1102 Budapest, Kõrösi Csoma stny. 4, Tel.:431-0458, T./F:431-0459

honlap: www.eurocert.hu      e-mail: eurocert@eurocert.hu

 

INFORMATION REQUEST SHEET FOR PROVIDING CERTIFICATION PROPOSAL

(we handle the data with confidentiality, you can get more information from our homepage

about our procedures)

 

STANDARD TO BE CERTIFIED:

 

 

1. Name of company:

 

 

2. Address of registered office of the company:

 

 

Phone:

 

Fax:

 

E-mail:

 

 

3. Name and position of responsible executive:

 

 

4. Name and position of contact person:

 

 

5. Activities of the company (please enlist it or provided information on a separate sheet and/or enclose a prospectus):

 

 

6. Main subcontracted activities and those proportion in the audited sphere:

 

 

7. Do you currently have a certified system (who certified it and according to which standard):

 

 

8. Planned scope of certification:

 

 

9. Total number of employees of the company white / blue collar, number of shifts:

 

 

10. Main customers:

 

 

11. Organisational structure of the company

(please enclose the organisational diagram)

 

12. Deadline of providing the proposal:

 

 

13. Addressee of the proposal (name, position):

 

 

14. Name of preparing company/person:

 

 

15. Expected time of appraisal of proposal:

 

 

16. Which information source did you lead to our company?

 

 

17. Most important legal permits:

 

 

18. Membership in professional organizations:

 

 

19. If the applicant is member of a holding, name of the holding:

 

 

20. Start/end of system building:

 

 

21. Planned time (deadline) of certification:

 

 

Data of site to be certified:

(Please fill in by sites in the case of several sites involved in the system.)

 

Address, phone/fax:

 

Staff number (white/blue-collar), shift number:

 

Description of products and activities:

 

Technology(ies) applied:

 

Main machines and equipment:

 

Number of suppliers/subcontractors:

 

Number of customers:

 

Used materials and their quantity (chemicals, etc.):

 

Emitted materials (waste, wastewater, gases, etc.):

 

In case risk assessment based standard the main risks:

 

FSMS - number of HACCP plans, systems

 

FSMS - number of CCPs

 

FSMS - number of oPRPs

 

 

 

Date:

 

 

 

Signature:

 

Print (Microsoft Word)