OB03-09

INSTITUTE FOR ACCREDITATION OF THE REPUBLIC OF MACEDONIA
Application for assessor/expert in the accreditation system *
1. PERSONAL DATA
Name and Surname :
Personal ID Number:
Address :
Phone :
Fax :
E-mail :
2. WORK POSITION
Organization :
Address :
Phone:
Fax :
E-mail :
Position/work position:
Field of work :
3. EDUCATION
3.1 Education
Education
Educational institution
Graduation
year
Department
University degree
(VII)
Masters degree
PhD
3.2 Knowledge of foreign languages
Language
Active
Passive
Yes
No
3.3 Computers skills
MS Office
e-communication
4. WORKING EXPERIENCE
4.1. Previous working experience
Organization
Work position
Field of work
from-to
* The application data is kept confidential, used in accordance with the Statement of the candidate for assessor
/assessor/ expert, given in item 8 of this document.
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Верзија /Version 2
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INSTITUTE FOR ACCREDITATION OF THE REPUBLIC OF MACEDONIA
Application for assessor/expert in the accreditation system *
4.2 Experience in field of managing quality systems, calibration, testing, certification, inspection,
accreditation
Organization
Work position
Field of work
from-to
4.3 Experience in field of audit and/ or assessment
Field of audit and/ or
assessment
Annual number of audits and/or
assessments
Last audit and/or
assessment
(year)
5. ATTENDED TRAININGS IN AREA OF QUALITY MANAGEMENT SYSTEMS /
ACCREDITATION SYSTEM/ OTHER RELEVANT QUALIFICATIONS
Training/Seminar/ Course
Delivered by
Certificate
Duration
(year / number of
days)
Laboratory assessors training
(МКС EN ISO/IEC 17025)
Certification bodies for
management systems assessors
training
(МКС EN ISO/IEC 17021)
Certification bodies for persons
assessors training
(МКС EN ISO/IEC 17024)
Certification bodies for products
assessors training
(МКС EN 45011)
Inspection bodies assessors
training
(МКС EN ISO/IEC 17020)
other :
* The application data is kept confidential, used in accordance with the Statement of the candidate for assessor
/assessor/ expert, given in item 8 of this document.
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INSTITUTE FOR ACCREDITATION OF THE REPUBLIC OF MACEDONIA
Application for assessor/expert in the accreditation system *
6. LIST THE ACCREDITATION AREA AND TECHNICAL FIELD IN WICH BY YOUR
EDUCATIONAL BACKGROUND, ATTENDED TRAININGS AND GAINED
EXPERIENCE YOU DEEM YOURSELF COMPETENT:
6.1 CALIBRATION LABORATORIES (according to the document R 15 or more detailed)
Classification according to areas of Classification according to quantity
calibration
(rang the fields from greatest to least experience such as to assign the greatest experience to
section a))
а) Dimensional quantities**
а) length**
b) Mechanical quantities**
b) force, **
mass **
pressure**
c)
c)
d)
d)
e)
e)
6.2 TESTING LABORATORIES (according to the document R 15 or more detailed)
Classification according to testing fields
Classification according to types of
products/materials for testing
(rang the fields from greatest to least experience such as to assign the greatest experience to
section a)
а)chemistry**
а)foodstuffs**
water**
b)microbiology**
b) foodstuffs**
water**
c)
c)
d)
d)
e)
e)
6.3 CERTIFICATION BODIES FOR MENAGEMENT SYSTEMS (according to the document
R 15 or more detailed)
Classification according to standard for Classification according to ЕА/NACE cod
certification
(rang the fields from greatest to least experience such as to assign the greatest experience to
section a)
а) ISO 9001**
а)ЕА 1/NACE ........**
b) ISO 14001**
b)
c) ISO 22000**
c)
d)
e)
d)
e)
* The application data is kept confidential, used in accordance with the Statement of the candidate for assessor
/assessor/ expert, given in item 8 of this document.
