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Saudi Standards, Metrology and ‫اﻟﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻮاﺻﻔﺎت واﻟﻤﻘﺎﻳﻴﺲ واﻟﺠﻮدة‬

Quality Organization
Quality Control Dept. ‫اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻀﺒﻂ اﻟﺠﻮدة‬
Management System Certification Dept. ‫إدارة ﺷﻬﺎدات ﻧﻈﻢ اﻹدارة‬

SASO
QUALITY MANAGEMENT SYSTEMS CERTIFICATION ISO 9001
APPLICATION FORM

٩٠٠١ ‫ اﻵﻳﺰو‬،‫ﻧﻤﻮذج اﻟﺘﻘﺪم ﺑﻄﻠﺐ ﻟﻠﻬﻴﺌﺔ ﻟﻠﺤﺼﻮل ﻋﻠﻰ ﺷﻬﺎدة ﻧﻈﻢ إدارة اﻟﺠﻮدة‬

POINTS THAT SHALL BE TAKEN INTO CONSIDERATION WHILE
FILLING THIS APPLICATION FORM :

• Every page of this application form shall be filled and initialed by an authorized
representative from the organization.

• Filling and delivering this form to SASO does not mean that your organization will
be surely certified.

• In despite of e-mailing the filled Application Form and the attachments to SASO the
original form with the real signature shall be delivered to SASO.

• The certificate will be issued according to the activities specified in the application.

: ‫ﻧﻘﺎط ﻳﺠﺐ أن ﺗﺆﺧﺬ ﻓﻲ اﻹﻋﺘﺒﺎر ﻋﻨﺪ ﺗﻌﺒﺌﺔ هﺬا اﻟﻨﻤﻮذج‬

.‫ﻳﺠﺐ ﺗﻌﺒﺌﺔ وﺗﻮﻗﻴﻊ آﻞ ﺻﻔﺤﺎت هﺬا اﻟﻄﻠﺐ ﻣﻦ ﻗﺒﻞ ﺷﺨﺺ ﻣﺨﻮل ﻳﻤﺜﻞ اﻟﻤﻨﺸﺄة‬ •

‫أن ﺗﻌﺒﺌﺔ هﺬا اﻟﻄﻠﺐ وﺗﻘﺪﻳﻤﻪ ﻟﻠﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻮاﺻ ﻔﺎت واﻟﻤﻘ ﺎﻳﻴﺲ واﻟﺠ ﻮدة ﻻ ﻳﻌﻨ ﻲ أن ﻣﻨ ﺸﺄﺗﻜﻢ ﺑﺎﻟﺘﺄآﻴ ﺪ‬ •
.‫ﺳﻮف ﺗﺤﺼﻞ ﻋﻠﻰ اﻟﺘﺴﺠﻴﻞ‬

‫أن إرﺳ ﺎل ه ﺬا اﻟﻄﻠ ﺐ ﻟﻠﻬﻴﺌ ﺔ ﺑﺎﻟﺒﺮﻳ ﺪ اﻻﻟﻜﺘﺮوﻧ ﻲ ﻟ ﻴﺲ آﺎﻓﻴ ًﺎ وإﻧﻤ ﺎ ﻳﻠ ﺰم ﺗ ﺴﻠﻴﻢ أﺻ ﻞ اﻟﻄﻠ ﺐ واﻟﻤﺮﻓﻘ ﺎت ﻹدارة‬ •
.‫ﺷﻬﺎدات ﻧﻈﻢ اﻹدارة رﺳﻤﻴ ًﺎ‬

.‫ﺐ‬ ‫ﺬا اﻟﻄﻠ‬ ‫ﻲه‬ ‫ﺪدة ﻓ‬ ‫ﺸﺄة اﻟﻤﺤ‬ ‫ﺸﻄﺔ اﻟﻤﻨ‬ ‫ﺸﻬﺎدة ﻷﻧ‬ ‫ﺪار اﻟ‬ ‫ﻴﺘﻢ إﺻ‬ ‫ﺳ‬ •

SASO-SCD-FR-01-02 Issue date : 01/11/2009 Revision no: 01 Revision date 27/3/2010 1

