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Ref.

Number
(European PROGRES only)

ANNEX A
APLICATION FORM
Please, fill in electronically only. Please expand the boxes as needed

THE APPLICANT

1.

Full Title of the


Company/Cooperative

2.

Founded on (date)

3.

APR Registry Number

Structure of ownership

Domestic (%)

Private (%)

Foreign (%)

Other (%)

Address from the APR


registry:
Telephone:
Fax:
5

Email address:
WEB page:
Responsible person for
implementation of
standard

The Business and the Product


1

Describe your business


2012

2013

2014

Number of employees1
The total revenue (in RSD)
7

The total expenditures (in


RSD)
Total export (in RSD)
The value of operating
assets at the end of year
(In RSD)
Real estate
Type

m2

Business resources

(please list the real estate


indicating the type and
surface in m2 and equipment
indicating the type and
quantities owned by the
applicant)

Please list the key

Equipment
Type

Quantity

Share in revenue %

1 The data from Statistical annex


2

company/cooperative
product or services and
their share in revenue

10

2012

2013

2014

Explain why your


product/service is better
from the competition

The Marketing and the Sales


11

12

Describe the market for


your product/service
Key export market
How you promote your
product/service?

13
(Provide key info)
How you sell your
product/service?
14
(Provide key information)
Other
15

Describe future plans


(What are the future
directions of the
company/cooperative)
3

16

Is your company already


certified according to some
standards?

Yes

No

Yes

No

If the answer on previous


question is yes, please
provide details
17

(name of standard, the scope


of certification and
certification body)

18

Have you used in the past


three years incentives
from republican
institutions, other
organizations and donors?

19

If the answer on previous


question is yes, please
provide the name of
institution, value and
objective of support
Add any additional info you deem relevant:

20

APPLICATION
Scope of
application

Certification
certification

Re-

Full name of the


standard
The scope of
certification/recertification

Locations
Business process

(including address and name


of municipality)

(please indicate
the processes to be
covered by the
certification or recertification,
including the
locations where
these processes
are implemented, if
the applicant
operates at several
locations)

Duration
(please indicate
the duration
needed for
obtaining the
standard including
the time needed
for preparation and
implementation)

_______________ months

Total budget
(in EUR)
Objectives for
the introduction
of standard
(what objectives
will introduction of
standards
contribute to? Why
the applicant need
standard?)

5
Brief Context and
Problem Analysis

On behalf of the Applicant

_________________________
Full name
__________________________
Signature

[Stamp]

Date _____________________