Company Name Application for QMS Registration to QMS, EMS or OHSAS (Please fill this form completely and
return to AGSI-CPL by courier, fax or e-mail)
Company Name: Standard & Accreditation applied for ( what is applicable):: ISO 9001:2008 Std. (QMS) NABCB Accreditation DAC Accreditation (Dubai Accreditation Centre) ISO 14001:2004 Std. (EMS) OHSAS 18001:2007 Std.
Scope Applied for Registratio n:
Describe briefly the operations involved in the Production or Service provision
(You may attach a flow-chart):
Details of processes outsourced, if any: Relevant Legal (Statutory & Regulatory) Obligations applicable to product or service provided:
Primary Contact PersonISO: Alternat e Contact Person ISO: LOCATIO N Office Factory Branch Site (s) ( Project)
Name:
Designation:
Proprietor
Tel.: Fax: e-mail: Designation: Tel.: Fax: e-mail: ADDRESS DEPARTMENTS / FUNCTIONS
Name:
Is the quality Management System (QMS) of your organization developed by a consultant? No If Yes Please give following details: 1) Name(s) of the Consultant(s):____________________________________________________ Form No.: F 9.31 Iss.: 01 Rev.: 06 Date: 01.01.2011
Yes
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2) Name of the Consulting organization / Agency:______________________________________ Date of Implementation of QMS Initial Audit / Re-certification audit required in (Month & Year)
(NOTE: Initial audit will be conducted in two stages. 1 st stage audit includes on/offsite Documentation Review, on-site Top Management and M.R. audits and assessment of adequacy of the system and decide on the date(s) for the stage 2 certification - audit.)
Form No.: F 9.31
Iss.: 01
Rev.: 06
Date: 01.01.2011
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Employee Details *
* Note: The planning of the audit e.g. mandays, audit scheduling are based on the details as provided in this form]
(A) No. of Employees (include all employees permanent and also temporary/contract):
Dept. Function
Top Management: Marketing/ Sales: Purchase: H.R.: Design and Development: PRODUCTION: (for manufacturing companies) OR SERVICE PROVISION: (For service industries)
Give category-wise split-up below: NO. OF CATEGORY EMPLOYEES
No. of Employees
Management/ Supervisory Operators Helpers CATEGORY NO. OF EMPLOYEES
Quality Control
Management/ Supervisory Operators/ Chemists Helpers
Servicing/ Installation/ Commissioning: (where applicable) Stores and Dispatch: (where applicable) Any other: (please specify): Any other: (please specify):
TOTAL: (B) Is your organization working in Shifts (Yes/ No): ___no_______
If yes, please give shift-wise split-up of the total no. of employees:
10
General Shift: _____ Employees =
I Shift: ______ II Shift: _____
III Shift: ____ Total
(C ) Any other information you want to provide:
Form No.: F 9.31
Iss.: 01
Rev.: 06
Date: 01.01.2011
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This Questioner filled by: Name: Signatu re: Designati on: Date:
Proprietor
Company Seal
Form No.: F 9.31
Iss.: 01
Rev.: 06
Date: 01.01.2011
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