‫إدارة ﺷﻬﺎدات ﻧﻈﻢ اﻹدارة‬ Part A: Information about the Organization and the Activities to be certified. ‫اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻀﺒﻂ اﻟﺠﻮدة‬ Management System Certification Dept. Saudi Standards. ‫ ﻣﻌﻠﻮﻣﺎت ﻋﻦ اﻟﻤﻨﺸﺄة واﻷﻧﺸﻄﺔ اﻟﻤﻄﻠﻮب ﻣﻨﺤﻬﺎ ﺷﻬﺎدة‬:‫اﻟﺠﺰء اﻷول‬ A1 please complete the following information about the applicant Organization: :‫ﻼ ﻳﺮﺟﻰ آﺘﺎﺑﺔ ﺑﻴﺎﻧﺎت اﻟﻤﻨﺸﺄة اﻟﻤﺘﻘﺪﻣﺔ ﻟﻠﺤﺼﻮل ﻋﻠﻰ اﻟﺸﻬﺎدة‬ ً ‫ا( ﻓﻀ‬ Name of the Organization: : ‫اﺳﻢ اﻟﻤﻨﺸﺄة‬ Address: : ‫اﻟﻌﻨﻮان‬ : ‫ﺍﳌﺪﻳﻨﺔ‬ City : District: : ‫ اﻟﻤﻨﻄﻘﺔ‬Country: :‫اﻟﺪوﻟﺔ‬ Web Address: :‫اﻟﻤﻮﻗﻊ اﻻﻟﻜﺘﺮوﻧﻲ‬ Management Representative: :‫ﻣﻤﺜﻞ اﻹدارة‬ Business Title: :‫ اﻟﻮﻇﻴﻔﺔ‬Full Name: :‫اﻻﺳﻢ ﺑﺎﻟﻜﺎﻣﻞ‬ Email: :‫اﻟﺒﺮﻳﺪ اﻻﻟﻜﺘﺮوﻧﻲ‬ Tel. Metrology and ‫اﻟﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻮاﺻﻔﺎت واﻟﻤﻘﺎﻳﻴﺲ واﻟﺠﻮدة‬ Quality Organization Quality Control Dept. No: :‫ رﻗﻢ اﻟﻬﺎﺗﻒ‬Fax No: :‫ رﻗﻢ اﻟﻔﺎآﺲ‬Mobile: :‫اﻟﻬﺎﺗﻒ اﻟﻤﺤﻤﻮل‬ A2 Activities and locations required to be certified (scope) ( ‫اﻷﻧﺸﻄﺔ واﻟﻤﻮاﻗﻊ اﻟﻤﻄﻠﻮب ﻣﻨﺤﻬﺎ اﻟﺸﻬﺎدة) اﻟﻤﺠﺎل‬ (‫ب‬ SASO-SCD-FR-01-02 Issue date : 01/11/2009 Revision no: 01 Revision date 27/3/2010 2 .

. your organization has been granted from another certification body (CB): (Please use the following table....) ‫ ﻳﺮﺟﻰ ﺗﺤﺪﻳﺪ إذا آﺎﻧﺖ ﻣﻨﺸﺄﺗﻜﻢ ﻗﺪ ﺣﺼﻠﺖ ﻋﻠﻰ ﺷﻬﺎدة ﻧﻈﺎم إدارة ﻣﻦ ﺟﻬﺔ ﻣﻨﺢ ﺷﻬﺎدات أﺧﺮى‬:‫ﻼ‬ ً ‫ﻓﻀ‬ (‫د‬ (‫ﻓﻠﻬﺬا ﺗﺄﺛﻴﺮﻩ ﻋﻠﻰ ﺗﻘﺪﻳﺮ وﻗﺖ اﻟﺘﺪﻗﻴﻖ اﻟﺨﺎص ﺑﻨﺎ‬، ‫)ﻳﺮﺟﻰ إﺳﺘﺨﺪام اﻟﺠﺪول اﻟﺘﺎﻟﻲ‬ SYSTEM 9001 18001 14001 22000 13485 27001 ‫اﻟﻨﻈﺎم‬ NAME OF CB ‫إﺳﻢ اﻟﺠﻬﺔ اﻟﻤﺎﻧﺤﺔ‬ ‫ﻟﻠﺸﻬﺎدة‬ Validation Date ‫ﺗﺎرﻳﺦ ﺻﻼﺣﻴﺔ اﻟﺸﻬﺎدة‬ A5 Part B will be filled if there are branches included in the scope of registration beside the head quarter of the organization...... this can affect the duration of our audit... ‫ ﻋﺪد وردﻳﺎت اﻟﻌﻤﻞ وﻋﺪد اﻟﻌﺎﻣﻠﻴﻦ ﻓﻲ آﻞ وردﻳﺔ ﻋﻤﻞ‬- A4 Please specify if there is another management system certificate ... :‫ ﻋﺪد اﻟﻤﻮﻇﻔﻴﻦ اﻹﺟﻤﺎﻟﻲ و اﻟﻌﺎﻣﻠﻴﻦ ﻓﻲ أﻧﺸﻄﺔ ﻣﺠﺎل ﻣﻨﺢ اﻟﺸﻬﺎدة‬... Saudi Standards... ‫إدارة ﺷﻬﺎدات ﻧﻈﻢ اﻹدارة‬ A3 ... Metrology and ‫اﻟﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻮاﺻﻔﺎت واﻟﻤﻘﺎﻳﻴﺲ واﻟﺠﻮدة‬ Quality Organization Quality Control Dept.... ‫اﻟﺠﺰء اﻟﺜﺎﻧﻲ ﻣﻦ هﺬا اﻟﻄﻠﺐ ﻳﺘﻢ ﺗﻌﺒﺌﺘﻪ ﻓﻲ ﺣﺎل وﺟﻮد ﻓﺮوع ﻟﻠﻤﻨﺸﺄة داﺧﻠﺔ ﻓﻲ ﻣﺠﺎل اﻟﺘﺴﺠﻴﻞ إﻟﻰ ﺟﺎﻧﺐ اﻟﻤﻘﺮ‬ (‫هـ‬ ....Total number of personnel working in the activities covered by the scope: . ‫اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻀﺒﻂ اﻟﺠﻮدة‬ Management System Certification Dept... /...... .. (‫ﺟـ‬ . /…………......Number of shifts and number of workers in each shift…… ….‫اﻟﺮﺋﻴﺴﻲ‬ SASO-SCD-FR-01-02 Issue date : 01/11/2009 Revision no: 01 Revision date 27/3/2010 3 .......

