SF01/UK Rev. 03/11/08

BUREAU VERITAS CERTIFICATION UK Ltd.

APPLICATION FORM

COMPANY NAME:

STANDARD REQUIRED:

ISO 9001 / ISO 14001 / OHSAS 18001 / ISO 20000 / ISO 22000
ISO 27000 / EU ETS / EMAS / TickIT / SA 8000
SQAS / TAPA / AS/EN 9100 / AS/EN 9110 / AS/EN 9120
TL 9000 / PCG QS / IRIS / ISO TS 16949 / PS 9000
BS EN 15038 / BS 25999 / Other:

Email:

Mail

Daniel Houghton

Bureau Veritas Certification

Tower Bridge Court,

224-226, Tower Bridge Road,

London.

SE1 2TX

Fax

0207 089 7083

Company Details

Group Company Name (if different):

Postal Address:

Post Code:

Is this the address to which correspondence should go?

If No, Please state correspondence address here:

Company Phone No:

Company Fax Number:

Company Web Address:

Company Registration Number:

Company Registered Name (if different):

Contact Details

Contact Name:

Contact Position:

Contact Telephone Number:

Contact Email Address:

Business Activities

Design / Manufacturing / Distribution / Installation
Testing / Service Industry / Maintenance / Repair
Software Development / Other (please describe):

Please describe your business scope:

Example: The design and manufacture of... The provision of consultancy to...

Site Details

How many fixed locations are to be covered by the Certification?

Other Details

Are you using the services of a Consultant? If Yes: Consultants Name:

Consultants Number:

Is this a Transfer? If Yes, please indicate the standards being transferred:

Current Certificate expiry date:

Do you require a Gap Analysis?

How did you hear about Bureau Veritas Certification?

If other, please give details:

Please supply a copy of this page for each site

SiteNumber

Address:

Post Code:

Total Number of Employees for this site: Full Time Part Time

Employee Roles:

Type of Work / No. of Employees / Type of Work / No. of Employees
Management / Marketing
Administration / Sales
Quality / Drivers
Operations / Other: please specify
Design
Shift / Start / Finish
1
2
3
4

Work Pattern:

Day work only? Shift Work?

If you operate shift work, please complete the following:

Is external work at customer’s premises involved?

Management System

Have you a document that outlines how the requirements are to be met?

For multiple sites, is the same manual used for each site?

If more than one standard, are they to be integrated?

What is the target date for your registration audit?

Due to Bureau Veritas’ commitment to Environmental Sustainability and in accordance with our Environmental Policy, we will send all quotations to you via the contact email address supplied as an attachment. If you wish us to send you a hard copy via the post, please tick the box.

> For Office Use Only <

Contract Review Performed By:

PQC/SQC/PEC Coding:

Risk Level:

Annual or 6 Monthly Schedule:

Day Calculations:

Integrated:With Which Standards:

Standards already held:

:

Initial Audit:

Main Audit:

Surveillance 1:

Surveillance 2:

*Surveillance 3:

*Surveillance 4:

*Surveillance 5:

*6 Monthly Surveillance

Justification:

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