Apply For ADISA ITAD Certification

SECTION 1: APPLICATION INFORMATION
Company Name*

This should be the name your company is officially registered as. Not a trading name or sub-brand.
Company Registration Number*

This is the registration number your organisation has with the relevant authority within your region.
Registration Number with Data Regulator*

All UK companies are required to register with the ICO and this registration reference should be entered here.
In other regions registration with the supervisory authority may be voluntary and where undertaken please add your reference here.
Select your certification scheme*
Scope of Certification*
Please provide a detailed description of the services or business activities which you wish you be assessed under this application.
Facility 1 Address*
Additional Facilities to be listed here.
SECTION 2: CONTACT INFORMATION
Please provide contact for person(s) responsible for Standard 8.0 Compliance.*
Name Job Title Phone e-mail

You should list any staff / consultants who should be included in any email associated with your certification process.
Please provide contact details to be listed on the ADISA website*
Name Job Title Phone e-mail
Please provide Finance contact details*
Name Job Title Phone e-mail
SECTION 3: ADMIN
Please provide your Purchase Order number for the full certification fee.*
Please upload a copy of your company logos for use on the ADISA website.
Max. file size: 257 MB.
Confirmation
- I confirm that I have read the ADISA Standard v8.0 (UK), (EU) or (RoW) and that I understand the requirements of achieving certification.
- I can confirm that the company applying for certification is not currently or recently been under investigation by any relevant local supervisory authority.
- I can confirm that the company applying for certification is not currently or recently been under regulatory action.
- I agree to having my company logo and contact details displayed on the ADISA website and denoted as UNDER APPLICATION.

APPLY FOR ADISA ITAD CERTIFICATION

This form should only be used by an ITAD who wishes to apply for Certification

ADISA CERTIFICATION APPLICATION FORM

SECTION 1: APPLICATION INFORMATION

SECTION 2: CONTACT INFORMATION

SECTION 3: ADMIN

Request for marketing collaboration

Inform ADISA of brand infringement

Complain about ADISA

Complain about a company

Name	Job Title	Phone	e-mail

Name	Job Title	Phone	e-mail

Name	Job Title	Phone	e-mail