Laboratory Details

Name of the Laboratory
Note : Indicate name of the Laboratory will be appear on the Certificate
Type of Laboratory *
GST Exemption

Serial no.3 of chapter 99 of notification no.12 of 2017 dated 28.06.2017
GSTIN*
(if not applicable then write NA)
Country *
State *
City *
Address * Note: Please enter the address where the testing/calibration facility of the CAB is situated i.e., the address at which the testing/calibration activity will be performed by the CAB using the equipment,manpower, required accommodation & environmental conditions etc. This address will be considered as CAB’s address for issuance of Accreditation Certificate. In case of CABs applying only for site testing / calibration, the office address is to be mentioned in the application.
District
Sub District
Village/Town
Pin Code *
Mobile No*
Landline no
Fax No.
E-mail*
Does the laboratary operate from different locations having same legal identity with the city and applying for accreditation*
Are you from SEZ region(Special economic zone)
Whether any individual or organization has preparing consultancy for performing towards NABL Accreditation
Name of Individual/organization with city
Whether any adverse action has been initiated/taken by NABL against the laboratory in the past years.

Contact Person for NABL


Name*
Designation*
Mobile No*
Fax No.
Landline No
Email *

Type of laboratory by service


Permanent Facility*
Site Facility*
Mobile Facility*

Parent Organization Details


Name of the Parent Organization Applicable? *

Legal Identity Details


Legal Identity Name *
Legal Identity Type *
(Registration Under)
Type of Laboratory by Service*
Other Accreditations




Internal Audit and Management Review


Date of Last Internal Audit *
Whether all requirements of ISO/IEC 17025: covering all activities of laboratory have been audited at least once in last one year *
Date of Last Management Review *



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