... .. ‫ ﻳﻤﻜﻨﻚ اﺳﺘﺨﺪام ﻧﺴﺨﺔ إﺿﺎﻓﻴﺔ ﻣﻦ هﺬﻩ اﻟﺼﻔﺤﺔ ﻓﻲ ﺣﺎل ﻋﺪم آﻔﺎﻳﺘﻬﺎ‬:‫ﻣﻼﺣﻈﺔ‬ SASO-SCD-FR-01-02 Issue date : 01/11/2009 Revision no: 01 Revision date 27/3/2010 4 .. No: :‫رﻗﻢ اﻟﻬﺎﺗﻒ‬ Concerned: Total number ‫ ﻋﺪد إﺟﻤﺎﻟﻲ‬Number : ‫ﻋﺪد وردﻳﺎت اﻟﻌﻤﻞ‬ Language used :‫اﻟﻠﻐﺔ اﻟﻤﺴﺘﺨﺪﻣﺔ‬ of workers: :‫ اﻟﻌﺎﻣﻠﻴﻦ‬of shifts: in the company: Activities carried by the branch: :‫اﻷﻧﺸﻄﺔ اﻟﺘﻲ ﻳﻘﻮم ﺑﻬﺎ اﻟﻔﺮع‬ Branch No: . ‫ﻓﺮع رﻗﻢ‬ Branch Address: :‫ﻋﻨﻮان اﻟﻔﺮع‬ : ‫ﺍﳌﺪﻳﻨﺔ‬ City : District: : ‫اﻟﻤﻨﻄﻘﺔ‬ Country: :‫اﻟﺪوﻟﺔ‬ Business Title: :‫اﻟﻤﺴﻤﻰ اﻟﻮﻇﻴﻔﻲ‬ Name of the Person :‫اﺳﻢ اﻟﺸﺨﺺ اﻟﻤﺴﺌﻮل‬ Tel. Saudi Standards. ‫اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻀﺒﻂ اﻟﺠﻮدة‬ Management System Certification Dept. . No: :‫رﻗﻢ اﻟﻬﺎﺗﻒ‬ Concerned: Total number ‫ ﻋﺪد إﺟﻤﺎﻟﻲ‬Number : ‫ﻋﺪد وردﻳﺎت اﻟﻌﻤﻞ‬ Language used :‫اﻟﻠﻐﺔ اﻟﻤﺴﺘﺨﺪﻣﺔ‬ of workers: :‫ اﻟﻌﺎﻣﻠﻴﻦ‬of shifts: in the company: Activities carried by the branch: :‫اﻷﻧﺸﻄﺔ اﻟﺘﻲ ﻳﻘﻮم ﺑﻬﺎ اﻟﻔﺮع‬ Note: If the page is not enough. ‫إدارة ﺷﻬﺎدات ﻧﻈﻢ اﻹدارة‬ PART B: Information about Branches of the organization.. ‫ﻓﺮع رﻗﻢ‬ Branch Address: :‫ﻋﻨﻮان اﻟﻔﺮع‬ : ‫ﺍﳌﺪﻳﻨﺔ‬ City : District: : ‫اﻟﻤﻨﻄﻘﺔ‬ Country: :‫اﻟﺪوﻟﺔ‬ Business Title: :‫اﻟﻤﺴﻤﻰ اﻟﻮﻇﻴﻔﻲ‬ Name of the Person :‫اﺳﻢ اﻟﺸﺨﺺ اﻟﻤﺴﺌﻮل‬ Tel.. .... you can use a copy of the paper...‫ ﻣﻌﻠﻮﻣﺎت ﻋﻦ ﻓﺮوع اﻟﻤﻨﺸﺄة‬:‫اﻟﺠﺰء اﻟﺜﺎﻧﻲ‬ Branch No: .... Metrology and ‫اﻟﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻮاﺻﻔﺎت واﻟﻤﻘﺎﻳﻴﺲ واﻟﺠﻮدة‬ Quality Organization Quality Control Dept. .

