Management Systems Quotation Form

Title * MrMrsMissMs

First Name *

Last Name *

Organization Name *

Address *

City *

ZIP Code *

Country * ArubaAfghanistanAngolaAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaBelarusBelizeBermudaBoliviaPlurinational State of BrazilBarbadosBrunei DarussalamBhutanBotswanaCentral African RepublicCanadaSwitzerlandChileChinaCôte d’IvoireCameroonthe Democratic Republic of the CongoCook IslandsColombiaComorosCape VerdeCosta RicaCubaCayman IslandsCyprusCzech RepublicGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaSpainEstoniaEthiopiaFinlandFijiFranceMicronesiaFederated States ofGabonUnited KingdomGeorgiaGhanaGuineaGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGuatemalaGuamGuyanaHong KongHondurasCroatiaHaitiHungaryIndonesiaIndiaIrelandIran Islamic Republic ofIraqIcelandIsraelItalyJamaicaJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea Republic ofKuwaitLao People’s Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMoroccoMonacoMoldova Republic ofMadagascarMaldivesMexicoMarshall IslandsMacedonia the former Yugoslav Republic ofMaliMaltaMyanmarMontenegroMongoliaMozambiqueMauritaniaMauritiusMalawiMalaysiaNamibiaNigerNigeriaNicaraguaNetherlandsNorwayNepalNauruNew ZealandOmanPakistanPanamaPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea Democratic People’s Republic ofPortugalParaguayPalestineState ofQatarRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSerbiaSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenSwazilandSeychellesSyrian Arab RepublicChadTogoThailandTajikistanTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTurkeyTuvaluTaiwanProvince of ChinaTanzania United Republic ofUgandaUkraineUruguayUnited StatesUzbekistanSaint Vincent and the GrenadinesVenezuelaBolivarian Republic ofVirgin Islands U.S.Viet NamVanuatuSamoaYemenSouth AfricaZambiaZimbabwe

Email *

Phone *

Fax

Website

Total Number of Employees *

Total Number of Employees within the Scope *

Number of Sites Included in Certification Scope *

Please provide precise details of the products and services provided by your company *

Certification scope (please indicate for which processes or areas of your organization you want to be certified) *

Standard(s) to be assessed *

Other

Please list any locations, in addition to the main site, to be included in the scope of registration (for each site include the number of employees and daily shifts) *

Do you employ sub-contractors to complement your workforce on a regular basis for the activities within the scope of certification? If so, how many

What percentage of your work is on clients’ sites?

Please set target date for audit *

Have you been certified by another certification body? If so, please indicate *

Is this a certification transfer from another certification body? If so, please indicate the standards being transferred as well as the date of expiry of your certificate *

Please provide a brief description of the processes, infrastructure, operations, human resources, technical resources, functions and relationships that are included within the scope of the proposed certification *

Please supply the list of regulations and relevant legal obligations applicable to the management system to be certified *

Have you had consultancy services related to the management system to be certified and if so, please indicate by whom *

How did you hear of CCQM? *

Declaration: The information provided above is true to the best of our knowledge and belief. *

I agree to the CCQM Terms and Conditions. *

4 + 0 = ?Please prove that you are human by solving the equation *