9 STAR Application Form For Provisional Approval
9 STAR Application Form For Provisional Approval
9 STAR Application Form For Provisional Approval
2nd Floor, Institution of Engineers Building, Bahadur Shah Zafar Marg, New Delhi – 110002
Phone: +91-11-2337 8056 / 57; Fax: +91-11-2337 8678; E-mail: starscheme@qcin.org; Web: www.qcin.org;
To apply for QCI Approval under Provisional Approval of Certification Bodies for Security sTar
Agencies Rating (STAR) Scheme , please complete this application form and send it to QCI at the address
mentioned above accompanied by:
1. Documents as listed in Part IV of application;
2. Application Fee (with applicable taxes) in favour of Quality Council of India.
Before completing this application, form and submitting application for Provisional approval of CB, relevant
Security sTar Agencies Rating (STAR) Scheme documents should be carefully studied. If any clarification
is needed, please contact QCI.
If additional space is required for providing information to any item, the information may be annexed as a
separate sheet.
Please provide information as per the format and in the space given.
PART – I GENERAL INFORMATION
City
State PIN
4. Ownership Details
6. Address of registered
office and Place of
Registration
If registered outside the country where Main Office is located. Also
provide above the details of approval to operate or to do business in
India / other countries and annex copy of the approval granted.
Mention above all Branch Office locations of the Certification Body and
annex details as per the format in Table A.
11. Personnel for Provisional Managerial Staff Auditors Support Staff Total
Approval of CB for STAR
Scheme
Location(s)
Mention only numbers above and annex details of key Managerial Personnel and all Auditors at the
Main Office as well as Branch Office locations (if any) as per the format in Table B
18. Financial Performance Financial Year Cert. Income Total Income Net Profit
(for last 3 financial years)
5. Branch Office(s) to be covered under approval (list as per format in Table – A) Annex – 5
6. List of Managerial Personnel & Auditors (list as per format in Table – B) Annex – 6
7. Application Fee - Amount, Cheque / DD No., Date: Annex – 7
8. CRM-cum-Assessment Report Provisional Approval of CBs Annex - 8
9. Other Documents (annex list) Annex – 9
PART –V DECLARATION
I, the Authorized Representative on behalf of our Certification Body, agree to the following Terms & Conditions
of QCI as well as Rules and Procedures for QCI Approval under the Provisional Approval of CB for Security
sTar Agencies Rating (STAR) Scheme, and declare the following:
1. All statements, information and documents provided along with this application are correct to the best
of our knowledge and belief.
2. QCI criteria, requirements, procedures and documents have been read, understood and implemented.
3. Have adequate resources to undertake certification work under the Provisional Approval of CB for
Security sTar Agencies Rating (STAR) Scheme, undergo assessment as well as maintain conditions for
approval, and shall pay all necessary fee and charges (including any applicable taxes) to QCI.
4. Shall ensure that the operations, staff and procedures of our certification body will always continue to
comply with the QCI Scheme requirements and procedures.
5. Shall always maintain impartiality and integrity in operations as well as in certification work.
6. Shall always provide, or give access to, all documents, records, information and facilities during the
entire assessment process to enable a thorough assessment of our certification body and also later
during the period of approval.
7. Shall take adequate and prompt corrective and/or preventive action(s) as may be necessary on the
issues raised by QCI.
8. Shall immediately notify QCI of any significant changes in organizational status / structure, operations,
facilities, main policies, procedures, staff or competence, which are likely to affect our approval.
9. Shall undertake routine assessments, surveillances & reassessments as scheduled by QCI and also the
verification or surprise visits as decided by QCI.
10. Any fee and charges payable by our certification body and which remains unpaid shall be recovered from
our certification body with late payment charges as appropriate and decided by QCI.
11. If our certification body at any time is found not complying with the above declaration or the
requirements of QCI or ISO/IEC 17021-1 standard as applicable or is found misrepresenting or misusing
approval or carrying out malpractices or bringing QCI into disrepute, any action against our certification
body may be taken including suspension, withdrawal or debar as deemed appropriate by QCI.
12. If any information given along with this application is later found to be false, QCI may decide to cancel
our application.
13. We shall obtain NABCB accreditation as per ISO/IEC 17021-1 within a year.
Authorized Representative
Signature
Name
Designation
E-mail
Date
Place
S.No. Branch Office location with Phone, Fax & E-mail; Local Activities Performed
complete address Contact Person (with
Designation)
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8.
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