3. PRINCIPAL contact Name: Position: Telephone Mobile Email as above as above 3.1 Alternative key contact (may be non-technical) Name: Position: Telephone Mobile Email as above as above 4. Key other contacts 4.1 Person with responsibility for quality assurance Name: Position: Telephone Mobile Email as above as above 4.2 Person to whom invoices should be sent Name: Position: Telephone Mobile Email as above as above 4.3 Person with responsibility for new Sales / business Name: Position: Telephone Mobile Email as above as above 4.4 Senior administration executive (eg. Business owner, Director etc) Name: Position: Telephone Mobile Email as above as above 5. FEES Please note that before this application can be registered a signed Service Agreement is required. CSIRO will prepare the Agreement using the above data. Once this is prepared by us and returned signed by you, we will invoice you for the application fee applicable at the time of this application. Fees are listed on the PCCP web site under Documents, number PP-D003. 6. acceptance of rules governing Declaration by a member of senior management: I hereby affirm that I have read the documents governing how operates and I confirm that our organisation will abide by these rules, should we be accepted as Contractors. I agree I do not agree. Please print name in lieu of signature: Position: Date: Any special comments or requests? 7. RETURN DETAILS Please return this form completed to either: pccp@csiro.au, or: CSIRO Verification Services Tel: +61 03 9545 2624 Ms Elenora Stepanova Mob: +61 04 7775 3069 71 Normanby Rd Notting Hill VIC 3168 E: elenora.stepanova@csiro.au (Private Bag 10 Clayton South VIC 3169) Australia Project # VSA request date VSA to Applicant date VSA back signed date VSA # XP Date of first Accreditation Updated Primis PP-D016 gp email lists audit prog
3. PRINCIPAL contact Name: Position: Telephone as above Mobile Email as above 3.1 Alternative key contact (may be non-technical) Name: Position: Telephone as above Mobile Email as above 4. Key other contacts 4.1 Person with responsibility for quality assurance Name: Position: Telephone as above Mobile Email as above 4.2 Person to whom invoices should be sent Name: Position: Telephone as above Mobile Email as above 4.3 Person with responsibility for new Sales / business Name: Position: Telephone as above Mobile Email as above 4.4 Senior administration executive (eg. Business owner, Director etc) Name: Position: Telephone as above Mobile Email as above 5. FEES Please note that before this application can be registered a signed Service Agreement is required. CSIRO will prepare the Agreement using the above data. Once this is prepared by us and returned signed by you, we will invoice you for the application fee applicable at the time of this application. Fees are listed on the PCCP web site under Documents, number PP-D003. 6. acceptance of rules governing Declaration by a member of senior management: I hereby affirm that I have read the documents governing how operates and I confirm that our organisation will abide by these rules, should we be accepted as Contractors. I agree I do not agree. Please print name in lieu of signature: Position: Date: Any special comments or requests? 7. RETURN DETAILS Please return this form completed to either: pccp@csiro.au, or: CSIRO Verification Services Ms Elenora Stepanova 71 Normanby Rd Notting Hill VIC 3168 (Private Bag 10 Clayton South VIC 3169) Australia Tel: +61 03 9545 2624 Mob: +61 04 7775 3069 E: elenora.stepanova@csiro.au Project # XP VSA request date VSA to Applicant date VSA back signed date VSA # Date of first Accreditation Updated Primis PP-D016 gp email lists audit prog