accordia
Ethical & Security Audit |-
Request Form
F0-051_
Page 1 of 2
Issue: 3 Draft
May 2039 |
Section A: Co!
ntact Details
Company information (isaores
Company Name | Harry Fashion Ltd _ -
‘Address tine 1_[ Voradoba, Bhaluka, Mymensingh, Bangladesh
‘Aétressline2 | — -
‘Adress Line 3 _
Address Post Code Da a City | Bhaluka
‘State/Province | Voradoba_ ‘Country | Bangladesh
Phone 09678773333, Fax I
Em ‘admin@experience-bd.com | Website |
Name & Title | Magsood anmad
MojDireetor/CeO | Direct Ph fCell_| 09678773333
Email _| magsood@experience:bd.com _ -
Name & Title ir Mozammal Hayat, GM (HR & Compliance)
Contact Person [Direct Ph/Cell_| +880 1817549924
Email ~ | admin@experience-bd.com _
Site Information (rainy for which aust srequestes)
[Same as Company Information [1 Other (ress provide details below) a
‘Company Name oo
addressiine 1
‘Addressiine 2
‘Addresstine 3 | _
Address Post Code city —
‘State/Province | ‘Country,
Phone — _ _ Fax,
Email ‘Website
z Name & Title -
Contact Person | Direct Ph.fcell — -
: Email
Billing Information
2.51 Same as Company information _L_ Same as Site information Other [iease povise dais below)
| Company Name | _ .
‘Adéress Line 1 —
Addresstine2? | - 4
‘Address tine 3 i
ane PostCode ty] |
State/Province Cosntry, -
Phone oo _ Email
‘Name & Title | __
Contact Person | Direct Ph./Cell —
[ema
Head oc: $25 W Town Pace, Site | St Aupusting, 32082, USA un. acorns COm | Replonal Oe: BSA | P.O. Box 26? | Dubai UAE
anges Orie: H No 15/8 Roa 8, Gubhan, Ohaa-1212, Byala | T8802) 819589 | (580-2 8833503 | E:accorga@dnaa netay Ethical & Security Audit
accordia | ——-s Request Form
Section B: Audit Information
Select the Standard orwhicn | & WAAR CE siierA CE eTraT OHA
SEE recone ote: ease addon information based on Sandré/Coe selection
‘WRAP
‘Type of WRAP Audit requested _ Gl First Time Aualt Re-Certification
; WAR Fai 8512
nae Fsity tO rmaayepnenay RAEI
Last WRAP Audit Date 23-24 January’ 2022
|Last WRAP certificate Expiry date March 11, 2023
Soest ceemaracor nud [Was PCA conducted at your facility? Oi Yes (Date: } BINo |
Co a igre gas ed |Any open PCA finding? tif audites) Ges 0 No N/A
[Who conducted the PCA? (if eudited) N/A
‘SMETA,
cata TF ital C pest
‘Type of SMETA Audit requested Ci apiar CDrullFotow-up Partial Follow-Up
( Partial Other ~ Define:
SOE Reaton dass aeay [SRST Naber
reese SEDO 8 Posvord (pon
ION INFORMATION FOR ALL AUDITS
‘"Produets produced at the facility __| Trouser, Jeans, Pant, Boxer, Ladies wear & Jacket __ 1
rove bt destton fey stor, Cutting Sewing, Embroidery, Washing & Fishing
Usk of major Customers/Brends? NKD, OVS, TBOE, Hang Ten, Earnesting Family, Brand Studio
‘Name ofthe Castomer/Brand/Buyer requesting above selected Audits)
‘Selecta preferred way te canduct audit. | C)Unannounced [ Announced
| mtecwtaPenicelvons uronounced) | 5 Semi announced specty window period leg. 3 weeks
‘When i the weekly holiday lp Sotsun)_| Friday ‘Do you operate in Multiple shits? | C) Yes No
‘Ste of thea i/ 27000082
f ‘Workers (va) | Workers avai) | Management _[___ Total
| Sereeoevre:: [wn 1815 300 72892
[Dos your fuity have place rate worker? Tves _BtNo
Does yout Faiity provide accommosation fait) (Daemitoriet to worker? ves Bt No
‘Does your fociity have Migrant Workers [Domestic and Foreign? yes Bt No
Languages Spoten
"Has ACCORO and/or ALUANCE inspected your faciin? (Only for Bangsdesh) | __5i ver
1 Te autatn wb smite std onthe lormation poe ihe prio Aen coma
swies | teeing onaten aston ivomaten needa proves se vations sees ots pean
2. Ifans povdedatoe wma sray coldenttwihn Acre Gabel Conpnce Geyp an aceon tod
|3_fsunngn Alen th len roto apes coma ty cs Stnrd anes aay Pley
i)
No__CIN/A
jane im Ergish
Application filed by:
Mir Mozammal Hayat, GM (HR &
Compliance)
Name & Title
22 March, 2023
r Date
Mead otic: 515 W. Town Pace, Suite 1 | St Augustine, 32092, USA | wav accorasa com | Regions ice: RSA | P.O, Box 262 | Dubai UAE
adeshOFfce:M. N13) Rood 8, Gulshan), Daka-212, Banglades | T (80-2) 419509 | (8402) 8839502 | :accodeDchaka.nel