.٤ :‫ﻣﻠﺤﻮﻇﺔ‬ ‫ﻗﺒﻞ أن ﺗﺒﺪأ اﻟﻬﻴﺌﺔ ﺗﺪﻗﻴﻖ اﻟﻤﻨﺢ ﺑﻨﺎ ًء ﻋﻠﻰ هﺬا اﻟﻄﻠﺐ ﻳﺠﺐ ﻋﻠﻰ اﻟﻤﻨﺸﺄة أن ﺗﻜﻮن ﻗﺪ ﻗﺎﻣﺖ ﺑﻌﻘﺪ اﺟﺘﻤ ﺎع‬ ƒ .‫ﻣﺮاﺟﻌﺔ إدارة وآﺬﻟﻚ ﺗﻨﻔﻴﺬ ﺗﺪﻗﻴﻖ داﺧﻠﻲ واﺣﺪ ﻋﻠﻰ اﻷﻗﻞ‬ ‫ ﺑﺎﻟﻤﻨﺸﺄة ﻟﻤﺪة ﺷﻬﺮﻳﻦ ﻋﻠﻰ اﻷﻗﻞ ﻗﺒﻞ ﺗﺎرﻳﺦ ﺗﺪﻗﻴﻖ اﻟﻤﻨﺢ‬٩٠٠١ ‫ﻳﺠﺐ ﺗﻄﺒﻴﻖ ﻧﻈﺎم إدارة اﻟﺠﻮدة اﻵﻳﺰو‬ ƒ SASO-SCD-FR-01-02 Issue date : 01/11/2009 Revision no: 01 Revision date 27/3/2010 5 . Saudi Standards.) Note: ƒ Before SASO starts its Certification Audit based on this Application. : (٩٠٠١ ‫ اﻟﻮﺛﺎﺋﻖ اﻟﻤﻄﻠﻮب ﺗﺰوﻳﺪ اﻟﻬﻴﺌﺔ ﺑﻬﺎ ﻣﻊ هﺬا اﻟﻨﻤﻮذج) ﻟﻶﻳﺰو‬:‫اﻟﺠﺰء اﻟﺜﺎﻟﺚ‬ .‫ وﺛﺎﺋﻖ دﻋﺎﺋﻴﺔ ﺑﺎﻟﻤﻨﺸﺄة – إن أﻣﻜﻦ‬.ISO 9001 System Documents of the Organization (Ex: Quality Manual. Metrology and ‫اﻟﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻮاﺻﻔﺎت واﻟﻤﻘﺎﻳﻴﺲ واﻟﺠﻮدة‬ Quality Organization Quality Control Dept. if available.A Copy of Trade or Industrial Registration (Excluding the Public Organizations) 4. 2. Procedures. to be provided to SASO with this application form: (for ISO 9001 ) 1.Advertising Documents.) 3.٣ .١ .‫ ﺗﻘﺪﻳﻢ ﻧﻤﻮذج ﻣﻄﺒﻮع وﻣﻮﻗﻊ‬. the organization should have been performed at least one Management Review and one Internal Audit.(‫ ﻧﺴﺨﺔ ﻣﻦ ﺷﻬﺎدة ﻟﻘﻴﺪ اﻟﻤﻨﺸﺄة ﺑﺎﻟﺴﺠﻞ اﻟﺘﺠﺎري أو اﻟﺼﻨﺎﻋﻲ ) ﺑﺎﺳﺘﺜﻨﺎء اﻟﻤﻨﺸﺂت اﻟﻌﺎﻣﺔ‬.(‫ أﻳﺔ وﺛﺎﺋﻖ أﺧﺮى ذات ﻋﻼﻗﺔ‬. -‫ آﺘﺎﻟﻮﺟﺎت‬-‫ )ﺑﺮوﺷﻮرات‬..Submit a printed signed application . ‫اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻀﺒﻂ اﻟﺠﻮدة‬ Management System Certification Dept. Catalogue etc. ƒ ISO 9001 Quality Management System should have been applied by the organization for at least two months before certification audit date. Related Documents etc.‫ اﻹﺟﺮاءات‬-‫ دﻟﻴﻞ اﻟﺠﻮدة‬:‫ ﺑﺎﻟﻤﻨﺸﺄة )ﻣﺜﺎل‬٩٠٠١ ‫ وﺛﺎﺋﻖ ﻧﻈﺎم اﻵﻳﺰو‬. ‫إدارة ﺷﻬﺎدات ﻧﻈﻢ اﻹدارة‬ Part C: The required documents.٢ .(‫ اﻟﺦ‬. (Brochure.

