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Solicitation

Certification Type:

Scope (Brief description of the company's activities):

Exclusions (Is there any scope exclusion or regulatory requirement to declare? EX 8.3):

Data on employees

Other organization information

Does the company outsource any processes? To specify

Suggested audit date:

Does the organization have any certification? If yes fill in below

Does the organization work on a shift basis? If so please specify below

1st shift schedule:

hours

2nd shift schedule:

hours

3rd shift schedule:

hours

4th shift schedule:

Das

às

horas

Data for certification transfer (if applicable)

Certificate expiration date

Is the current certificate suspended?:

Date of the last audit performed

Are there open NCs?:

Note: Submit the current certificate and the latest report from the certifier.

Declaration

I confirm that I am an authorized representative for the company and that the information provided above is correct

Name:

Date: