BV-CODEX HACCP – Application form – Version 1 dated 9th June 2015

BUREAU VERITAS CERTIFICATION

APPLICATION
HACCP certification
Based on Food Codex

BUREAU VERITAS CERTIFICATION (India) Private Limited

72 Business Park, Ground Floor, Marol Industrial Area, MIDC

Cross Road 'C' Andheri ( East), Mumbai - 400 093,
Maharashtra, India

Local Office address

BUILDING NO. 33/1178 F1 (NEW NO. CC47/1938), 1 ST FLOOR,
CHALIKKAVATTOM, KUMBALAPILLY ROAD
VENNALA.P.O, KOCHI, KERALA- 682028
 0484 – 3320700 |  0484 – 3320717

E-mail: bv.kochi@bureauveritas.com
Arun.thangaraj@bureauveritas.com
Web: www.certification.bureauveritas.co.in

21/03/07
Before we can prepare a written estimate of costs we need certain information about your organisation and staff, so if you will please
complete the application form and return it us.

We will then submit a quotation tailored exactly to your situation.

All information supplied will be treated with strict confidence.

Your application does not commit you to using our services in any way, and no application fee will be charged.

SECTION A
COMPANY DETAILS
NAVAMIN PHARMACEUTICALS (P) LTD.,
COMPANY NAME:
COMPANY ADDRESS: No.3, Periyar Road, T. Nagar.

SITE ADDRESS (if different)

2. No. 30 & 31, Sunder Nagar, Alapakkam Main Road, Alapakkam, Chennai – 600116.
3.
4.
5.
6.

POSTCODE: POSTCODE:
TEL NO: TEL NO:
CONTACT NAME: CONTACT NAME:

PRODUCTS AND SERVICES (please detail the products you produce and the services you provide)

ACTIVITY ON SITE (Please note that this description will be the Certification scope shown on the certificate of approval issued by
Bureau Veritas Certification.)

NUMBER OF EMPLOYEES
1 ADMINISTRATION/MANAGEMENT 5
2. PROCESS 7
3. MAINTENANCE/SERVICE 6
4. LOGISTIC, SALE, ETC. 3
TOTAL
SEASONAL: 6
TEMPRORY: 15
SUBCONTRACTED: 12
WORK PATTERN:
1st ST SHIFT: √ 2nd SHIFT: √ 3rd SHIFT: 4th SHIFT:
Number Number Number: Number:
IF THE COMPANY IS PART OF A GROUP OF COMPANIES, PLEASE GIVE DETAILS
Donas drugs & pharmaceuticals

C-3 CONSENTS, LICENCES, PERMITS, AUTHORISATIONS, AGREEMENTS, CODES OF PRACTICE, ETC. (please list)
1 Drug manufacturing licence – DCGI- Tamil nadu state licensing authority
2 FSSAI- central licensing authority- Chennai
3
4

SECTION D
OTHER MANAGEMENT SYSTEMS:

PLEASE GIVE THE NAME OF THE MANAGEMENT EPRESENTATIVE J.Balasubramanian

TARGET DATE FOR AUDIT: April-31st

LIMITED BY GUARANTEE PLC SOLE TRADE/PARTNERSHIP

AUTHORISED SIGNATORY: POSITION DATE

THANK YOU FOR COMPLETING THIS APPLICATION FORM

BUREAU VERITAS CERTIFICATION - ACTION ONLY
This part has to be completed by a trained ISO 22000 A/LA, or in cooperation with the TC

CERTIFICATION/REGISTRATION REQUIRED
Code allocation As per ISO 22003-13 and BMS Food Catagory:
Code allotted

(Audit Team shall cover Food Safety Code holder, plus any other requirements specific to the company. Please allocate Audit Team):
Food Safety code Country: Approval
covered by (name): Status:

Recommended team and

Team Leader:
CALCULATION

1. Calculation of MD for initial audit – As per ISO 22003-13 guidelines:

Number of employees (per site) On-site audit time, including reporting

0-49 1.5
50 - 99 2.0
100 - 249 2.5
250 - 500 3.5
Comments:
Note 1
Note 2
Note 3
Note 4

The MD- and code allocation is performed by:

Position:
Bureau Veritas Certification office:
Sign & date:

APPROVAL BY TECHNICAL CENTER (TC)

The code allocation above is performed correct

YES NO
Comments & Remarks:
Note 1
Note 2
Note 3
Note 4
Note 5

This review is done by:

Position:
Bureau Veritas Certification:
Sign
Date