ISO 9001 Certification Application Form

SECTION A: ORGANISATION INFORMATION

Section A1: Registration Information of the Organisation

Company Name: *

Trading Name:

Company / Organisation Type:

Registration Number:

Attached Registration Certificate with Submission

VAT Number:

Section A2: SAHPRA Licence Information

Registered Wholesaler

SAHPRA Licence Number (Wholesaler):

Registered Manufacturer

SAHPRA Licence Number (Manufacturer):

Registered Distributor

SAHPRA Licence Number (Distributor):

Section A3: Contact Details of the Organisation

Telephone:

Fax:

Website:

Address

Street Address:

City:

Province/State:

Country:

Postal/Zip Code:

Section A4: Key Personal Details

Company CEO/MD:

Name:

Position:

Phone number:

Email address:

Authorized Representative:

Name:

Position:

Phone number:

Email address:

Accounts Payable Contact Details:

Name:

Position:

Phone number:

Email address:

Section A5: Certification Services Required

Which Service do you wish to apply for:

SECTION B: SITE INFORMATION (WHERE AUDITS WILL TAKE PLACE)

Section B1: MAIN SITE

No. of Employees at Site:

Activities at the Site:

Location

Street Address:

City:

Province/State:

Postal/Zip Code:

Country:

Contact Person:

Name:

Position:

Phone number:

Email address:

Does the organisation have more than 3 sites to be included as part of certification audit?

Yes No

How many Additional Sites are to be audited over and above the ones mentioned above?

SECTION C: MANAGEMENT SYSTEM INFORMATION

1. Type of audit to be conducted?

2. When do you expect the management system to be ready for the audit?

3. Is a Management Review conducted?

Yes No

4. Is the system you are seeking assessment for integrated with any other management system?

Yes No

5. Do you currently have any other management system certified by any other Certification body?

Yes No

6. Have you used a Consultant to develop and implement your System?

Yes No

7. Is any process used by the organisation outsourced?

Yes No

10. Is the last audit report available with outstanding non-conformities?

Yes No

11. Any complaints received from customers or other parties?

Yes No

12. Any current engagement by the organisation with regulatory bodies in respect of legal compliance?

Yes No

13. Any technological and regulatory context IBRATSA needs to take into consideration?

Yes No

14. Indicate the Language of communication for all employees in the organisation:

15. Where did you hear about IBRATSA?

SECTION D: GENERAL BUSINESS INFORMATION ISO 9001:2015

QMS (ISO 9001) Scopes of Certification:

For each ISO 9001 Technical Cluster, please indicate products that you handle in your organisation:

Technical Cluster	Subcategory	Handled by Organization
FOOD	Agriculture, forestry and fishing
	Food products, beverages and tobacco
	Hotels and restaurants
MECHANICAL	Basic metals and fabricated metal products
	Machinery and equipment
	Electrical and optical equipment
	Shipbuilding
	Other transport equipment
PAPER	Paper products
PAPER	Printing companies
MINERALS	Mining and quarrying
	Non-metallic mineral products
	Concrete, cement, lime, plaster, etc.
CONSTRUCTION	Construction
CONSTRUCTION	Engineering services
GOODS PRODUCTION	Textiles and textile products
	Leather and leather products
	Wood and wood products
	Rubber and plastic products
	Manufacturing not elsewhere classified
CHEMICALS	Pulp and paper manufacturing
	Manufacture of coke and refined petroleum products
	Chemicals, chemical products and fibres
SUPPLY	Electricity supply
	Gas supply
	Water supply
TRANSPORT AND WASTE MANAGEMENT	Recycling
TRANSPORT AND WASTE MANAGEMENT	Transport, storage and communication
SERVICES	Wholesale and retail trade; Repair of motor vehicles, motorcycles and personal and household goods
	Financial intermediation; real estate; renting
	Information technology
	Other services
PUBLIC ADMINISTRATION	Public administration
EDUCATION	Education
NUCLEAR	Nuclear Fuel
PHARMACEUTICAL	Pharmaceuticals
AEROSPACE	Aerospace
HEALTH	Health and social work

SECTION E: OCCUPATIONAL HEALTH AND SAFETY INFORMATION

Please indicate through the following checkboxes any special details regarding safety whilst at your premises:

1. There are no industry-specific safety risks or equipment applicable

2. We will supply all other PPE

3. The following Personnel Protective Equipment (PPE) is required to be supplied by the auditor: Safety Shoes Only

4. A safety induction is required for entry into the premises/site (this time is additional to any audit duration)

SECTION F: TERMS AND CONDITIONS

1. The applicant warrants that the information provided in this application form is accurate and correct.

2. The signing of the application form places no obligation on the applicant to pay any auditing fees and the information provided in this application is purely used to compile a quotation/service level agreement.

3. The applicant acknowledges that it has read and agrees to abide by the contractual terms contained in the following documents available on our website:

i) IBRATSA Terms and Conditions for Certification.
ii) Certification process.
iii) Use of Certification Symbols.

4. The applicant agrees that if IBRATSA Issues a Certificate, the applicant will use the IBRATSA Certification Symbol in accordance with the Certification Scheme Terms.

5. This application remains valid for six months from the date at which the application was made, after which period, the application will expire and a new application will have to be submitted.

6. The applicant agrees that this application has been signed without prejudice or pressure from external parties.

Note: Please note that our audits may be conducted either onsite or remotely using Information and Communication Technology (ICT) tools to ensure effective and efficient auditing and certification processes. By signing this form, you agree to the use of ICT tools, such as video conferencing, document sharing platforms, and other digital means, for the purposes of conducting audits and facilitating certification.

Do you agree to the use of ICT in the auditing and certification processes?

Yes No

Signature of Responsible person:

Designation:

Date:

Staff Compliment Information (where audits will take place)

Number of Employees

Department	Main Site	Additional Site 1	Additional Site 2	Additional Site 3	Additional Site 4	Total Number of Employees per Department
Management
Finance
Production
Maintenance
Quality Control / Assurance
Human Resources
IT/Technology
Receiving and Dispatch
Warehouse
Customer Service/Sales
Other (specify)
Total Employees per Site

Shift Staff Compliment (where audits will take place)

Department	Main Site		Additional Site 1		Additional Site 2		Additional Site 3		Additional Site 4
	Number of shift Employees	Shift hours	Number of shift Employees	Shift hours	Number of shift Employees	Shift hours	Number of shift Employees	Shift hours	Number of shift Employees	Shift hours
Management
Finance
Production
Maintenance
Quality Control / Assurance
Human Resources
IT/Technology
Receiving and Dispatch
Warehouse
Customer Service/Sales
Other (specify)

CERTIFICATION APPLICATION FORM

Quality Management System: ISO 9001:2015

SECTION A: ORGANISATION INFORMATION

Section A1: Registration Information of the Organisation

Section A2: SAHPRA Licence Information

Section A3: Contact Details of the Organisation

Address

Section A4: Key Personal Details

Company CEO/MD:

Authorized Representative:

Accounts Payable Contact Details:

Section A5: Certification Services Required

SECTION B: SITE INFORMATION (WHERE AUDITS WILL TAKE PLACE)

Section B1: MAIN SITE

Location

Contact Person:

Additional Site

Location

Contact Person:

SECTION C: MANAGEMENT SYSTEM INFORMATION

SECTION D: GENERAL BUSINESS INFORMATION ISO 9001:2015

SECTION E: OCCUPATIONAL HEALTH AND SAFETY INFORMATION

SECTION F: TERMS AND CONDITIONS

Staff Compliment Information (where audits will take place)

Number of Employees

Shift Staff Compliment (where audits will take place)