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APPLICATION
Intended certification: (Tick mark as applicable)
CERTIFICATION / RE CERTIFICATION
( TICK Mark which is applicable )
Visit us at www.tuvindia.co.in
QF-01
Rev. 05/06.09
Page 1 of 12
QF-01
Rev. 05/06.09
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I.
General Questions
Company:
Unit
& PO
Savala , Ta : Visnagar , Dist : Gandhinagar -384001
Phone:
Head Office:
283657
Fax:
283677
_________________________________________________________
Top Management
Name:
Phone:
Fax:
Email:
Management Representative
Name / Dept.:
Phone:
Fax:
Email:
Accreditation Desired
Consultancy By
TGA
NABCB
Others
Rev. 05/06.09
Page 3 of 12
II.
Basic Questions
A. Raw Materials :
_______________Plate , Ingot
_________________________________
______________________________________________________
Is Raw Material supplied by your customer ?
yes
no
yes
no
If no : ( Who is responsible):
C Number of employees
Site 1
Site 2
5
1
1
1
20
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Page 4 of 12
Head
Office
No. of
empl
oyee
s
Regula Others* Comments
No
No. of temporary locations:__________ ( Please attach the list with location, activity,
employees)
Outsourced
Processes
if
any)
___________________________________________________
F.
Has the company and/or have the sites been certified against any Management
System Certification? If yes, then specify e.g. ISO 9001, ISO 14001, OHSAS (by
which Certification Body , and Validity of the Certificate
Nonon
QF-01
No
Rev. 05/06.09
Page 5 of 12
Site II
Head Office
We herewith confirm the completeness and accuracy of the information given above and
in any annexes which may be attached. We agree that this information may be stored for the
purposes of drafting an offer and processing any resulting order or transactions.
Place/Date
Name, Function
Signature*)
Annex I ( EMS)
Questionnaire in Preparation
of an Offer
Area of the location (m2 or hectare):_______10000 sq. m. Approx
______________________________
Significant environmental impacts of the activities, products and services of
the organisation
(e. g.: waste, hazardous waste, waste water, emissions [air pollution, noise],
soil contamination):
QF-01
Rev. 05/06.09
Page 6 of 12
No
No
We herewith confirm the completeness and accuracy of the information given above
Place/Date
Name, Function
Signature*)
Annex 2 ( HACCP/FSMS/BRC/FAMIQS)
Questionnaire in Preparation
for an Offer
Product Category (names)
YES
Rev. 05/06.09
Page 7 of 12
NO
We herewith confirm the completeness and accuracy of the information given above
Place/Date
Name, Function
Signature*)
Annex 3 (ISMS)
Questionnaire in Preparation
for an Offer
Description of the organization groups / Locations referring to the certification of the ISMS:
Number of locations: ___________________
Location in
certification
scope
(LOC)
Total
Manpower
(contractual/
payroll)
Application development
& maintenance staff
Rev. 05/06.09
Page 8 of 12
LOC
Workstations/
Laptops/PC
Servers
Legal requirements
Sector
specific
risk
Annex 3 ( ISMS)
Questionnaire in Preparation
for an Offer
Please list out the applicable legal, statutory and regulatory requirements for your organization.
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Rev. 05/06.09
Page 9 of 12
Place,
Date
Signature
We herewith confirm the completeness and accuracy of the information given above
Place/Date
Name, Function
Signature*)
Annex 4 (OHSAS)
Questionnaire in Preparation
for an Offer
QF-01
Rev. 05/06.09
Page 10 of 12
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Rev. 05/06.09
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We herewith confirm the completeness and accuracy of the information given above
Place/Date
Name, Function
Signature*)
QF-01
Rev. 05/06.09
Page 12 of 12