‫ ﻗﻢ ﺑﺘﺪوﻳﻦ أي ﻣﻦ اﻟﺘﺼﺎرﻳﺢ أو اﻟﺘﺮاﺧﻴﺺ اﻟﺘﻲ ﻳﺠﺐ اﻟﺤﺼﻮل ﻋﻠﻴﻬﺎ و ﺗﺨﺺ اﻟﻤﻨﺘﺞ أو اﻟﺨﺪﻣﺔ اﻟﻮاردة ﻓﻲ ﻧﻈﺎم‬، ‫ﻼ‬ ً ‫ ﻓﻀ‬. ‫إدارة ﺷﻬﺎدات ﻧﻈﻢ اﻹدارة‬ Part D 1.Please list any laws.-٢ .please list any Permissions/Licenses that should be taken about the product/service in the Quality Management System which have been enrolled in the schedule below. Metrology and ‫اﻟﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻮاﺻﻔﺎت واﻟﻤﻘﺎﻳﻴﺲ واﻟﺠﻮدة‬ Quality Organization Quality Control Dept. :‫اﻟﺠﺰء اﻟﺮاﺑﻊ‬ ‫أي ﻣﻦ اﻟﻘﻮاﻧﻴﻦ أو اﻟﺘﺸﺮﻳﻌﺎت أو اﻟﺘﻮﺟﻬﺎت أو اﻟﻤﻮاﺻﻔﺎت اﻟﻘﻴﺎﺳﻴﺔ أو اﻟﻠﻮاﺋﺢ اﻟﻔﻨﻴﺔ اﻟﺘﻲ ﺗﺨﺺ اﻟﻤﻨﺘﺞ أو‬ ‫ ﻗﻢ ﺑﺘﺪوﻳﻦ‬، ‫ﻼ‬ ً ‫ ﻓﻀ‬-١ . statutes. ‫اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻀﺒﻂ اﻟﺠﻮدة‬ Management System Certification Dept. directives.‫اﻟﺨﺪﻣﺔ اﻟﻮاردة ﻓﻲ ﻧﻈﺎم إدارة اﻟﺠﻮدة ﻓﻲ اﻟﺠﺪول اﻟﺘﺎﻟﻲ‬ 1- 2- 3- 4- 5- 6- 7- 8- 2. Saudi Standards.‫إدارة اﻟﺠﻮدة ﻓﻲ اﻟﺠﺪول اﻟﺘﺎﻟﻲ‬ Permission/License Definition Yes. standards or technical regulations about the product/service in the Quality Management System which have been enrolled in the schedule below.‫ﻼ ﻳﺮﺟﻰ إرﻓﺎق ﺻﻮر ﻣﻦ وﺛﺎﺋﻖ اﻟﺘﺼﺎرﻳﺢ أو اﻟﺘﺮاﺧﻴﺺ ﻣﻊ هﺬا اﻟﻄﻠﺐ‬ ً ‫ﻓﻀ‬ SASO-SCD-FR-01-02 Issue date : 01/11/2009 Revision no: 01 Revision date 27/3/2010 6 . Definition Enrolled date No ‫ اﻟﺘﺮﺧﻴﺺ‬/ ‫إﺳﻢ اﻟﺘﺼﺮﻳﺢ‬ ‫ ﺗﻌﺮﻳﻔﻪ‬،‫ﻧﻌﻢ‬ ‫ﺗﺎرﻳﺦ ﺗﻄﺒﻴﻘﻪ‬ ‫ﻻ ﻳﻮﺟﺪ‬ 1- 2- 3- 4- 5- 6- 7- 8- (Please attach copies of permissions/licenses documents with this application form) .

