APPLICATION FORM FOR LABORATORY CERTIFICATION: FORM A
Name of Laboratory:_____________________________________________
Name of Parent Institution:________________________________________
________________________________________________________________
Contact Person:________________________________________________
Address:_____________________________________________________
Telephone No.:________________________________________________
Fax No.:__________________________ E-Mail:________________________
I/We hereby apply to be certified as operating a laboratory which is in
conformance with the requirements of the Sierra Leone Standards SLS
170:2012 – General requirements for the operation of a laboratory.
I/We agree to allow the Sierra Leone Standards Bureau to conduct audits of
the premises as may be necessary.
I/We agree that any costs for consultation involved in the assessment of the
laboratory prior to being certified shall be paid by me/us at the request of the
SLSB.
I/We agree to abide by the terms and conditions for maintenance and
withdrawal/cancellation of the certificate issued to me/us by the SLSB, as long
as the certificate is in force.
On granting the certificate I/We, the applicant agrees:
1. To abide by the requirements outlined in the Sierra Leone Standards
SLS170:2012 “General requirements for the operation of a laboratory”, and the
SLSB‘s Laboratory Certification Programme.
2. To pay the required annual fee.
3. That the certificate may be withdrawn/cancelled, on failure by the applicant
to comply with the requirements of the Sierra Leone Standards SLS170:2012
and the SLSB’s Laboratory Certification Programme.
The Sierra Leone Standards Bureau (SLSB) agrees not to declare any
information which the applicant has advised ( in advance) as secret
information, or which is obtained by the SLSB in confidence from the
agreement holder, except when required by law.
Signature of Applicant: ...................................................................................
Name of Applicant: .........................................................................................
Position: ..........................................................................................................
For and Behalf of: ............................................................................................
(Company Stamp)
This completed application form, with the initial questionnaire and application
fee should be sent to the Sierra Leone Standards Bureau at:
Executive Director,
Wahman Abu Compound.
Kelsey Road, Ferry Junction,
Freetown.
The Bureau will then review the application and commence processing.