APPLICATION FOR CHANGE IN REGISTERED CONTENTS (IATF 16949)

To: Management Systems Sector
Japan Quality Assurance Organization (JQA)
Date of Application: MonthDay

When there are any changes in thecontents of your registration,please apply to the relevant local
JQA office by using this form.
Please also refer to theexplanations in next page.

Year

Certificate Number: JQA-AU
Name of Organization:

Person to contact: (Section)(Name)(E-mail)(TEL)

Seal ofreceipt(FAX)

Description of the Changes: (Please enter your statements for relevant items only.)
Type of changeItems of the Change(Please check the relevant box(s).)(Please check the relevant box(s).)□ (1) Site

□ (4) Organization *1□ (5) Process map□ (6) Others□ (7) Language ofthe certificate*1

Before Change

After Change

Reason of change(Describe specifically)□ ① Site Relocation (Check bellow boxes if applicable)□Y / □N: Production of automotive parts at the original certified site will becompletely discontinued.
□Y / □N: Some of automotive parts production will be remained at the original
certified site (= partial site move).
□Others: (Please describe about the details of Site Relocation on the right entry field.)□ ② Name changed□ ③ Added * Audit application is also required. (See back side.)□ ④ Deleted * Cancellation application is also required.
□ ⑤ Address description changed due to governmental reason□ ⑥ Certification scope changed□ (2) Extended
manufacturingsite□ (3) Remote
Supporting
Function

Date ofchange* In the case of addition of new product, please describe the expected starting date ofmass production and/or delivery in the "After Change" entry field.
□ ① Added * Extended manufacturing site Checklist is also required.

□ ② Deleted□ ① Moved (Check bellow boxes if applicable)□Y / □N：Experiment, prototype and laboratory equipment moved.
□Y / □N：Warehouse of products moved□Y / □N：New employees hired (persons)□ ② Name changed□ ③ Added / Deleted□ ④ Address description changed due to government□ ⑤ Supporting function changed□ ① Organization changed□ ② Top management changed (incl. site representative)□ ③ A person whose position is equivalent to the management representativechanged
□ ④ Title of Top management changed (incl. site representative)□ ① Function of process changed□ ② Process owner changed□ ③ Process added or deleted□ ④ Sequence or interaction of processes changed□ ⑤ Others□ ① Unification of registration□ ② Division of registration

MonthDay
Year

MonthDay
Year

MonthDayYear* Attach the previous and neworganization chart when changed.

MonthDayYear* Attach the previous and new process
maps.

MonthDay
Year

Certificate No. to be unified with:
Organization to be divided:□ Japanese and English□ English only

Application is not required for the following cases:
1) Periodical personnel rotation except top management (incl. site representative) and a person whose position is equivalent to the management representative change.
2) Change of organization name, unification/divide/establishment/removal with no certificate.

□ Japanese and English□ English only

SH-2000-E55-R

APPLICATION FOR CHANGE IN REGISTERED CONTENTS (EXPLANATION)
Application for Change in Registered Contents (IATF 16949)
Please submit this form when your organization falls under any of the following.
When there is a change in any of contents written in the registration certificate or its appendix (Scope of Registration, Organization
Name, Location, etc.).
When there is an organization change, except for regular personnel transfers or an organization change which do not have any impact
to the description of registration certificate and its appendix.
When there is a change of top management (incl. site representative) or a person whose position is equivalent to the management
representative, or changes in position of the top management (incl. site representative).
When there is a change of contents in your process map (changes in process function, its contents, department in charge,
addition/elimination of process, and changes of its sequence and interaction).
When there is a significant change in the operation details or in the number of personnel.

1. How to fill out this formIn the "Person to Contact" field, please fill in the name of person who is in charge of the change.
Please fill in the details of the change in the right column, or attach a document describing its details instead.
Please note that JQA may require more detailed information when the change is significant.

