ProductCertificationApplicationRevformforfactory.docVIP

SUCOFINDO INTERNATIONAL CERTIFICATION SERVICES SUCOFINDO ICS FRM 5.02 Issue 01 Rev.5  PAGE 7 of 7  SUCOFINDO INTERNATIONAL CERTIFICATION SERVICES SUCOFINDO INTERNATIONAL CERTIFICATION SERVICES SUCOFINDO ICS FRM 5.02 Issue 01 Rev.5  PAGE 1 of 7  APPLICATION FOR PRODUCT CERTIFICATION We herewith apply for Product Certification through Sucofindo Scheme of Product Certification for product specified in this application: A. 1. 2. 3. 4. 5. 6. B 1. 2. 3. 4. 5. 6. 7. 8. 9. C 1. 2. 3. 4. D 1. 2. 3. 4. 5. 6. 7. D 1. 2. 3. APPLICANT INFORMATION Name of Organization : Address : Phone No. : Fax. : Status (Importer, Representative, Agent, etc) : Chief Executive: Management Representative : FACTORY : Name of Organization : Address : Phone No. : Fax.: Chief Executive: Management Representative : Number of Employees: Estimated monthly output of product to be certified (quantity): No. of shifts per day: Company Documents (Applicant and Factory) : Please attach the following documents : Company Legal Registration (Akta Pendirian Perusahaan) Brand Registration (Pendaftaran Merk) Industry Registration (Izin Industri) NPWP No. v. Agreement between Applicant and Factory QUALITY CONTROL / QUALITY SYSTEM INFORMATION Certifications (quality, environment, product, HSE etc) currently held : No Certificate Certificate No. Cert. Body Valid Date 1. 2. 3. Information on the Quality Control/Quality System Details, Please briefly describe the quality control (quality system) applied Subcontracted Process : Please attach : Company organization chart List of Components and materials Process Flowchart Quality Control Checking Schedule / Quality Plan Product test Equipment List and Calibration Schedule Quality manual and Master list of Quality Documents (Procedures, Forms etc) Product test Reports viii. Company Profile PRODUCT INFORMATION (Attach suppl