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MSASF01B Application for Accreditation (Person Certification Body)
PAB accreditation application form for person certification body
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Philippine Accreditation Bureau
Management System
Accreditation
Application Form
(Person Certification Body)
Initial
1.
Document ID
Issue Number
Revision
Number
Effectivity Date
Page
Renewal
MSA/SF01B
01
00
September 2018
1 of 3
Scope Extension
Type of Certification Scheme being applied for Accreditation
………………………………………………………….. (Title of the Certification scheme)
2.
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.
Name:
SEC/other applicable Registration
No.
Place/Date of
registration:
(provide evidence of its legal status as an organization)
8.
Branch, if any
(please check the different activities undertaken by each
branch or other offices, use additional sheet if necessary)
9.
Title/ Position:
TIN:
__ policy formulation
__ process and/or procedure development
__ initial approval of certification personnel, or control of their
training
__ on-going monitoring of certification personnel
__ application review
__ assignment of certification 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)
14. Other Services Offered
Technical _______
Non-technical ________
Philippine Accreditation Bureau
Management System
Accreditation
Application Form
(Person Certification Body)
Document ID
Issue Number
Revision
Number
Effectivity Date
Page
MSA/SF01B
01
00
September 2018
2 of 3
15. Accreditation being maintained or applied to Accreditation Bodies other than PAB
Name of Accreditation Body (AB)
Scope
Effectivity Date
16. Number of applications received each year
0-25
26-50
51-75
76-100
100 and up
How many tests are
administered each
year?
How candidates are
assessed?
Where is assessment
given?
How often the examination
is given?
1-20
21-40
41-60
60 up
17. Assessment
Number of persons tested
every year?
18. How many new
applicants are certified
each year?
19. List of Certified Persons (Note - Accomplish in separate sheets with the ff. information below)
Name
Geographical
location
Scope of
Certification
Effectivity Date
20. 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 17024
21. 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 17024:2012
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
(Person Certification Body)
Document ID
Issue Number
Revision
Number
Effectivity Date
Page
MSA/SF01B
01
00
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
