CMA Certification Services Application Form

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A. COMPANY DETAILS (ALL INFORMATION REQUESTED MUST BE FULLY COMPLETED)
Company Name: (As per CIPC registration)
Trading Name: (If applicable)
Company Registration: (As per CIPC or Identity No. in the case of an individual)
VAT No: (As per CIPC or Identity No. in the case of an individual.
Telephone No: (Office)
Phone Number
Mobile No:
Phone Number
Email Address:
Website Address:
Nominated Contact Person:

Physical Address Details: (Manufacturing Site)

Postal Address Details

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Trade name(s) or trade mark(s) which will be used in conjunction with the CMA Certification Mark
Trade name / Trade mark:
Ownership of Trade Name/Mark
Please choose the applicable option:

Own trade name or trade mark
Trade name or trade mark under licence or authority
C. ADDITIONAL INFORMATION (ALL INFORMATION REQUESTED MUST BE FULLY COMPLETED)
Regulatory requirements related to product: (Please list)
Testing or inspection capability of manufacturer: (List all in-house testing/Inspection conducted)
Is testing routinely outsourced?: (if yes list institutions and indicate specific tests?)
Are any manufacturing process outsourced: (If yes please specify)
MANAGEMENT SYSTEMS
Has a documented management system (MS) been established and implemented?

MS Requirement

	Established (Check if Yes)	Implemented (Check if Yes)
Quality policy
Organogram
Defined responsibilities and authorities
Process flow chart(s) referencing the applicable documented procedures, test methods, work instructions, inspection and test points (including subcontracted processes)
Manufacturing procedures including controls
Management representative appointed
Procedure for document control
Procedure for record control
Procedure for handling complaints
Procedure for corrective and preventive action
Procedure for MS reviews (effectiveness)
Procedure for internal audits/reviews
Procedure for control of non-conforming product
Procedure for control on test and measuring equipment
Personnel competency records indicating approved competencies
Records relevant to the above mentioned MS requirements

DECLARATION
- By submitting this application to CMA Certification the applicant declares that he/they is/are fully aware of and intends to comply with the provisions of the relevant SANS Specification/s, CMA Certification agreement, Rules regarding the use of the CMA Certification Permit/Mark and the CMA Certification Evaluation process.
- By submitting this application to CMA Certification the applicant declares that he/they is/are properly authorized to make this application.
- By submitting this application to CMA Certification the applicant undertakes to inform the Certification Manager of CM Certification of any change to the specified contact details and company status by email, without delay, should any changes occur during the application process.
Name of person submitting the application:
Position in Company:
Submission date:
Day - Month - Year
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