IBRATSA ISO QMS Certification Services

ISO 9001:2015 Certification Application Form

To Obtain A Detailed Quote, Kindly Provide Us With The Following Information (NOTE: Do not leave empty spaces rather type N/A if not applicable)

Section A1: Registration Information of the Organisation Company Name: Trading Name: Company/Organisation Type: Company Reg. No: VAT No:

Section A2: Organisation Type and Activities Registered Wholesaler: List Products you Wholesale: Registered Manufacturer: List Products Manufactured: Registered Distributor: List Products Distributed:

Section A3: Contact Details of the Organisation Telephone Number: Fax Number: Website(e.g. https://www.ibratsa.co.za): Street Address: City: Province/State: Country: Postal/Zip Code:

Section A4: Key Personnel Details CEO/MD Name: Position: Phone Number: Email Address: Authorised Representative Name: Position: Phone Number: Email Address: Accounts Payable Contact Name: Phone Number: Email Address:

Section A5: Certification Services Required Which Service Do You Wish To Apply For?

SECTION B: Site Information

B1: Main Site No. of Employees at Main Site: Activities at Main Site: Street Address: City: Province/State: Postal/Zip Code: Country: Contact Person Name: Position: Phone Number: Email Address:

B2–B5: Additional Sites How many additional sites (up to 4)?

Additional Site 1

No. of Employees: Activities at Site: Street Address: City: Province/State: Postal/Zip Code: Country: Contact Person Name: Position: Phone Number: Email Address:

SECTION C: Management System Information Type of audit to be conducted: When do you expect the management system to be ready for audit?

Answer Yes or No:

Management Review conducted? Integrated with another management system? Internal audit conducted? Other system certified by another body? If Yes, details (body, standard, scope, cert no.): Consultant used to develop/implement your system? If Yes, consultant name & contact: Any outsourced processes? If Yes, describe outsourced processes: Outstanding non-conformities in last audit? If Yes, details: Any complaints from customers or other parties? Any current engagement with regulatory bodies?

SECTION D: ISO 9001 QMS Technical Areas (IAF Sectors)

Please indicate Yes or No for each applicable IAF Scope Category:

1. Agriculture, fishing: 2. Mining and Quarrying: 3. Food products, beverages and tobacco: 4. Textiles and textile products: 5. Leather and Leather products: 6. Wood and wood products: 7. Pulp, Paper and paper products: 8. Publishing companies: 9. Printing companies: 10. Manuf. of coke and refined petroleum products: 11. Nuclear fuel: 12. Chemicals, chemical products and fibers: 13. Pharmaceuticals: 14. Rubber and plastic products: 15. Non-metallic mineral products: 16. Concrete, cement, lime, plaster, etc.: 17. Basic metals and fabricated metal products: 18. Machinery and equipment: 19. Electrical and optical equipment: 20. Shipbuilding: 21. Aerospace: 22. Other transport equipment: 23. Manufacturing not elsewhere classified: 24. Recycling: 25. Electricity Supply: 26. Gas Supply: 27. Water Supply: 28. Construction: 29. Wholesale and retail trade; Repair of motor vehicles, motorcycles and personal and household goods: 30. Hotels and restaurants: 31. Transport, storage and communication: 32. Financial intermediation; real estate; renting: 33. Information Technology: 34. Engineering services: 35. Other Services: 36. Public administration: 37. Education: 38. Health and social work: 39. Other social services:

SECTION E: Occupational Health & Safety Information

Select any PPE or induction requirements that apply:

Safety Shoes Safety Induction Required

If you checked any of the above, please explain:

Scope of Certification sought:

SECTION F: Terms & Conditions I agree to the use of ICT tools (video, document sharing, etc.): If No, please specify concerns or limitations:

I the undersigned confirm all information is accurate and accept IBRATSA's certification terms and conditions:

Name of Responsible Person: Date: