type="tel" class="ng-untouched ng-pristine ng-valid hydrated" tabindex="-1"><!----><markant-label show-hint=""
class="hydrated"><span title="Mobile Number">Mobile Number</span></markant-label><label class="markant-input__composer mdc-text-field mdc-text-field--outlined">
<div class="mdc-line-ripple"></div><input class="mdc-text-field__input" autocomplete="false" step="1" name="mobilePhone" type="tel" aria-controls="input-helper-text__11" aria-describedby="input-helper-text__11" data-input="">
</label>
<div class="mdc-text-field-helper-line">
<div class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" id="input-helper-text__11" aria-hidden="true"><markant-icon class="hydrated"></markant-icon><span title="Mandatory field, please fill out">Mandatory
field, please fill out</span></div>
</div>
</markant-input>
</div>
</div>
</markant-expansion-panel-item><markant-expansion-panel-item _ngcontent-ng-c169778648="" colormode="medium" class="hydrated">
<div _ngcontent-ng-c169778648="" slot="header">
<div _ngcontent-ng-c169778648="" class="header-content">
<h3 _ngcontent-ng-c169778648="" class="form-section-title markant-primary"> Optional: Product groups and production countries </h3><lksg-tooltip _ngcontent-ng-c169778648=""><span class="container" id="lksg-tooltip-2"><markant-icon
_ngcontent-ng-c169778648="" icon="m_info" color-scheme="secondary" lksgstoppropagation="" class="text-base hydrated"></markant-icon></span><markant-tooltip trigger="mouseenter focus" colorscheme="dark"
class="hydrated"></markant-tooltip></lksg-tooltip>
</div>
</div>
<div _ngcontent-ng-c169778648="" slot="content" class="content-wrapper"><lksg-gpc-selector _ngcontent-ng-c169778648="" formcontrolname="gpcs" _nghost-ng-c3168663447="" class="ng-untouched ng-pristine ng-valid"><!---->
<h3 _ngcontent-ng-c3168663447="" class="markant-title-blue add-gpc-title"> Add commodity groups and production countries to the list </h3><small _ngcontent-ng-c3168663447="" class="information-text"> More information
<a _ngcontent-ng-c3168663447="" target="_blank" class="information-text-link" href="https://gpc-browser.gs1.org/"> here </a></small><lksg-search-input _ngcontent-ng-c3168663447=""
class="searchbar-width ng-untouched ng-pristine ng-valid" _nghost-ng-c152735125="">
<div _ngcontent-ng-c152735125="" class="container"><markant-input _ngcontent-ng-c152735125="" data-markant-dialog-initial-focus="" type="text" class="hydrated" tabindex="-1"><!----><label
class="markant-input__composer markant-input__search-field mdc-text-field mdc-text-field--outlined mdc-text-field--with-leading-icon mdc-text-field--no-label" data-custom-layout=""><span
class="mdc-text-field__icon mdc-text-field__icon--leading"><markant-icon class="hydrated"></markant-icon></span><input class="mdc-text-field__input" step="1" placeholder="Search for GPC-Classes or commodity groups" type="text"
data-input=""></label></markant-input><!----></div>
</lksg-search-input><!----><!---->
<div _ngcontent-ng-c3168663447=""><!----></div><!----><!----><!----><!----><!---->
</lksg-gpc-selector></div>
</markant-expansion-panel-item></markant-expansion-panel></div>
<div _ngcontent-ng-c169778648="" class="information"><!---->
<div _ngcontent-ng-c169778648="" class="information-content">
<div _ngcontent-ng-c169778648="" class="information-content-section"><b _ngcontent-ng-c169778648=""> Privacy policy information </b>
<p _ngcontent-ng-c169778648=""> Markant Handels- und Industriewaren-Vermittlungs AG supports your customer to collect the data, to fulfill his due diligence obligations according to the LkSG. You will find information on the more detailed
handling of this data and on data protection at Markant AG in our
<b _ngcontent-ng-c169778648=""><u _ngcontent-ng-c169778648=""><a _ngcontent-ng-c169778648="" target="_blank" href="https://www.markant.com/en/data-protection-declaration-lksg"> privacy policy </a></u></b> . </p><!----><!---->
</div>
