Application Form

1. Service Request

CT-PAT COC

Audit Type

Full Partial Follow-Up Periodic / Annual

Follow-Up Others

Audit Announcement *

Announced Semi-Announced Unannounced

Audit Date

Company Name*

Company Address*

Company Register*

Company GST No*

Language(s) Spoken By Management*

Language(s) Spoken By Workers*

Factory License No*

Factory Name*

Zone ID

ZC No.

Email*

Phone*

Office Phone Number*

Fax Number

Designation*

Site Names for Audit*

Worker breakdown by gender – Regular

Male

Female

Worker breakdown by gender – Contractor

Male

Female

Worker breakdown by gender – Agency

Male

Female

Worker breakdown by gender – Migrant

Male

Female

Total No. of Workers*

Total No. of Contractor Workers*

Total No. of Agency Workers*

Total No. of Migrant Workers*

Additional Details of Domestic Migrant Workers (State Names)*

For Manufacturing Facility*

For Non-Manufacturing Facility*

Main Product Produced*