Application Form
Application Form
: CQAG 9006
CORPORATE POLICY DOCUMENT ON ISSUE : Nil
QA DEPT UTILISATION OF THIRD PARTY PAGE : 17a OF 17
INSPECTION SERVICES DATE : 06.12.2018
Annexure-1(a)
Ref:
(Office Use Only)
Complete all sections of this Form; sign the declaration and send the completed F orm and
attachments in an envelope marked ‘Application for Registration as Third Party Inspection
Body’ to:
Registering Date of
Registration Number
Authority Registration
Registered Office
Address:
Address for
Correspondence
2.2 (a) Are you a small scale Industry registered with the NSI? Yes / No
If yes, please enclose copy of NSIC Competency/Capacity certificate.
PSUs
2.3 Have you undertaken any inspection work from any of the HAL Divisions, in the past 3 years or
presently? Yes/ No
If yes, please give details, starting with most recent orders:
Date of
Name of HAL Order number & Brief description
completion of
Division Date of Inspection Work
Order
2.4 Have you undertaken any inspection work for companies other than HAL in the past 3 years?
Yes/ No
If yes, please give details, starting with most recent orders:
Name of the Brief description Date of
Value in Rs. completion of
Company of Inspection Work
Order
2.5 List the names of Owners/ Partners/Promoters and Directors/ Company Secretary/ Holder of
Power of Attorney, as applicable, in the format detailed below:
Name of the Owners/ Extent of
Whether Owner/ Partner/
Partners/ Promoter & shareholding in
Promoter/ Director/
Directors/ Company Address the Firm/
Company Secretary/ Holder
Secretary / Holder of Company as the
of Power of Attorney
Power of Attorney case may be
2.6 List the names & addresses of all associated, subsidiary & holding companies, including
trusts.
Relationship with
Company Name Address Nature of Business
Applicant
Years of experience
Assignment/
Position Name Qualifications Aircraft
General Engg. Duties
Industry
2.9 Give a short write-up on Inspection Procedure including procedure for calibration of measuring
instruments in practice in your organization.
Year
Annual Turn-over (Rs. Lakh)
Profit/Loss Rs Lakhs)
3.2 Attach the following audited financial statements, as applicable, for the past three
financial years and place a tick mark in the appropriate column as confirmation of
having enclosed the appropriate documents with the application.
Year
Balance sheet
Profit/Loss Statement
Will you authorise your Bank/s to supply HAL with a reference as to your financial Yes/ No
position, if required?
Name of Bank
(Scheduled Commercial Bank) & Branch
Name and
Designation of Contact Person:
Address
Tel No
3.4 Details of Income Tax assessed, as per Clearance Certificate, in the last 3 years:
Year
Amount Assessed (Rs in Lakhs)
4.3 Mark in the boxes below to specify the category/type of precision aeronautical components
for which you have measurement and testing capability and are willing to take up for
inspection:
Tick Tick Tick
Category/ Category/ Category/
() if () if () if
Type of Parts Type of Parts Type of Parts
yes yes yes
Sheet Metal Components Specific Components Services
Pressed Components Fasteners Quality Auditing
Extruded / Drawn Engine Discs Independent
Components Shafts Verification &
Hot Formed Gears- Bevel, Spur etc Validation Software
Components Splines Witnessing of testing
Assemblies & Sub-assemblies Small Components Of LRUs at the
Aircraft Structural such as brackets, Covers, Manufacturing Level
Assemblies – Riveted adapters, Sleeves, Axles, Carrying Out FAI and
/ Welded Levers etc. Preparation of FAIR
Mechanical Machined Casings at Sub-contractor’s
Assemblies Rings/Springs Special Process
Pneumatic / Valves, Atomizers, Validation
Hydraulic Assemblies Nozzles etc. Calibration
Fuel Actuating Metallic Tanks Inspection /testing
Cylinders Non- Metallic Components Instruments
Pipe Lines Moulded Components Measuring Gauges and
Soldered Components Rubber Components timers used on prod
Machined Components Fibre Glass/Perspex Equipments
Conventional Components Furnace & pyrometry
Machined Components Acrylic Non-Destructive Testing
CNC Machined Composite Parts Penetrant Inspection
Components Heat-treated Parts Ultrasonic Inspection
Electronic Assemblies Surface-treated Parts Eddy current Inspection
PCB Assemblies Castings & Forgings Radiography
Looms Magnetic Particle
Cables Inspection
Note for HAL Divisions: The above categories are indicative. The Division may modify to suit
their specific requirements.
4.4 List total value of Inspection work performed in the last three years
Year
4.5 In the last 3 years, has your firm, or any firm with which any of your company's owners,
officers or partners were associated, been debarred, disqualified, removed, blacklisted or
If yes, state the Order and the basis for the action.
5. Please provide any additional information, which will help you secure registration with HAL
6. DECLARATION:
(This declaration should be completed by a proprietor, partner, director or other senior
manager who has the authority to do so.)
1. I/ We declare and confirm that –
a) The HAL Conditions of Registration are acceptable
b) All information and attachments submitted in this application are true and correct
c) I/ We are aware that any false information provided herein will result in the
rejection of my application and cancellation of any registrations granted
d) I/ We shall be bound by the acts of duly constituted attorney who has signed this
application and of any other person who in future shall be appointed by us in his
place to carry on business of the concern whether or not an intimation of such
changes is given to HAL
e) I/ We have read and understood the requirements specified in Policy Document on
Utilisation of Third Party Inspection Services No. CQAG9006 and agree to abide by
the same in all respects.
f) I/ We undertake to communicate promptly to HAL any changes in condition or
working of the firm
g) I/ We confirm that we have our own inspection facilities
h) I/We accept and agree the following condition of the engagement as TPI with HAL:
DGAQA reserves the right to
(i) Have unrestricted access to the premises and relevant documents/ records of TPI
and vendor for conducting audit/ Joint audits.
(ii) Impose punitive action against the TPI/ Approved inspector in case of non-
compliance, lapses and/or fall of standards in performance. The punitive actions on
approved TPI /inspector include endorsement of lapses/failure, suspension and
termination of approval.
2. I/ We enclose herewith a pay order/ banker’s draft number ……………………drawn on
Bank…………………………. for Rs. 100/- as processing fee, which is non- refundable.
Signed: …………………………………………..
Name: ……………………………………………..
Position: ……………..……………………………
Date: ………………………..………………………
Details of person holding the power of Attorney (If different from above)
(Attach attested copy)
Name ……………………..………………….
Position ……………………………………..
Tel No. ( … ) …………………………...
Mobile No ..………………………………
Fax No. ( … ) ……………..…………...
Official Seal
CORPORATE QUALITY ASSURANCE GUIDELINES
Intellectual property of HAL, Corporate Office, Bengaluru. Not to be copied or distributed. For an
official copy, request Quality Assurance Department.