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INSTITUTE FOR ACCREDITATION OF THE REPUBLIC OF MACEDONIA
Application for assessor/expert in the accreditation system *
6.4 CERTIFICATION BODIES FOR PRODUCTS
Field of expertise (product, process, service) Classification according to certification
scheme
(normative document, legislative and/or
standards)
(rang the a fields from greatest to least experience such as to assign the greatest experience to
section a)
а) organic products**
а) Regulation (ЕС) No 834/2007
European Council**
Law on organic agriculture production of
RM**
b) construction products**
b) Standard....**
concrete
Standard EN 206-1**
tar
c)
c)
d)
e)
d)
e)
6.5 CERTIFICATION BODIES FOR PERSONS
Field of expertise (persons or group of Normative documents (technical standards)
persons)
(rang the fields from greatest to least experience such as to assign the greatest experience to
section a)
а) Welders**
а) EN 287-1**
b) NDT examiners**
b) Standard....**
c)
c)
d)
e)
d)
e)
6.6 INSPECTION BODIES
Field of expertise (product, process, Normative documents (legislative and
installation)
technical standards)
(rang the fields from greatest to least experience such as to assign the greatest experience to
section a)
а)Pressure equipment**
а)Directive ......**
Regulation....**
Standard.....**
b)Lifts**
b) Directive ......**
Regulation....**
Standard.....**
c)
c)
d)
d)
e)
e)
** The filled fields in the tables above, under item 6, are given for example, during the
filling of form remove them and replace them with your data.
* The application data is kept confidential, used in accordance with the Statement of the candidate for assessor
/assessor/ expert, given in item 8 of this document.
Издание /Issue 2
Верзија /Version 2
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INSTITUTE FOR ACCREDITATION OF THE REPUBLIC OF MACEDONIA
Application for assessor/expert in the accreditation system *
7. ADDITIONAL DOCUMENTS REQUIRED
Attached to these form please enclose the following:
 copies of education certificates (Diploma, Masters certificate, PhD
certificate,
Specialized education credentials/certificates, etc.)
 foreign languages certificates (if any)
 certificate proving educational background in the field of quality management systems
 certificate proving educational background in the field of accreditation system (if any)
 rang certificate in the foreign accreditation body (applicable only for foreign
assessors/experts)
 CV
 references in relation to the field for which you are applying (scientific papers,
reference / confirmation from the superior about your daily duties, specialty, narrower
field of work, etc.).
Note: Assessors are obliged to up date their personal records by fulfilling and submitting an OB
03-09 form Application for assessor/expert in the accreditation system once a year and if there be
any changes to submit adequate evidences (for example training certificate, new employment,
etc…). If there be no changes assessors must inform the Personnel evaluation Committee in
written (by e-mail), too.
8. STATEMENT OF THE CANDIDATE FOR ASSESSOR/ASSESSOR/EXPERT
I confirm the accuracy of data provided and I commit to regularly submit all modifications
referring to provided data, primarily to data concerning qualifications, and its modifications
(additional qualifications, or termination of existing qualifications)
I declare that according to IARM’s document stating the requirements to be satisfied by the
assessors and experts in the IARMS’s accreditation system, I will duly inform you about all
modifications made, in written, as to enable timely and consistent update of the latest personal
data and their utilization.
According to the Law on Protection of Personal Data (Official Gazette of R.M. No. 7/2005,
103/2008 and 124/2010) I authorise usage and publication of my personal data for IARM’s needs
as well as their release to foreign Accreditation Bodies on demand.
Place and date:
Signature of the candidate for assessor:
9. EMPLOYER’S APPROVAL FOR ASSESSOR’S PARTICIPATION IN THE
ACCREDITATION SYSTEM (where appropriate and needed)
I give my approval for Name and surname of the candidate for assessor/ the assessor/the expert
to participate in the working activities of the IARM – Institute for Accreditation of Republic of
Macedonia as an assessor/expert in the accreditation procedure.
Place and date:
Name and surname of official:
Stamp here.
* The application data is kept confidential, used in accordance with the Statement of the candidate for assessor
/assessor/ expert, given in item 8 of this document.
Издание /Issue 2
Верзија /Version 2
ОБ03-09
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