ISO Application Form

General Company Information

Company Name *

Office Address *

Invoice Address *

Contact Person *

Telepon *

Jabatan *

Email *

Fax

Website *

Scope and Boundaries

Scope *

Boundaries *

Management system standard(s)

Personnel Situation

Type (HO, Factory, etc.)	Address	Product/ Process/ Activities	Total No. of Active Temporary Project Sites (see attachment for detail)	Total No. of Effective Employees	Permanent & Contact	Subcontractor	Others	Remark	Non shift	Shift 1	Shift 2	Shift 3	Process Differs Across All Shifts

Outsourced Activity

Please complete information about maturity of your management system

Start of Implementation

Use of Consultants

YES

Certified System

YES

Other System

Integrated Audit

YES

Declaration

• I hereby declare that the information provided in the Application, which was previously submitted, is still valid

• This application is responsibility of the client which write down, and all information written is kept as confidential

I agree to the statements above.