Application /Request for Quotation
Please complete this questionnaire and forward it to ACM Limited who will then provide you with a
written proposal. Any information will be treated as confidential and will not be disclosed or
discussed with any third party.
Company Name
Address
City BANDUNG Code Country
Tel Number Contact Name
Fax Number Position
Web Site E-mail
Standard(s) to be assessed 9001 exclusions
Scope: Please describe what activities your organisation carries out.
Please list any additional sites to be included in the scope of registration
Please list the number of Full Part Shifts Full Part Shifts
employees in each area/site Time Time Time Time (Site 2)
(please use additional sheets if required ) (Site 2) (Site 2)
Manufacturing/Service area
Quality Control/Technical
Administration
Storage/Warehouse
Other
Management
Total Employees (Full time equivalent)
Approx number of sub Describe the type of
contractors used on average if work subcontracted if
applicable. applicable.
Approximately, what % of you % Approximately, what % of work %
total work is subcontracted is carried out at clients’ sites?
out?
Do you currently hold any other third party
registrations?
When will you be ready for stage one review? Date
How did you hear of ACM Limited?
Were you assisted by a consultant in Name
developing your Management System?
Web site
For ISO 14001 and OHSAS 18001 please also supply a list of applicable regulations,
environmental aspects, and list of any permits, licences or consents.
Signature Date
Please return this form to ACM Limited, The Business Centre, Edward Street, Redditch, Worcestershire, B97 6HA. -
Fax +44 (0) 1527 66946 E-mail info@ acmcert.com
ACM 001 - Application Form - Issue 9 Page 1 of 1 May 2010