........ SASO-SCD-FR-01-02 Issue date : 01/11/2009 Revision no: 01 Revision date 27/3/2010 7 ..........................‫ﺗﺆﺛﺮ ﻋﻠﻰ اﻟﻤﻄﺎﺑﻘﺔ ﻟﻠﻤﺘﻄﻠﺒﺎت‬ ......................................:‫اﻟﻬﺎﺗﻒ‬ 4...................................................................................................... ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ‫ﺗﻌﺎﻗﺪات اﻟﺒﺎﻃﻦ( اﻟﺘﻲ ﺗﺴﺘﺨﺪﻣﻬﺎ ﻣﻨﺸﺄﺗﻜﻢ واﻟﺘﻲ‬/‫ ﻳﺮﺟﻰ إﻋﻄﺎء ﻣﻌﻠﻮﻣﺎت ﺗﻮﺿﺢ ﺟﻤﻴﻊ ﻋﻤﻠﻴﺎت اﻟﺘﻌﻬﻴﺪ )ﺗﺄﺟﻴﺮ اﻟﺨﺪﻣﺎت‬-٤ .......................................................... complete section below: Consulting organization:……………………………………………………………………… Name of consultant(s):………………………………………………………………………...................................................................................................................:‫ اﻟﺒﺮﻳﺪ اﻻﻟﻴﻜﺘﺮوﻧﻲ‬........... Metrology and ‫اﻟﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻮاﺻﻔﺎت واﻟﻤﻘﺎﻳﻴﺲ واﻟﺠﻮدة‬ Quality Organization Quality Control Dept.....................:(‫اﺳﻢ اﻻﺳﺘﺸﺎري )اﻻﺳﺘﺸﺎرﻳﻴﻦ‬ ..................................................................... ‫أو( ﺗﻄﺒﻴﻖ ﻧﻈﺎم اﻹدارة ﻟﺪﻳﻜﻢ؟ )هﺬﻩ‬/‫ هﻞ اﺳﺘﺨﺪﻣﺖ ﻣﻨﺸﺄﺗﻜﻢ أي ﺧﺪﻣﺎت ﻣﻦ ﺟﻬﺎت اﺳﺘﺸﺎرﻳﺔ ﻟﻠﻤﺴﺎﻋﺪة ﻓﻲ ﺗﻄﻮﻳﺮ )و‬-٣ .................................................................Has your organization used any consulting services to assist in the development and / or implementation of your management system? (this information is required) Yes No If yes.....................................:‫اﺳﻢ اﻟﺠﻬﺔ اﻻﺳﺘﺸﺎرﻳﺔ‬ .......................................................... ... ‫اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻀﺒﻂ اﻟﺠﻮدة‬ Management System Certification Dept.................................................................... ....................... ...............................Please give information concerning all outsourced processes used by your organization that affect conformity to requirements......................................................................... Saudi Standards..(‫اﻟﻤﻌﻠﻮﻣﺎت ﻣﻄﻠﻮﺑﺔ‬ ‫ﻻ‬ ‫ﻧﻌﻢ‬ :‫ﻼ أآﻤﻞ اﻟﺠﺰء اﻟﺘﺎﻟﻲ‬ ً ‫ ﻓﻀ‬،‫ﻓﻲ ﺣﺎل اﻹﺟﺎﺑﺔ ﺑﻨﻌﻢ‬ ............................................................................................................ ....................................................................................................... E-mail:…………………………………………................................................................................. Telephone:…………………………................................. ‫إدارة ﺷﻬﺎدات ﻧﻈﻢ اﻹدارة‬ 3........................................

