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MSASF01A Application for Accreditation (Product Cert)
PAB application form for product certificate accreditation
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Philippine Accreditation Bureau
Management System
Accreditation
Application Form
Initial
Document ID
Issue Number
Revision
Number
Effectivity Date
Page
Renewal
1.
September 2018
1 of 3
Scope Extension
Type of Certification Scheme being applied for Accreditation
Product Certification
2.
MSA/SF01A
01
02
Applicant
( name of CB exactly as it is to appear on your Certificate of Accreditation )
3.
Address
Telephone:
4.
Contacts
Facsimile:
E-mail and
website:
5.
Applicant Ownership
(Single Proprietorship, partnership, Corporation,
government)
6.
Authorized Representative
(Name and title of the person who will be PAB primary
point of contact for all matters relating to this
application. If address, phone and fax details are not as
above then please provide them as an attachment)
7.
SEC/other applicable Registration No.
(provide evidence of its legal status as an organization )
Name:
Title/ Position:
Place/Date of
registration:
TIN:
8.
Branch, if any
(please check the different activities undertaken by each
branch or other offices, use additional sheet if
necessary )
9.
__ policy formulation
__ process and/or procedure development
__ initial approval of auditing personnel, or control of their training
__ on-going monitoring of auditing personnel
__ application review
__ assignment of auditing personnel
__ control of surveillance or recertification audits
__ final report or certification decision or approval
Relationship with a larger entity, if any
(please describe the extent of activities or involvement
of the CAB with larger entity, provide additional sheet if
needed )
10. Number of Certification Personnel
11. Scope of Accreditation Being Applied
for Geographical location covered
12. Certification Scheme Owner
13. Institutional Membership (Local/Foreign)
Administrative _______
Technical _______
Philippine Accreditation Bureau
Management System
Accreditation
Application Form
Document ID
Issue Number
Revision
Number
Effectivity Date
Page
MSA/SF01A
01
02
September 2018
2 of 3
14. Other Services Offered
15. Accreditation being maintained or applied to Accreditation Bodies other than PAB
Name of Accreditation Body (AB)
Scope
Effectivity Date
16. Number and where certificates were issued with PAB accreditation mark
Product Certification
Number
Country
17. Total number of certificates issued
Product Certification
18. Number of Auditor (accomplish in separate sheets)
Lead Auditors
Auditors
19. Documents to be provided upon application
a.
b.
c.
d.
e.
f.
Copy of SEC Registration with the Articles of Incorporation or DTI Registration or if in case of a foreign CB, duly notarized
registration documents and authenticated by Philippine Consulate, as proof of being a legal entity as the case may be.
Overview of the financial structure of the applicant body
Information on fees charged to its applicants and certified suppliers, and the means by which it obtains financial support.
Copy (on paper or in electronic form) of the CB’s quality manual and relevant associated documents.
Published certification rules that its applicants must comply with.
Accomplished checklist identifying where in the documented management system addresses the requirement of ISO/IEC
17065
20. Declaration
We declare that :
a.
b.
c.
d.
The information given above is true and correct.
The applicant has the necessary resource to undertake certification throughout the scope requested.
Corresponding payment of fees (as provided in DAO1:2005) whether or not accreditation is granted.
The applicant has a functional internal audit and management review.
We understand that our certification activities shall be assessed against the following accreditation criteria and standard (in its current
version) specific to the certification scheme being applied :
1.
2.
3.
4.
ISO/IEC 17065:2012
Applicable IAF Mandatory Documents
PAB Policies and Advisories
Use of PAB Accreditation Mark
In the event that the Certificate of Accreditation is granted, we agree to abide by the following terms and
conditions stipulated by the Philippine Accreditation Bureau (PAB).
Philippine Accreditation Bureau
Management System
Accreditation
Application Form
Document ID
Issue Number
Revision
Number
Effectivity Date
Page
MSA/SF01A
01
02
September 2018
3 of 3
TERMS AND CONDITIONS OF THE CERTIFICATE OF ACCREDITATION
1. The Certificate shall be valid for five (5) years from date of issue unless sooner
suspended, revoked or withdrawn for cause.
2. The Certificate is non-transferable and is valid for the specific scope of work identified
in an accompanying associated document.
3. Scope of accreditation may be extended upon application and verification of CB’s
conformance with accreditation criteria.
4. The accredited CB shall observe PAB rules on the use of the accreditation symbol.
5. The accredited CB shall, at all times, comply with the requirements of the applicable
accreditation standard and other accreditation requirements set by the PAB.
6. The accredited CB shall allow assessors access to its premises, facilities, records
and interview personnel as needed during assessment.
7. The accredited CB shall abide by PAB rules on the scheduling of assessments.
8. The accredited CB shall have enforceable arrangements with applicant/s or certified
organization/s to provide access to PAB assessment team to witness the CABs audit
team performing an audit at the organization’s site.
9. The accredited CB shall immediately inform PAB of the following internal changes in
the CB that may affect the accredited CB’s scope of accreditation or compliance with
the accreditation criteria:
organization and management
locations/premises
legal status
main policies
resources and premises
scope of accreditation
change of ownership
transfer of accreditation
10. The accredited CB shall make available to PAB records of all complaints and appeals
lodged against its conformity assessment services and subsequent actions when
requested by the complainant.
11. The accredited CB shall pay all required fees 30 days after the receipt of billing.
12. Shall not act in such a manner as to bring accreditation and certification into disrepute.
13. Shall not declare its accreditation outside the scope of its accreditation.
President/General Manager: ________________________
Signature: _______________
Date: ______________
Please submit application to:
PHILIPPINE ACCREDITATION BUREAU
Department of Trade and Industry
Third Floor, Tara Building
389 Sen. Gil J. Puyat Avenue, Makati City 1200
Mobile
: (+63)9178142344
E-mail
:
pab@dti.gov.ph
