:: TQCS International (TQCSI) ::

Certification Application Form

COMPANY INFORMATION
Company Name
Site address
Postal address
ABN
TQCSI quote number
Are any other Companies to be covered by the registration?
	Yes No
If so, state the Company name(s)

Standard applied for

List sites to be covered under certification

Brief description of the activities covered by the certification

List main products/services (max of 600 characters)

List main technologies used (max of 300 characters)

Number of FTE employees

Number of shifts

YOUR DETAILS
Contact Name
Position/Title
Phone
Mobile
Fax
Email
APPLICATION FEES
I have read and undertake to observe TQCSI's Rules of Certification which is available on TQCSI's website: www.tqcsi.com. A copy of these Rules of Certification will be retained on file for future reference. I understand that changes to these Rules may occur from time to time and agree to observe any such amendments. I accept the quotation provided by TQCSI and understand the initial and annual certification charges. I understand that the annual registration fee is payable immediately upon certification and then annually in advance, and that travel expenses are charge at cost. I understand the standard terms of payment are 14 days.
Name
Position
Order number/reference number to be quoted on invoice (if applicable)


INFORMATION COLLECTION DECLARATION