...... in this framework we will pay all financial dues decided by SASO and mentioned in this application in time.. Date: …………………………………………... ‫اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻀﺒﻂ اﻟﺠﻮدة‬ Management System Certification Dept.... Name of the Responsible Person: :‫اﺳﻢ اﻟﺸﺨﺺ اﻟﻤﺴﺌﻮل‬ ………………………………………………………………………………………… Business Title of the Responsible Person: : ‫اﻟﻤﻮﻗﻊ اﻟﻮﻇﻴﻔﻲ ﻟﻠﺸﺨﺺ اﻟﻤﺴﺌﻮل‬ ………………………………………………………………………………………… Signature: ‫اﻟﺘﻮﻗﻴﻊ‬ …………………………………………. and we commit to fulfill all SASO requirements.. : ‫ إﺗﻔﺎﻗﻴﺔ ﻣﻨﺢ ﺷﻬﺎدة ﻟﻨﻈﻢ إدارة اﻟﺠﻮدة‬:‫اﻟﺠﺰء اﻟﺨﺎﻣﺲ‬ ‫ وﻧﺘﻌﻬﺪ ﺑﺎﺳﺘﻴﻔﺎء اﻟﻤﺘﻄﻠﺒﺎت‬،‫ﻧﻘﺮ ﺑﺼﺤﺔ ودﻗﺔ ﺟﻤﻴﻊ اﻟﻤﻌﻠﻮﻣﺎت اﻟﻤﻔﺼﻠﺔ اﻟﻮاردة ﻓﻲ هﺬا اﻟﻄﻠﺐ ﻋﻦ ﻣﻨﺸﺄﺗﻨﺎ‬ ‫واﻟﻘﻮاﻋﺪ واﻟﻠﻮاﺋﺢ اﻟﺘﻲ ﻗﺮرﺗﻬﺎ اﻟﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻮاﺻﻔﺎت واﻟﻤﻘﺎﻳﻴﺲ واﻟﺠﻮدة ﺑﺸﺄن ﻣﻨﺢ ﺷﻬﺎدات ﻧﻈﻢ إدارة‬ ‫ وﻧﺘﻌﻬﺪ ﺑﺴﺪاد آﻞ اﻟﺘﻜﺎﻟﻴﻒ اﻟﻤﺎﻟﻴﺔ اﻟﺘﻲ ﻗﺮرﺗﻬﺎ اﻟﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻮاﺻﻔﺎت واﻟﻤﻘﺎﻳﻴﺲ واﻟﺠﻮدة‬،‫اﻟﺠﻮدة‬ ...‫واﻟﻤﺬآﻮرة ﺑﻬﺬا اﻟﻄﻠﺐ ﻓﻲ وﻗﺘﻬﺎ‬ Name of the Organization: :‫اﺳﻢ اﻟﻤﻨﺸﺄة‬ ……………………………………………………………………………. rules and regulations regarding the quality systems certification..... Saudi Standards.. . Metrology and ‫اﻟﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻮاﺻﻔﺎت واﻟﻤﻘﺎﻳﻴﺲ واﻟﺠﻮدة‬ Quality Organization Quality Control Dept. ‫اﻟﺘﺎرﻳﺦ‬ SASO-SCD-FR-01-02 Issue date : 01/11/2009 Revision no: 01 Revision date 27/3/2010 8 .. ‫إدارة ﺷﻬﺎدات ﻧﻈﻢ اﻹدارة‬ Part E: Quality management Systems Certification Agreement: we declare that all detailed information in this application concerning our organization are valid and accurate.

