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DATA FOR CERTIFICATE ISSUANCE

Report No:
RIR Certification Pvt Ltd.

Company

Head Office Address

Site Address- I

Site Address - II

Scope (English)

Scope (Other
Language)

*for the registration of the certificate its necessary put the scope in English language.

We inform to require the RIR Certification mark, according to RIR Certification contractual condition and
according to the economic condition of the RIR Certification Contract.

We oblige ourselves to use the specified mark only as authorized in writing by RIR Certification.

Signature of Lead Auditor Signature and stamp of Client

Date

Doc. No: 15- Data of Certificate Issuance Date: 01.06.2017 Revision No: 02 Page: 1/1

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