A. COMPANY DETAILS |
| Name of the company*: |
|
| Registered Office
Address*: |
|
| City*: |
|
| Pin Code*: |
|
| State*: |
|
| Country |
|
| Phone*: |
|
| Fax |
|
| Email*: |
|
| Website |
|
| Name of the Chief
Executive/MD |
Mobile
|
| name of M.R/ Contact Person*: |
Mobile
|
| Company Status*: |
|
| Address & Manpower Details of location
to be covered under proposed certification |
| Departments |
Location 1 Address
|
|
(Identify key activities performed in each location(e.g.- Design, Production / Manufacture, Quality Control, Purchase, Marketing/ sales , Maintenance, Store, HRD, etc) |
|
|
|
|
| Shift Work ? |
|
| Personnel |
| (a) Permanent Staff (staff + workmen) in each location |
| (b) Contract Workmen |
| (c) Part Time Workmen |
|
Total Manpower in each location |
|
|
|
|
| Language used by most of the employee |
|
B. CERTIFICATION |
| Certification Required*: |
|
| Accreditation Sought |
|
| Type of Audit to be conducted |
|
Certification |
|
Re-Certification |
|
Transfer of Certificate |
| Tentative Scope for certification |
|
Exclusion of clauses, if any
(in clause no. 7) |
|
| Outsourced Process, if any |
|
| Proposed date of Certification |
(dd/mm/yy) |
| Surveillance Frequency |
Yearly
Six Monthly
|
| C. BUSINESS DETAILS |
Identify products / services of your company |
|
Activities being performed outside the main site (i.e activities at temporary sites e.g. construction, collection of samples, service delivery, etc.) |
|
Identify key process in manufacturing or provision of services |
|
Applicable statutory & regulatory requirements related to Products/services / Process |
|
Please list your main customers
|
|
| D. ADDITIONAL INFORMATIONS FOR FSMS |
Number of buildings & floors & approximate floor area (sq. ft) |
|
Number of product lines & HACCP studies (number of CCPs and Operational PRPs) |
|
| |
|
| D. OTHER INFORMATIONS |
| Any services of consultant use : |
Yes
No
|
| If yes, Name of the consultant : |
|
| Name of the consulting organization (if applicable) |
|
Date of Management System Implementation |
(dd/mm/yy) |
| Any In-House training by SWISSCERT |
Yes
No
|
| If yes, name of the Trainer |
|
| How did you hear of SWISSCERT Certification? |
|
| Quotation
Requested by : |
| Name*: |
|
| Designation/Position*: |
|
| |
|
Online
Quotation Request 
