FRIM PRODUCT CERTIFICATION SERVICES Procedure for
Preparation of Quotation and Application Review (Document No: FRIM.PC.PRO.01)
FRIM.PC.FOR.01-02
APPLICATION AND DECLARATION FORM FOR PRODUCT CERTIFICATION
Issue no. : 2 Implementation date: 22/1/14 Amendment no.: 2 Amendment date: 9/9/15 Page 1/2
1. Name of organization :
2. Address :
3. Please indicate the applicable Product Standard(s) to which you wish to be assessed
:
5. Declaration:
a) I hereby declare that the information provided in the Application Form, which was previously submitted, is still valid.
b) I undertake to comply with the provisions of the Certification Agreement, a copy of which has been made available to me.
c) I agree to pay all fees/costs connected to the certification process.
d) I shall not refuse any request by FRIM Product Certification Services (FRIM PCS) to allow representative(s) of Accreditation Body(ies) and /or Government Stakeholder to carry out witness audit of FRIM PCS, at my premises, should such a request be made.
I enclose herewith a cheque no. for _______________________________
made payable to KETUA PENGARAH FRIM for the application fee as indicated in the quotation.
6. Signature of authorized representative :
Name : Position :
Date :
FRIM PRODUCT CERTIFICATION SERVICES Procedure for
Preparation of Quotation and Application Review (Document No: FRIM.PC.PRO.01)
FRIM.PC.FOR.01-02
APPLICATION AND DECLARATION FORM FOR PRODUCT CERTIFICATION
Issue no. : 2 Implementation date: 22/1/14 Amendment no.: 2 Amendment date: 9/9/15 Page 2/2
Declaration of Approval from Relevant Authority (
To be filled by Manufacturer) Company :
Product : 1.
2.
3.
4.
In connection with my/our activities of manufacturing the product which will be granted the Certification Mark, I/we declare that:
(please tick the appropriate box)
Has obtained approval from the relevant local authority and/or other enforcement body to manufacture the above product; or
Is seeking approval from them.
I/we undertake responsibility to revoke this application should there be a rejection by the respective authority or registrar. I/we also undertake not to involve FRIM Certification in any legal proceeding pertaining to the above mention approval.
Signature: Date:
Name of Signatory: Designation:
Company address:
Please return form duly completed to:
CERTIFICATION MANAGER
FRIM PR0DUCT CERTIFICATION SERVICES JKR 508, Jalan Jelutong
Forest Research Institute of Malaysia (FRIM), 52109, Kepong, Selangor Darul Ehsan.
