نمودج طلب التأهيل للانظمة الجودة

ORGANIZATION PROFILE                                                                   American Systems Registrar                                                                                Web Site:                            Email:  Tel. & Fax: +20                                                                Mobile: +2010 1131
Please send a quote of ASR’s registration services based on the following information. Quotes needed for the                                                 following (check all that apply):     Pre-Assessment Audit            Registration Audit             Re-Assessment               Changing Registrar (Transfer)                                                                                                          (For Transfers provide copy of certificate and surveillance frequency)
Application for Registration to ISO 9000   ISO 9001:2000    Design Activities:              YES    NO
Organization Name:		Contact Person: (If multi contact’s list on a separate piece of paper with title, phone number and email address. Fax or email with profile)
Mailing Address: Registration Site Address: (if different from above)		Title:
		Phone No:					Fax No:
		Email Address:
Quotation Surveillance Schedule Preference:   Six (6) Months   Nine (9) Months   Twelve (12) Months		Web Site Address:
Shift Information for Registration:    1st Shift      _________  Start Time    2nd Shift     _________  Start Time    3rd Shift     _________  Start Time		IAF/ NACE Code (If unknown, leave blank):
		Consulting/Training Firm
Proposed Scope of Registration (products, processes, etc.):
Do you have a union?                          Yes    No				Legal Status: (Corp, LLC or Partnership etc)
Other facility locations that will be part of this registration: (if Multi Site-list all site addresses, function of each site, number of employees, and contact person at each if different than above on a separate piece of paper. Fax and/or email with profile)				Total number of employees included in scope of Registration(This includes temporary, seasonal and part-time employees):
				Primary Language Spoken:
Must check “No” to each of the following to be eligible for Small Business Registration: Are you part of a larger group or company?                     Yes    No  Are your company sales over $10,000,000?                     Yes    No Do you have more than 150 employees?                          Yes    No Are you registering your site to QS 9000?                       Yes    No						For QS-9000 only - Customers  are:   GM________      Ford  _________   Chrysler  _____________   Other (please specify): (Must provide supplier code (s))
Do you perform any after sales servicing?                                Yes      No	Do you utilize any customer-supplied product?  (ex. Ingredients, shipping labels, boxes, etc.)?        Yes      No
Name:			Date: