Certificate Order Form

XX XXX XXXX (Certificate number (if known)

1

Main location / Headquarters

Standard: __________________
Name:
Country/
Post code/Place
Scope
German
Scope
English

Belgaum

aqua valves pvt. ltd.

No.

No.

A3

A4

Design, Manufacture and Supply of Ball Valves and Globe

Valves

Scope
other languages

If a language is required in non-Latin characters, please provide the scope and company
designation as a Word file (Zertifikate-TNCERT@tuev-nord.de).
You can accelerate the procedure for issuing certificates by providing us with all scopes as a
Word file (Zertifikate-TNCERT@tuev-nord.de).

Integration of the company logo/wordmark is requested. Please provide the logo as a

.tif, .jpg, .cdr or .bmp file (Zertifikate-TNCERT@tuev-nord.de).

Other special aspects for consideration when issuing the certificate, e.g. exclusions which
have to be stated on the certificate or customised requirements for TS 16949 etc.)

Place, date

A01F19e

Signature of person placing the order

page 1 of 2

Rev. 02/09.05

Certificate Order Form

XX XXX XXXX (Certificate number (if known)

Other locations or branches

Location 1 (UZ-01)
Name:
Country/
Post code/Place
Scope
German:
Scope
English:
Scope
other languages

No.

No.

A3

A4

No.

No.

A3

A4

No.

No.

A3

A4

No.

No.

A3

A4

Location 2 (UZ-02)
Name:
Country/
Post code/Place
Scope German:
Scope English:
Scope other
languages

Location 3 (UZ-03)
Name:
Country/
Post code/Place
Scope German:
Scope English:
Scope other
languages

Location 4 (UZ-04)
Name:
Country/
Post code/Place
Scope German:
Scope English:
Scope other
languages

A01F19e

page 2 of 2

Rev. 02/09.05