Professional Documents
Culture Documents
Evaluated by:
_____________________________________
Company Representative
NOTE: 1. After the accomplishment of this form, kindly send it directly to bps@dti.gov.ph to avoid delays in
the processing of your application.
2. Do not provide copy of this form to the inspector.
___________________________________________ _____________________________
___________________________________________ SCD QMR / Date
___________________________________________
Approved by:
___________________________________________
___________________________________________ ____________________________
___________________________________________ Product Certification Head / Date
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