<div _ngcontent-ng-c169778648="" class="information-content-section"><b _ngcontent-ng-c169778648=""> Markant platform information </b>
<p _ngcontent-ng-c169778648=""> Register for free on the Markant platform to view and edit the data you have provided. This way, with little effort, you can transfer information already provided to other customers and quickly carry out the
annual verification of your data. To complete the registration, an e-mail will be sent to the address you entered in the questionnaire as the LkSG contact person. Your data will be automatically transferred to your customer, even without
registration. </p><!----><!---->
</div><!----><markant-checkbox _ngcontent-ng-c169778648="" formcontrolname="platformRegistration" class="ng-untouched ng-pristine ng-valid hydrated"> Register with Markant platform <input type="hidden" class="aux-input" name="undefined"
value=""></markant-checkbox><!---->
</div>
<div _ngcontent-ng-c169778648="" class="submit-content"><markant-button _ngcontent-ng-c169778648="" fill="inverse" colorscheme="secondary" class="hydrated"> Interim store questionnaire </markant-button><!----><markant-button
_ngcontent-ng-c169778648="" fill="solid" colorscheme="secondary" type="submit" class="hydrated"> Complete questionnaire </markant-button><!----><!----></div>
</div>
</form>Text Content
EN LKSG SURVEY Your client J. Bünting Beteiligungs AG (Bünting Tee, Combi, Famila, Mytime) is required to protect human and environmental rights in the supply chain. In accordance with the German Supply Chain Due Diligence Act (Lieferkettensorgfaltspflichtengesetz - LkSG), it risk-based analyses its due diligence obligations towards you as a business partner. Markant reviews and collects data together with your customer in order to fulfil its obligations. lease complete and correct the data below that your customer already has. CHECK YOUR FIRM DATA ADDRESS AND DATA Company Mandatory field, please fill out Number of Employee < 250 < 500 < 1000 < 3000 >= 3000 Mandatory field, please fill out Published external turnover in € € Please enter a whole number Street Mandatory field, please fill out Postal Code Mandatory field, please fill out City Mandatory field, please fill out Country Mandatory field, please fill out Germany ADD INDUSTRIES TO THE LIST YOUR COMPANY COOPERATES WITH BÜNTING* More information here IDENTIFY YOUR FIRM Value added tax ID Wrong input, please use a valid VAT ID no Value added tax ID available National Tax ID Wrong input, please use a Tax ID Global Location Number (GLN) Wrong input, please use a valid 13-digit GLN + Add GLN More information here LKSG CONTACT PERSON contact person for*all customersBünting Salutation Ms Mr Mandatory field, please fill out First name Mandatory field, please fill out Last name Mandatory field, please fill out Preferred language used German English Mandatory field, please fill out E-Mail Please insert a valid email Landline Mandatory field, please fill out Mobile Number Mandatory field, please fill out OPTIONAL: PRODUCT GROUPS AND PRODUCTION COUNTRIES ADD COMMODITY GROUPS AND PRODUCTION COUNTRIES TO THE LIST More information here Privacy policy information Markant Handels- und Industriewaren-Vermittlungs AG supports your customer to collect the data, to fulfill his due diligence obligations according to the LkSG. You will find information on the more detailed handling of this data and on data protection at Markant AG in our privacy policy . Markant platform information Register for free on the Markant platform to view and edit the data you have provided. This way, with little effort, you can transfer information already provided to other customers and quickly carry out the annual verification of your data. To complete the registration, an e-mail will be sent to the address you entered in the questionnaire as the LkSG contact person. Your data will be automatically transferred to your customer, even without registration. Register with Markant platform Interim store questionnaire Complete questionnaire * Required field