ASM QUALITY CERTIFICATION

Approved By: MD
P. O. Box: 231014, Dubai, UAE
Date: 01/12/2020
Revision: f

No: ASM/F29/Re f/01/12/2020

Questionnaire

Please provide us with the details of your organization, which would enable us to provide you with adequate proposal for our Food
Safety Management System /  CAC-HACCP / ISO 22000:2018 Certification services.

1 Organization Name : Chinese Palace Restaurant Group

Tel. 04-2215179
Address with communication details: Email – lay.chang@chinesepalacegroup.com
2 (Include Tel., Fax, email, website, country also) website - www.chinesepalacegroup.com
Office Address – Office 1041, Al Ghurair Centre Al Rigga, Deira
Dubai, UAE
3 Certification to any other standards NoneISO9001ISO14001ISO18001Other
a) Details of Consultant used if any:  No  Yes:
4
b) If transferred , Reason :
Contact Person Name and Lay Chang – COO
5
Mobile No: Mobile # +971 55 338 0893
Food Safety/ Hygiene Officer/ HACCP
6 rev
Team leader Name& contact:

Number of Locations : Location:

7
Number of People in each location:
8 Are you part of a larger organization: Yes  NO
Language of Audit required and
9 English Other(specify) Preferred Audit Date:
preferred audit schedule
FSMS Implemented from:
1 (mention date and period of implementation, there
Date of Implementation:
0 should be an implementation of at least 90 days
before audit)
Activities of system :
1 (Produce, process, packaging etc.)
1 (Describe the activities that your organization under-
takes in the food chain, that are under your control)
1 Outsourced processes
 No,  Yes, Details(if yes)
2 (subcontracting) :
1 List of Final Products & Usage :
(List down the market segments like consumer Int op only
3 retail / dealer )

1 Do you Design the product :  No  Yes Details (if yes)

4 (Do you own any recipe..?)

1 Proposed Scope for Certification :

(Certification shall be for the system and not
5 products)
1
Total no of HACCP plans
6
1 Working Hours
7 (shift and activities in each shift) :
1
Trade License Trade License no: Expiry date:
8

Name:
Designation:
Signature:

Confidential when complete

 ASM QUALITY CERTIFICATION
Approved By: MD
P. O. Box: 231014, Dubai, UAE
Date: 01/12/2020
Revision: f

No: ASM/F29/Re f/01/12/2020

Questionnaire

Date:

Confidential when complete