PCF-11 Expansion applicationpcf-11擴展應用

1、.RABQSA International Commercial- In-Confidence when completedAPPLICATION FOR EXPANSION OF COLES AUDITOR CERTIFICATIONRABQSA International Commercial- In-Confidence when completedWhen completing this application please ensure that all relevant sections are completed and that all requested informatio

2、n is provided. SECTION 1 PERSONAL DETAILSFamily Name: Prefix/Title:Given Name(s):.Name for certificate: . Your name as you wish it to appear on all published materials (e.g., John E. Smith)Current Certification details:Scheme: Coles Auditor. Grade: Auditor. Customer Number: .Expansion of certificati

3、on requested:Scope(s): Please provide both business and home contact details and select the relevant box to indicate which is the preferred contact point for RABQSA communications. Please include area codes in phone and fax numbers.Organization:. Position:.o Business AddressAddress detailsState:Post

4、code:Country:Phone:Fax:Mobile:Email:Applications must include an e mail addresso Home AddressAddress detailsState:Postcode:Country:Phone:Fax:Mobile:Email:Applications must include an e mail addressApplications should be forwarded to: RABQSA InternationalP.O. Box 347Penrith, BC NSW 2751 AustraliaPhon

5、e: +61 2 4728 4600Fax: +61 2 4731 6466Email: infoWebsite: SECTION 2 REQUIREMENTS FOR EXPANSION OF CERTIFICATIONATTACHMENTS (Please select each box as applicable to confirm you have attached the following:)oExpansion Fee. (Refer to Fee Schedule for your region, available on the RABQSA website )oEvide

6、nce to meet the requirements for the expansion of Coles Auditor Industry scope(s) requested. SECTION 3 COLES AUDITOR SCOPESPlease select the Coles auditing scope/s sought. Please note that evidence of competency for each Scope of certification sought MUST be provided (Refer to Coles Auditor Certific

7、ation Requirements pages 9 -11).o1.1Primary Productionproduceo1.2Primary Productionlivestocko1.3Primary Productionseafoodo2.1Processed meat, poultry, seafoodmeat and game meatso2.2Processed meat, poultry, seafood poultryo2.3Processed meat, poultry, seafood seafoodo3.1Manufactured or processed foodss

8、mallgoodso3.2Manufactured or processed foodsfermented meatso3.3Manufactured or processed foodsegg and egg productso3.4Manufactured or processed foodsdairy productso3.5Manufactured or processed foodsprepared mealso3.6Manufactured or processed foodsantipastoo3.7Manufactured or processed foodsprocessed

9、 foodso3.8Manufactured or processed foodsbakery operationso3.9Manufactured or processed foodsfruit and vegetable processingo3.10Manufactured or processed foodsconfectionery manufacturingo4Beverages (non-dairy)o5Retort Operationso6Wholesale and/or packing operations (produce)o7Warehouse, distribution

10、, wholesale, agents/brokersSECTION 4 DECLARATIONI hereby apply for expansion of certification with RABQSA International as detailed in this application.o I agree to the publication of my name, contact and certification details in the RABQSA Register of Certified Personnel. (select only if applicable

11、).o I request that I be shown on the Register of Certified Personnel as able to undertake contract audit work (select only if applicable).o I agree to comply with the requirements of certification as detailed in the Criteria for Certification. o I agree to supply any further information needed for t

12、he evaluation of my application. oAll information provided in this application is correct to the best of my knowledge.oAny complaints regarding my performance are formally dealt with in a manner to prevent recurrence.o I authorize RABQSA to seek information from any parties noted in this application

13、 and supporting documents. oI will observe the RABQSA Code of Conduct and confirm that: 1. I will act professionally, accurately and in an unbiased manner.2. I will strive to increase the competence and prestige of my profession.3. I will assist those in my employ or under my supervision in developi

14、ng their professional competencies.4. I will not undertake any assignments that I am not competent to perform.5. I will not represent conflicting or competing interests and will disclose to any client or employer any relationships that may influence my judgment.6. I will not discuss or disclose any

15、information relating to any assignment unless required by law or authorized in writing by the client and/or my employing organization.7. I will not accept any inducement, commission, gift or any other benefit from client organizations, their employees or any interested party or knowingly allow colle

16、agues to do so.8. I will not intentionally communicate false or misleading information that may compromise the integrity of any assignment or the personnel certification process.9. I will not act in any way that would prejudice the reputation of RABQSA or the personnel certification process and will

17、 cooperate fully with an enquiry in the event of any alleged breach of this code.Name: Signature:Date:PAYMENT DETAILSPlease refer to the current Fee Schedule for your region for details of Application FeesI enclose my: (please select)o Cheque (Check) o Credit card for the amount of $_ in Currency: _

18、Credit Card Type: (please select) o VISA o M/CARD o B/CARDo AMEXCard Number: _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _Expiry Date: _ _ _ _/_ _ _ _Card Holder Name: .Cardholders signature: .ESSENTIAL INFORMATION FOR APPLICANTS FOR CERTIFICATIONApplicants should review the competencies required for the certification grade and scope(s) requested and ensure that all the information submitted demonstrates these competencies.Applicants who may have any special needs (e.g., language) should contact RABQSA for advice.Applications must be submitted in English. Where tr