| 1. |
Name of Assaying and Hallmarking Centre andComplete Address
|
| 1.1 |
Name of the Centre |
|
| |
Complete Address (clearly indicate prominentlandmark and attach location plan)
|
|
| |
Telephone / FAX |
|
| |
Email |
|
| 1.2 |
Complete address of the Registered Office (ifdifferent from 1.1 above)
|
|
| |
Telephone/FAX/Email |
|
| 1.3 |
Type of Ownership |
Proprietorship/Partnership/LimitedCompany/Government./PSU
|
| 1.4 |
Provide Name of Prop., all partners andDirectors with designation
|
|
| 1.5 |
Premises of the Centre and its Legal Identity |
|
| |
Document authenticating premises of the centre(enclose self-attested copy of document)
|
|
| |
Document establishing legal identity of thecentre (enclose self-attested copy of document)
|
|
| 2. |
Scope of Recogitionn |
| 2.1 |
Scope of Recognition Applied for (specifydetails as per guidelines)
|
Gold/Silver/Gold and Silver Both |
| 3. |
Name and Designation of Owner/Chief Executive ofthe Applicant
|
| 3.1 |
Telephone/FAX/Email |
|
| 3.2 |
Name and Designation of the person responsiblefor the Quality System Management in the Centre
|
|
| 4. |
Employees/Personnel |
| 4.1 |
Total number of employees in the centre |
|
| 4.2 |
Department-wise details with name, designation,qualification, experience, training details, etc. (attachseparate sheet as per the following format)
|
| Department |
Name |
Designation |
Qualification |
Experience |
Training Details |
Name of deputy, if any |
| |
|
|
|
|
|
|
| 5. |
Test Equipment/Instruments and Test facilities |
| 5.1 |
Clause wise list of test equipment/facilitiesincluding consumables, water & electricity supply with backup as per the following format (please attach separate sheet)
|
| Sl. No. |
IS No. & Clause Ref. |
Method of Test (if and as applicable) |
Test Facility (Equipment Ref. Material etc.) |
Model/Type/Serial no.1 and make
|
Range, Accuracy &Least Count (if and as applicable)
|
Calibration (if and as applicable |
Remarks, If any |
| Range |
Least Count |
Validity |
Traceability |
| |
|
|
|
|
|
|
| 6. |
Centre Premises/Layout |
| 6.1 |
Total space available and Space of Assay room(in Sq feet)
|
|
| 6.2 |
Layout plan of the centre indicating testingarea, office etc. (attach Layout Plan)
|
|
| 7. |
Centre’s Quality Management System |
|
| 7.1 |
Details of Quality Manual implemented in theAssaying & Hallmarking Centre (Document No, Issue No anddate) (copy of Quality manual to be enclosed)
|
|
| 8. |
Proficiency Testing/Inter Laboratory TestComparison
|
|
| 8.1 |
Please provide details of your centre’sparticipation in proficiency testing/ Inter Laboratory testprogramme (during last three years).
|
|
| 9. |
Insurance |
|
| 9.1 |
Has professional Indemnity Insurance been taken?If yes, please provide policy no., validity date and amount ofinsurance taken
|
Yes/No |
| 9.2 |
Has Insurance for artefacts under process/stockand high costequipments been taken? If yes, please provide policyno., validity date and amount of insurance taken
|
Yes/No |
| 10 |
Preparedness for Assessment |
| 10.1 |
By which date will the centre be ready forassessment?
|
|
| 11. |
Details of Previous Cancellation/Convictions, ifany
|
|
| 12. |
Details of Payment (refer to the fee applicablefor AHCs)
|
| 12.1 |
Amount |
|
| 12.2 |
Name of the Bank |
|
| 12.3 |
DD No./UTR No./Bank Challan No. |
|
| 12.4 |
Date |
|
| 13 |
Any other information which the centre may liketo provide
|
|