AGSI Certification Pvt. Ltd.

208, Kartik Complex, New Link Road, Opp. Laxmi Industrial Estate, Andheri (West), Mumbai – 400 053
Tel.: (022) 2674 3602 Tele Fax: (022) 2674 3603 E-mail: agsicert@gmail.com / agsimkt@gmail.com

Application for Registration to QMS Certification

(Please fill this form completely and return to AGSI-CPL by courier or e-mail)
GST No.:
Company Name:
Scope Applied for
Registration: Standard applied for:
(Scope statement
as it should
 ISO 9001 : 2015
appear on (NABCB Accreditation)
certificate)
Exclusions, if any

Describe briefly the operations involved in the Production or Service provision (You may attach a flow-chart):

Details of processes outsourced, if any:

Relevant Legal (Statutory & Regulatory) Obligations applicable to product or service provided:

Primary Name:
Contact
Designation: Tel:
Person-
ISO: E-mail:
Alternate Name:
Contact Designation: Tel.:
Person –
ISO: E-mail:

NO. OF
DEPARTMENTS /
LOCATION ADDRESS
FUNCTIONS
EMPLOYEE
S

Office

Factory

Branch
Site (s)
( Project)

Is the quality Management System (QMS) of your organization developed by a consultant?  Yes  No
If ‘Yes’ Please give following details:
1) Name(s) of the Consultant(s):____________________________________________________
2) Name of the Consulting organization / Agency:______________________________________

Initial Audit / Re-certification If it is for recertification audit, please

Date of Implementation of
audit required in specify if the earlier certification was
QMS
(Month & Year) from AGSI or any other CB

Form No.: F 9.31 Iss.: 01 Rev.: 13 Date: 18.08.2020 Page 1 of 2

(NOTE: Initial audit will be conducted in two stages. 1 st stage audit includes on/off–site Documentation Review,
on-site Top Management and M.R. audits and assessment of adequacy of the system and decide on the date(s) for
the stage 2 – certification - audit.)

Form No.: F 9.31 Iss.: 01 Rev.: 13 Date: 18.08.2020 Page 2 of 2

 AGSI Certification Pvt. Ltd.
Employee Details
(Note: The planning of the audit e.g. mandays, audit scheduling – are based on the details as provided in this form]

(A) No. of Employees (include all employees – permanent and also temporary/contract):

Dept. Function No. of Employees

Permanen Temp./
t Contract
Top Management:
Marketing/ Sales:
Purchase:
H.R.:

Design and Development:

Give category-wise split-up below:
NO. OF EMPLOYEES
PRODUCTION: CATEGORY Permanen Temp./
(for manufacturing t Contract
companies) Management/
OR Supervisory
SERVICE PROVISION:
Operators
(For service industries)
Helpers

NO. OF EMPLOYEES
CATEGORY Permanen Temp./
t Contract
Quality Control Management/
Supervisory
Operators/ Chemists
Helpers

Servicing/ Installation/
Commissioning:
(where applicable)
Stores and Dispatch:
(where applicable)
Any other:
(please specify):
Any other:
(please specify):
TOTAL:

(B) Is your organization working in Shifts (Yes/ No): __________

If yes, please give shift-wise split-up of the total no. of employees:

General Shift: _____ I Shift: ______ II Shift: _____ III Shift: ____ Total Employees =

(C ) Any other information you want to provide:

This Questioner filled by:

Name: Designation:
Company
Signature: Date: Seal

Form No.: F 9.31 Iss.: 01 Rev.: 13 Date: 18.08.2020 Page 3 of 2