TAPA Standards – Extension of Certificate Expiry Form

Instructions: Section 1-3 must be completed before submission to TAPA.

1.  Applicant

Company Name
Point of Contact Name
Phone
Email
Signature / Date

2.  Existing Certificate

Certificate No.
Level of your Standard / FSR (year ____) Class ______
TSR (year _____) Class ______
Site Address (FSR) /
Company Address (TSR)
Expiry Date of Certificate
Your existing IAB Company

3.  Reasons for Extension Request and Certification Plan

Reasons for extension
Duration of Extension / _____ (months)
Renewing Plan / Standards : FSR 2017 A / B / C or TSR 2017 1 / 2 / 3
Tentative audit schedule: ______
IAB Company (if any) : ______
TAPA Asia Pacific
UEN: T13SS0181J
1 Gateway Drive, Westgate Tower #07-01, Singapore 608531
Tel: (65) 6514 9648