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Street*
 
Post Code*
 
City*
 
Country
 


Contact person
 
   
first name*
 
 
name*
 
 
function
in the company
 


Contact data
 
   
phone*
 
 
fax
 
 
E-mail*
 
 

* you must fill in

Has your company already been certified?
 
 
yes,
 
no.
 
 
according to:
 
 
since:
 
 


Certification/Validation requested (tick here, please):
 
DIN EN ISO 9001
 
DIN EN ISO 14001
 
DIN EN 16001
ISO 13485 **
 
ISO 22000**
 
FW 605
 
ISO TS 16949**
 
HACCP
 
OHSAS 18001
 
ISO 15378** ISO 15593** another
** we offer you in teamwork with another accreditated certification body
 
 
Date of certification (scheduled):
 

 
 
Will the certification be effective for the whole company?                        yes  no
 
 
Departments/sites (list):

 
 


Fields of activity? (EAC-Scope)
In case of several sites fill in this page for every site separately, please!
 
Production of rubber goods and plastic parts (14)
 
Tooling and mould making (17)
 
Mechanical engineering/ plants for the production of plastic parts (18)
 
Production of sports equipment, toys and other plastic products (23)
 
Recycling (24)
 
Building trade (plastics in building industry, building of waste disposals) (28)
 
Trade (29/1)
 

Research and development (34/1)

Architecture and engineering office (34/2)

Services for companies (35)
 
others
 
 


Substantial processes (tick or list here, please):
 
 
Product-Development
 
Sales
 
Purchasing
Mould making
 
Assembly
 
Construction
Production processes / Services (list here, please):
 
 
 
 
 
Other prozesses (list here, please):
 
 
 
 
 
Product range (list here, please):  
 
 
 
Do you manufacture products according to a public rule or are they subject to an approval or a thrid party control?

 
yes
 
no
 
 
If yes, which one:
 

 
 
Special items / Remarks (for example geographic special terms):
 
 
 
 
 
Are you using consulting activities?
 
 
yes
 
no
 
 

If yes, who?

 
Number of employees (total)
 

 
 
Number of shifts
 

 
 
     
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