Please provide the information requested below. 

Contact Information:

Mgmt. Representative
  
Company Name
Address 1
Address 2
City
State/Province
Country
What is your business?

 

 

Telephone

Fax

E-mail Address

Company's Web Address

Are you part of a larger Organization?

Postal Code

Check All that Apply:
ISO 9001:2000
ISO-14001

 Exclusions: (Check those elements that do not apply)

7.1 Planning and Product realization    7.2 Customer related processes            7.3 Design and Development   

7.4 Purchasing                                7.5 Production and service provision      7.5.4 Customer Property


 

Facility Information:
Site Address: (If Different) # of Employees #of shifts Approximate Square Footage

Total # of Facilities:  

How Did You Hear about Africert:

Advertisement Trade Show Referral Consultant Website
Who, What or Where?

 

Are you Currently Registered? Yes No
 
 
Name of Registrar:
Date of Last Surveillance:

Target Date for Registrar Selection?

Who is your current Registrar?

To What Standards?

Certificate Expiration Date:



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