STQC Certification Services

STQC Directorate
Ministry of Electronics & Information Technology
Electronics Niketan, 6, C.G.O. Complex, Lodhi Road, New
Delhi – 110003
www.stqc.gov.in
Application for Registration/Certification

Name of the Organization ________________________________________________

________________________________________________

Address for Correspondence ________________________________________________

________________________________________________

________________________________________________

Location of the Units ________________________________________________

with addresses
(use additional sheet for multiple ________________________________________________
locations of units, if any including
temporary sites proposed ______________________________________________________________
to be covered under audit)
Manpower & ________________________________________________
Status of Units (LSI/MSI/SSI)
Chief Executive (Name) ________________________________________________

Telephone Landline :__________________Mobile :________________

Fax ________________________________________________

Email ________________________________________________

Contact Person(s) (Name) ________________________Designation______________

Telephone Landline :_________________Mobile :_________________

Email ________________________________________________

Relationships (if part of a larger organization) ________________________________

Applied for
ISO 9001:2015 Safety Certification Scheme

Others (for the scope of accreditation, please visit our website www.stqc.gov.in )
Type of Assessment Initial / Scope Change /Recertification

Organization’s website address, if any: ________________________________

Have you engaged any consultant/organization Yes/No

for implementing management system?
If yes, please provide details; __________________________________________
__________________________________________

F 01, Issue 17
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 STQC Certification Services
STQC Directorate
Ministry of Electronics & Information Technology
Electronics Niketan, 6, C.G.O. Complex, Lodhi Road, New
Delhi – 110003
www.stqc.gov.in
Application for Registration/Certification
__________________________________________
Proposed Scope of Certification including exclusions if any

Any relevant statutory/legal requirements applicable to the product/Service

Details of Shift (as applicable)

Details of product, process and/or services, functions, manpower, technology and relationships:
S. No. Organizational/ QMS Process Typical Technical Number of Personnel Function/Head Remarks
Infrastructure/ Engaged in the Responsible
Machines Used process
1. Marketing/Sales
2. Design
3. Purchase
4. Production
5. QA
6. Packaging, Storage and Delivery
7. HR Function
8. Other Processes
9.
Note : (i) Mention “not applicable” for the processes not covered under the scope of certiification
(ii)Attach additional sheets for each product as required.
(iii) Provide list of processes at each site, in case of multi sites under the proposed scope of certification

Details of Outsourced product, process and/or services, if any

S. No. Process/Product/ service Key Suppliers/Vendors Controls applied Remarks
Outsourced
1.
2.
3.
4.

Additional Requirement (for Product Certification Only)

Nomenclature ________________________________________________
Model/Type reference ________________________________________________
Trade Mark ________________________________________________
Standard ________________________________________________
Details of inspection, test facilities and technical resources (for product certification)
(attach separate sheet if required._________________________________________________
________________________________________________________________________
________________________________________________________________________
Have you competed at-least one Management Review Yes/No
and One internal audit prior to making this
Details:
application?
Attachments*:
1. Copy of certification agreement
2. Preliminary information
3. Complaint and appeal process
4. Information on Certification process
5. Any normative requirement for certification as applicable
*These documents can also be downloaded from our website www.stqc.gov.in. Fee/Charges details available on request.
F 01, Issue 17
Page 2 of 3
 STQC Certification Services
STQC Directorate
Ministry of Electronics & Information Technology
Electronics Niketan, 6, C.G.O. Complex, Lodhi Road, New
Delhi – 110003
www.stqc.gov.in
Application for Registration/Certification
DECLARATION:
We agree to,
 Abide by the requirements of the Certification Body.
 Pay all applicable charges as prescribed by Certification Body.
 Inform certification body of any change(s) in the top management and product/
process/services and abide by the decision of the Certification Body thereof.
 Undertake that, should any information furnished by us is found to be incorrect, the
application may be rejected forthwith.
 Undertake to cease with immediate effect, use of certificate & logo in
the event of termination/reduction/withdrawal/cancellation of certification/registration
and return the certificate and all related documents to the Certification Body.
 Sign the Certification Agreement and abide by all the conditions stated therein
Enclosures:
i) Payment through Bharatkosh/NEFT Rect. No. __________________
“Pay & Accounts Officer, MeitY ” Date __________________
Amount Rs._______________
Payable at : Location of Regional office,
where application is deposited.
ii) One copy of document describing QMS/Quality Manual
Signature _____________________
Name ________________________
Date: _____________ Designation ___________________

Application Review:
(To be filled by STQC Certification Services only)
1. The information provided is adequate to develop audit program. Yes/No
a. Incase of no, additional information required
_________________________________________________________
_________________________________________________________
2. Website details (where applicable) reviewed Yes/No
a. Any Contradictory information/Additional information found: Yes/No
(If yes attach details in separate sheet)
3. The application is acceptable Yes/No
4. If Not acceptable, state the reason and notify the client
_________________________________________________________
_________________________________________________________
_________________________________________________________
5. If acceptable type of certification Accredited/ Non-Accredited
6. Incase of accredited certification state NACE Code________________________
7. Type of Risks and Complexity (as per SYS-P-10) High/Medium/Low
8. Expected number of audit man-days*
(Stage 1+Stage2) as per SYS-P10/IAF MD5 _____________________________

Date: _____________ Signature _______________

Note: 1. The certification requirement of STQC Certification Services can change at any time.
STQC Certification will notify the same to its clients as and when such changes are made.
2. In case of reduction/ increase in audit man-days attach justification on separate sheet (refer Sys P/10)
F 01, Issue 17
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