2. About the Change Audit

When JQA judges that the applied change may affect the integrity of your management system, and your next audit is not scheduledwithin six (6) months, JQA may conduct the Special Audit.
When changes are only in the name of organization, location address description due to governmental reasons, etc., confirmation byDocument Deliberation may be substituted for Change Audit, at the discretion of JQA.
For conducting Change Audit, the readiness shall be reviewed beforehand in order to confirm whether or not the Change Audit can beconducted. When the change in your management system is significant and where JQA judges it necessary, First-stage audit (in thesame way as initial audit) may be conducted prior to the Change Audit. (For more details, please refer to the latest version of the“Management System Certification/ Registration Rules”.)
A Change Audit may be conducted together with Surveillance/Renewal audit. When JQA Certification Committee judges that thecontents of the registration can be changed after the Document Deliberation or Change Audit, a certificate and its appendix reflecting
the change will be newly issued.
Audit days for the Change Audit shall be determined in accordance with the rule considering the detail of the change. For moredetailed information, please contact your local JQA office.
When you need a quotation for the change, please contact your local JQA office.
Please note that the submission of “Application Form for JQA Management System Certification/Registration (IATF 16949)” andconclusion of certification/registration contract is required, when you add manufacturing site(s) to your certification scope.
When you add new manufacturing site(s) or customers to your certification scope, the supplier codes for IATF OEM members and itsaffiliates (companies including its subsidiaries, affiliated brands and joint ventures) shall be filled out together with the evidence
documents (copy). For your reference, please see the following OEM members and its affiliates for which the report to IATF ismandatory.

OEMBMW
Mercedes-Benz
Group AG
Ford Motor
Company
Geely Group
General Motors
Jaguar Land
Rover Limited
Renault Group

Subsidiaries, affiliated brands and joint ventures
BMW, MINI, Rolls Royce, BMW Motorrad,
BMW Brilliance Automotive (China)

FORD,Lincoln,AutoAlliance Thailand (AAT) (Rayong,Thailand),
Jiangling Motor (JMC) (China), Sollers (Russia),Otosan (Turkey), ChangAn Ford (CAF) (China)
GM, SGM (China), GMW (China), Duramax, GMCH

Renault, Dacia, Alpine, Renault Samsung Motors, Lada

FCA US LLCFCA Itary Spa
Stellantis(ex PSA)
Volkswagen AG

FCA (Fiat, Alfa Romeo, Lancia, Jeep),TOFAS (JV Turkey), GAC (JV China),
FAP (Fiat Auto Poland), FAS (Fiat Auto Serbia)
Peugeot Citroen, DS, Opel, Vauxhall
VW, Audi, Porsche, SEAT, Skoda, other brands, JV or subsidiariesof VW AGIVECO GroupOEM Code Format
6 digits, 2 digits
8 digits (mandatory), 1 character (optionalcapital letter or digits)
5 characters, alphanumeric
6 characters, alphanumeric
2 digits, 3 digits, 4 digits. All fields must be
filled, include leading zeroes if in DUNS
number.
5 characters, alphanumeric
6 digits, 2 digits
5 digits which could be followed by 1 or 2
capital letters
4 digits (defaulted with zeros), 3 digits, 3digits
6 characters, 2 characters. Characters arecapital letters or digits
2 digits, 3 digits, 4 digits. All fields must be
filled, include leading zeroes if in DUNS
number.
5 characters, alphanumeric

3. Fees for Issuing Changed Certificates
Please ask your local JQA office for the fees to issue registration certificates after the change.

4. When Involving Contact Person Change

If there is a change in the contact person information (name, address, department, TEL, etc.), please apply that to JQA as well by using
the form “Contact Information Change Request.”* Personal information provided in this form will be used by JQA for communicating and coordinating ourcertification/registration services for which clients have applied, as well as for providing information on our other and newservices and market research. Your personal information will be controlled in accordance with Japanese laws and ourinternal rules.
(For further inquiries, please contact below)
Japan Quality Assurance Organization (JQA)
Management Systems Sector
TEL：+81-3-4560-5710 FAX：+81-3-4560-5760
1‐25 Kandasudacho, Chiyoda-ku, Tokyo, 101-8555, Japan

SH-2000-E55-R