٣ .٤ ‫ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ‬ For more information on any part of this application form.sa ‫ﻟﻠﺮد ﻋﻠﻰ أﻳﺔ اﺳﺘﻔﺴﺎرات ﺑﺸﺄن أي ﺑﻨﺪ ﻣﻦ ﺑﻨﻮد هﺬا اﻟﻄﻠﺐ ﻳﺮﺟﻰ اﻻﺗﺼﺎل ﺑﺈدارة ﺷﻬﺎدات ﻧﻈﻢ‬ ١٣١٦ / ١٥٥٢ / ١٤٨٣ ‫ ﺗﺤﻮﻳﻠﻪ‬٠٠٩٦٦١٤٥٢٠٠٠٠ ‫اﻹدارة ﺑﺎﻟﻬﻴﺌﺔ ﻋﻠﻰ هﺎﺗﻒ‬ ٠٠٩٦٦١٤٥٢٠١١٥ ‫أو‬٠٠٩٦٦١٤٥٢٠٠٨٦ ‫أو ﺑﺈرﺳﺎل اﻻﺳﺘﻔﺴﺎر ﻋﻠﻰ اﻟﻔﺎآﺲ‬ info@saso. :‫ﻣﻼﺣﻈﺎت‬ ‫اﻟﺮﺳﻮم اﻟﻤﺎﻟﻴﺔ اﻟﻮاردة ﺑﻌﺎﻟﻴﺔ ﻗﺎﺑﻠﺔ ﻟﻠﺘﻌﺪﻳﻞ ﻃﺒﻘﺎ ﻟﻤﺎ ﺗﻘﺮرﻩ اﻟﻬﻴﺌﺔ وﺳﻴﺘﻢ إﺧﻄﺎر اﻟﻤﻨﺸﺂت ﻓﻲ ﺣﻴﻨﻪ وﻗﺒﻞ اﻟﺒﺪء‬ . 2000 SR (Man/day) ،‫ ﺗﺪﻗﻴﻖ اﻟﻤﺘﺎﺑﻌﺔ اﻟﺴﻨﻮي‬،‫ ﺗﺪﻗﻴﻖ اﻟﻤﻨﺢ‬،‫اﻟﺘﺪﻗﻴﻖ اﻟﻤﺒﺪﺋﻲ‬ (‫ﻳﻮم‬/‫)ﻟﻠﻤﺪﻗﻖ‬ . 4.org. ‫اﻹدارة اﻟﻌﺎﻣﺔ ﻟﻀﺒﻂ اﻟﺠﻮدة‬ Management System Certification Dept. 1483 / 1552 / 1316 Or please send a Fax to: +96614520086 or +96614520115 Or an e-mail to info@saso.over ‫ﻓﺄآﺜﺮ‬ 3000 SR 4000 SR Audit Fees (MAN/DAY) Audit Type ‫أﻧﻮاع اﻟﺘﺪﻗﻴﻖ‬ (‫ﻳﻮم‬/‫رﺳﻮم اﻟﺘﺪﻗﻴﻖ ) ﻣﺪﻗﻖ‬ Preliminary. Scope Extension Audit.١ .٢ .‫ ﺗﺪﻗﻴﻖ ﺗﻮﺳﻴﻊ ﻣﺠﺎل اﻟﻤﻨﺢ‬،‫ﺗﺪﻗﻴﻖ ﻟﻠﻤﺘﺎﺑﻌﺔ‬ Notes: 1. Metrology and ‫اﻟﻬﻴﺌﺔ اﻟﺴﻌﻮدﻳﺔ ﻟﻠﻤﻮاﺻﻔﺎت واﻟﻤﻘﺎﻳﻴﺲ واﻟﺠﻮدة‬ Quality Organization Quality Control Dept. SASO will inform the applicant about the number of the audit days needed for any audit type before starting the auditing process.‫اﻟﺘﻜﺎﻟﻴﻒ اﻟﻤﺎﻟﻴﺔ ﻟﻼﻧﺘﻘﺎﻻت واﻹﻗﺎﻣﺔ اﻟﺴﻜﻨﻴﺔ ﻟﻤﺪﻗﻘﻲ اﻟﻬﻴﺌﺔ ﻃﻮال أﻳﺎم اﻟﺘﺪﻗﻴﻖ ﺗﺘﺤﻤﻠﻬﺎ اﻟﻤﻨﺸﺄة اﻟﻤﺘﻘﺪﻣﺔ‬ . Certification. SASO may offer discounts on these fees in some special cases.‫ﺗﻘﻮم اﻟﻬﻴﺌﺔ ﺑﺈﺑﻼغ ﻣﻘﺪم اﻟﻄﻠﺐ ﺑﻌﺪد أﻳﺎم اﻟﺘﺪﻗﻴﻖ اﻟﻤﻄﻠﻮﺑﺔ ﻷي ﻣﻦ أﻧﻮاع اﻟﺘﺪﻗﻴﻖ ﻗﺒﻞ ﺑﺪء ﻋﻤﻠﻴﺔ اﻟﺘﺪﻗﻴﻖ‬ . Fees mentioned above may be changed and in this case SASO will declare that and the organizations will be informed on time before starting any audit.org. Transportation and accommodation expenses for SASO Audit team during the Audit days will be paid by the applicant organization. Please call the System Certification Dep. Saudi Standards. Surveillance.‫ﻓﻲ أي ﺗﺪﻗﻴﻖ‬ . Follow up. ‫إدارة ﺷﻬﺎدات ﻧﻈﻢ اﻹدارة‬ Part F: Fees ‫ اﻟﺮﺳﻮم اﻟﻤﺎﻟﻴﺔ‬:‫اﻟﺠﺰء اﻟﺴﺎدس‬ Number of Application and Annual Certification Charge Workers documents study Charge ‫اﻟﺮﺳﻮم اﻟﺴﻨﻮﻳﺔ ﻣﻘﺎﺑﻞ ﻣﻨﺢ اﻟﺸﻬﺎدة‬ ‫ﻋﺪد اﻟﻌﺎﻣﻠﻴﻦ ﺑﺎﻟﻤﻨﺸﺄة‬ ‫رﺳﻮم دراﺳﺔ اﻟﻄﻠﺐ واﻟﻮﺛﺎﺋﻖ‬ 1-250 1000 SR 2000 SR 251-500 2000 SR 3000 SR 501. 3.sa ‫أو اﻟﺒﺮﻳﺪ اﻻﻟﻴﻜﺘﺮوﻧﻲ‬ SASO-SCD-FR-01-02 Issue date : 01/11/2009 Revision no: 01 Revision date 27/3/2010 9 . In SASO on the phone numbers: Tel: +966 1 4520000 ext.‫ﻳﻤﻜﻦ ﻟﻠﻬﻴﺌﺔ إﺟﺮاء ﺗﺨﻔﻴﻀﺎت ﻋﻠﻰ هﺬﻩ اﻟﺮﺳﻮم ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت اﻟﺨﺎﺻﺔ‬ . 2.