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THIRD PARTY PRE-QUALIFICATION APPLICATION …

EHS-FHP-03 FHF-03a Revision 03 October 2010 Page 1 of 2 THIRD PARTY PRE-QUALIFICATION APPLICATION form Environment, Health and Safety (EHS) Department of Trakhees as the regulatory arm of Dubai World - Ports, Customs and Free Zone Corporation (PCFC) ensures that Food Safety information given to the client (within its jurisdiction) by THIRD PARTY Consultancy Company/Contractors are in accordance with the correct practice and complying with the existing rules and regulations. This APPLICATION form shall be applicable to all THIRD PARTY Companies such as Certification/Consultancy including Servicing Company approved by EHS to render their services to all Free Zone and Dubai World Clients.

EHS-FHP-03 FHF-03a Revision 03 October 2010 Page 1 of 2 THIRD PARTY PRE-QUALIFICATION APPLICATION FORM . Environment, Health and Safety (EHS) Department of Trakhees as the regulatory arm of Dubai World - Ports,

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Transcription of THIRD PARTY PRE-QUALIFICATION APPLICATION …

1 EHS-FHP-03 FHF-03a Revision 03 October 2010 Page 1 of 2 THIRD PARTY PRE-QUALIFICATION APPLICATION form Environment, Health and Safety (EHS) Department of Trakhees as the regulatory arm of Dubai World - Ports, Customs and Free Zone Corporation (PCFC) ensures that Food Safety information given to the client (within its jurisdiction) by THIRD PARTY Consultancy Company/Contractors are in accordance with the correct practice and complying with the existing rules and regulations. This APPLICATION form shall be applicable to all THIRD PARTY Companies such as Certification/Consultancy including Servicing Company approved by EHS to render their services to all Free Zone and Dubai World Clients.

2 Company name Box Location Tel no. Fax Person MobileWebsiteEmail A. Company involved with (tick appropriate box) Servicing Company Certification Consultancy Range of Specialization: B. Company Details License no. (attach copy) Expiry dateBranches in Other Country (if any): Bank name LocationTel no. Fax Operation and Human Resources Length in Business MajorProject handledNo. of Employee Technical Administrative Emirate Software use (pls. specify) Remark: All information must be supplied accordingly. EHS-FHP-03 FHF-03a Revision 03 October 2010 Page 2 of 2 D.

3 Required Documents i. Certification Body* / Consultancy Company - Covering Letter - Table of Content of Company s Quality System/Procedure - Company Profile - Organizational Chart - List of Company s Accreditation/Membership - Client list (under PCFC and Dubai World s area of Jurisdiction) - Location Map - For Technical Person/s, provide the following: Resume/ CV Passport with Visa Page Copy Academic Certificate Training Certificates & other Professional Development *Important Notes for Certification Body: a. Certification Body must also fill-up form no. FHF-03c HACCP Audit Record. b. Approved Certification Company must inform EHS-F&H Dept.

4 If there is/are scheduled HACCP Audit 2 weeks prior to its commencement. Details about the audit should be sent to or directly to EHS-F&H contact person. c. Inform EHS-F&H Dept. if there is/are changes with the scheduled HACCP audit. ii. Servicing Company - Covering Letter (state the list of services) - Company Profile - List of Company s Accreditation/Membership - Cleaning Procedure (approved by Dubai Municipality) - Latest Laboratory Analysis from a Cleaned Water Tank (applicable for those with Water Tank Cleaning Procedure only) - Client list (under Dubai World s area of Jurisdiction) - Location Map - List of Staffs (provide names and responsibilities) includes copy of the following: - Certificate of Trainings attended in relation to the services offered and/or responsibility of the Staff - Occupational Health Cards - Passport with visa page copy E.

5 Other Documents Applicable to all THIRD PARTY Company Declaration of Conflict of Interest ( form no. FHF-03b) Declaration Letter regarding Blacklisting/ Litigation


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