LSPro DP OPS 08 Ed.0 Rev.0 2013 Letter of Coordinator Designation

BALAI SERTIFIKASI INDUSTRI

BADAN PENGKAJIAN KEBIJAKAN IKLIM DAN MUTU INDUSTRI

KEMENTERIAN PERINDUSTRIAN R.I.

SUPPORTING DOCUMENT

LETTER OF COORDINATOR

DESIGNATION

© Copyright Balai Sertifikasi Industri

BALAI SERTIFIKASI INDUSTRI

BADAN PENGKAJIAN KEBIJAKAN IKLIM DAN MUTU INDUSTRI

KEMENTERIAN PERINDUSTRIAN R.I.

© Copyright Balai Sertifikasi Industri

Ditinjau Oleh, Disahkan Oleh,

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ADI IRFAN SHIDQY

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TRIYOGA I.W. NURJAYA Kepala Seksi Operasional

Sertifikasi Kepala Balai SertifikasiIndustri Tanggal: 1 September

LETTER OF COORDINATOR DESIGNATION No : year/month/date/Company initial

The undersigned belows, with brands sold in Indonesia, whereas the products are manufactured by

FIRST PARTY

In terms of product certification of conformity with SNI/ST, FIRST PARTY

with the knowledge and consent of other parties designate the SECOND PARTY as a coordinator in the arrangement of product certification in Institute for Industrial Certification.

Whereas in the future there is a change of this letter then the letter will be updated by issuing a new letter of agreement.

..., ... .. 20..

FIRST PARTY SECOND PARTY

Signature Signature

( name ) ( name )

THIRD PARTY

Signature

Remarks :

The number of parties can be adjusted according to the number of applicants. For example:

One company has four responsible Indonesian Company, than it has 5 parties signatory :

First Party : Producer