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Name of Organisation :
Company Status :          Government Public Ltd. Private Ltd. Partnership Proprietary
Company's Certificate of Incorporation No. & Date :
Nearest Station :
Corporate office/Head office:
Sites (Owned / Rented) :
(Kindly provide complete contact details with PIN Code No.of Addresses)
Chief Executive Officer :
Management Representative :
Tel. No. : Fax No. :
Email Id : Website :
(Kindly provide STD / ISD Code of the Tel / Fax No.) Mobile :
Name of your Consultant, if engaged in preparing management system :
Name :
Company :
Contact No : Email :
Address :
Types of Certification :
Intial Certification Recertification
Transfer of Certificate - Name of earlier Certification Body :
Requested Management System Standard :
ISO 9001 ISO 14001 OHSAS 18001 ISO 22000 Product/CE Marking Other Management System
Integrated Management System Others (Specify)
Accreditations required :
JAS-ANZ (ISO 9001, ISO 14001, OHSAS 18001, ISO 22000)
NABCB - (ISO 9001, ISO 14001)
Others (specify)
For EMS & OHSAS : Please fill in separate Questionnaire "FC_03A" for the company seeking certification of ISO 14001, Environmental Management System / OHSAS 18001 : 1999 Occupational Health & Safety Management System, and Questionnaire will be provided on request.
For CE Marking : Please fill separate Questionnaire "FC_42" for company seeking CE marking.
ForISO 22000 / HACCP : Please fill separate Questionnaire "FC_49" for company seeking HACCP / Food Safety.
Products / Services :
Processess / Activities :
Proposed Scope of Certification :
Applicable Statutory & Regulatory Requirements :
Manpower Information (Location / Site Wise) :
Total No. of Employees :
Management : Staff : Contract Labour :
Total No. of Additional Sites to be Audited : No. of working Shifts :
Shift wise activity details :
Name of your main customers (Local & Overseas) :
How long has the Management System been Implemented?
Place : Name & Signature :
Date : Company Seal :


  • All the information supplied by the organisation will be treated in strict confidence.
  • ICS Certification Procedure & Methodology for the assessment is covered in our literature, that will be supplied on request. You may contact ICS local office for further queries, refer “Certification of the Management System – CM5” available on our website.
  • You may attach additional information on the separate paper.
  • Scope of certification shall be given in brief describing the activities being performed by your company e.g. Design, manufacture, installation, service and repair of pressure vessels for Oil & Gas industry.
  • ICS Standard Terms & Conditions will be applicable.
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