Issue No. 4 / Application to join the PAC MLA / PAC-MFORM-002
Page 1 of 5

APPLICATION TO JOIN THE PAC MLA

1.Please tick the MLAscopebeing applied for:

Management System Certification – ISO/IEC 17021-1

ISO 9001

ISO 14001

ISO 22000

ISO/IEC 27001

ISO 50001

Product Certification – ISO/IEC 17065

Global G.A.P IFA CPCCs

Persons Certification– ISO/IEC 17024

GHG Validation/Verification– ISO 14065

Note: PAC-MFORM-012 contains the list of PAC endorsed normative documents for each scope of the MLA.

2.Accreditation Body (Applicant):

2a. Name of Accreditation Body

2b: Economy represented

2c: Language

3.Address:

3a. Head Office street address: / 3b. Head Office postal address:

4.Do you have offices other than Head Office?

If yes, attach a list of the addresses of all other offices.

5.If the applicant conducts accreditation in more than one economy, please list them all.

6.Name of Applicant contact person

7.Position of contact person

8.Telephone (including international code)

9.Facsimile (including international code)

10.E-mail address

11.Legal status of Applicant (attach documentary evidence of legal identity)

12History of the Applicant (Foundation date, operational period, pertinent historical background)

13.Applicant’s relationship to government, if any.

14.Membership, if any, in a Regional Group’s Arrangement (identify the area of the Arrangement).

Please answer the following questions for each area in which the applicant is seeking signatory status to the respective Arrangement

Please indicate which programs you are applying for:
e.g., QMS, EMS, FSMS, etc.
15.Operational period of the Applicant in the area of the Arrangement applied for.
16Accreditation criteria
17.Number of Staff including management staff and assessment personnel.
18.Number of accreditations granted in each field (attach a list of the names of the accredited bodies in each field or a link to the database on the internet, if any)
19.Preferred month and year, if any, for peer evaluation.

20.Please list all other Operational field(s) of accreditation.

21.Other information related to the integrity of accreditation activity

(For example other activities of the applicant body, multilateral recognition arrangements, relationships with other bodies, subcontracting.)

22.Please submit one (1) copy via electronic means of each of the following documents written in/translated into English to the Team Leader at least three months before on-site evaluation.

  • the applicant's quality manual in which the policies and procedures of the applicant and the responsibility for implementation of the quality system are clearly designated;
  • full details of the staffing of the applicant including numbers and functions of its operational staff, their backgrounds and length of experience in assessment and accreditation of certification/registration bodies shall also be provided, if not contained in the quality manual;
  • all accreditation criteria and associated generally applicable criteria that the applicant publishes;
  • all other published criteria, including formal rules or regulations that apply to the applicant's operation and the responsibilities and obligations of its accredited bodies;
  • A detailednarrative response and self assessment based on PAC-MFORM-005.

23.Confidentiality.

PAC requires peer evaluators and MLA Group members to destroy any confidential documentation provided by the AB when there is no further need to maintain the documents. The AB shall advise the Secretariat in writing if they want the return of all documents to the AB.

24.Please complete the Declaration on the following page.

Please send your completed, signed and dated application, along with all requested documents to:

Mr. Graeme Drake

PAC Secretariat

18 Ramsay Avenue

West Pymble, NSW 2073

AUSTRALIA

Email:

Declaration

As an Accreditation Body Member of PAC, the Applicant, duly represented by the undersigned:

  • Accepts the PAC evaluation procedures for single Accreditation Bodies
  • Accepts the respective requirements and agrees with the terms of the Arrangement(s)
  • Confirms that the operations of the Applicant comply with ISO/IEC 17011
  • Submits the completed Application
  • Applies to join the PAC MLA
  • Accepts that determination of whether to conduct an on-site visit may also be based on the political, economic or environmental conditions of the applicant’s economy. When it is determined that the team may face unsafe conditions, the on-site visit may be delayed until there are more favorable conditions. This might have an impact on the application and on the MLA status of the applicant according to the MLA policy and procedures.
  • Accepts that the obligations as a member of the PAC MLA is to provide at least one qualified peer evaluator and be an active member of PAC to include voting as requested.

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Contact Person’s Name

______

DateSignature

PAC-MFORM-002.4.doc / Date of Issue: 18November, 2016 / Date of Application: Immediate