Rev No Date

09 26.10.2015
PARTICIPANT REGISTRATION
Form: FORM FOR LEAD AUDITOR
Page 1 of 3 TRAINING COURSE
TSA-AC-02

Training Details:

Training Title:
Location of Training:
Training Dates: From: ________ To: ____________

Personal Details:

First Name: Middle Name: Last Name:

Address for Communication

City: State: Pin Code:

Contact Number Off: Mobile:
Educational Qualification
Professional Qualification
Current Employment Designation:

If Self Employed / Own business Proprietor / Partner / CEO / Managing Director

Other ____________
Current Job Profile (In Brief)

Please tick () against the ISO Standard for the course
1) ISO 9001:2008 (QMS)
2) ISO 9001: 2015 (QMS)
3) ISO 14001:2004+ISO 18001:2007 (EHS)
4) ISO 14001:2015+ISO 18001:2007 (EHS)
5) IS0 27001:2013 (ISMS)
Knowledge about applied ISO Standard. Please () against appropriate option below

1. Thorough 2. Basic Know How

Knowledge about Quality Management System auditing: Please () against appropriate option below

1. Detailed understanding 2. Basic Understanding 3. No Knowledge

Important Note: Prior Knowledge about applied ISO series of standards as well as some prior knowledge
about Management System auditing, if not present, will lead to unsuccessful completion. The course does not
aim to fill gaps in the information about applied ISO series of standards; it is for enhancing the knowledge
about the same.
Please select any support require for  Yes Require Support
Physically challenged participant*  No. Support not require
Please select your first language  Yes
other than English  No.
If Yest- Please mention **

TÜV SÜD South Asia Off. Saki Vihar Road Tel: +91 22 67545555 PAN No.: AABCT0716G
TÜV SÜD Group Saki Naka, Andheri (East), Fax: +91 22 67545575 TAN No.: MUMT09385F
Mumbai - 400072 www.tuv-sud.in Service Tax No.: M-IV/ST/TTI/06
 Rev No Date
04 17.12.2014 PARTICIPANT
REGISTRATION FORM
Form:
Page 2 of 3
TSA-AC-34 (VDA 6.3 Training)

Please Tick:
 Self Sponsored  Company Sponsored.
Payment Details :
1. If Self Sponsored then kindly provide the below information

Personal PAN No: ____________________

2. If Company Sponsored then kindly provide the below details

Authorized Person’s First Name: Authorized Person’s Middle Name: Authorized Person’s Last Name:

Company’s Name & Address

City: State: Pin Code:

Authorized Person’s Contact Number Off: Mobile:

Authorized Person’s Email ID

Payment Details:

Mode of Payment:
(Online / Cheque / Demand Draft)
Bank Name

Bank Branch Name

Amount

Online Transaction No.

(If payment done online)
Online Transaction Date.
(If payment done online)
Cheque / DD No.

Cheque / DD Date.

TDS amount deducted

Note: (Payment terms)

 Cheque / Demand Draft should be drawn in favour of TÜV SÜD South Asia, payable at the location of TÜV SÜD office
that is responsible for training.
 Participation fee is non refundable / non adjustable against any other training program conducted by TÜV SÜD South
Asia.
 Changes in nomination is acceptable but shall be communicated at least 3 days in advance.
 This workshop is non residential.

TÜV SÜD South Asia Off. Saki Vihar Road Tel: +91 22 67545555 PAN No.: AABCT0716G
TÜV SÜD Group Saki Naka, Andheri (East), Fax: +91 22 67545575 TAN No.: MUMT09385F
Mumbai - 400072 www.tuv-sud.in Service Tax No.: M-IV/ST/TTI/06
 Rev No Date
04 17.12.2014 PARTICIPANT
REGISTRATION FORM
Form:
Page 3 of 3
TSA-AC-34 (VDA 6.3 Training)

*Additional time for examination for students with disabilities:

Additional time, not exceeding 30 minutes, to complete the examination may be allowed for those students who suffer
from particular disabilities, for example dyslexia, muscular dystrophy etc., which adversely affect their ability to complete
the examination in the allotted time.

** Additional time for examinations taken in a second language (other than English):

Students whose first language is not Englsh in which the course is presented and examined and whose ability in
that language requires them to work more slowly, may be permitted additional time not exceeding 30 minutes to complete
the examination. They may also have an appropriate two-language dictionary. This allowance is granted at the discretion
of the Lead Tutor.

____________________
Participant’s Signature
If participant is sponsored by company, authorized person’s signature and company seal to be affixed below.

--------------------------------------------------------------------
Authorized person’s signature and company seal

TÜV SÜD South Asia Off. Saki Vihar Road Tel: +91 22 67545555 PAN No.: AABCT0716G
TÜV SÜD Group Saki Naka, Andheri (East), Fax: +91 22 67545575 TAN No.: MUMT09385F
Mumbai - 400072 www.tuv-sud.in Service Tax No.: M-IV/ST/TTI/06