I.-The authorisation application form referred to in article R. 752-6-2, a model of which is attached to this order, bears the letterhead of the prefecture in whose jurisdiction the authorisation is requested.
II.-The form comprises three sections, to be completed by the applicant for authorisation:
1° The identity and full postal, telephone and electronic contact details of the applicant organisation;
2° The surnames, first names, dates and places of birth, diplomas or qualifications of all the persons called upon to carry out the certification tasks on behalf of the organisation;
3° The date of the application for authorisation, followed by the signature of the legal representative of the applicant organisation.
III.-The form includes:
1° The list of documents referred to in I of Article R. 752-6-1, to be attached to the application for authorisation: for each natural person by whom or under whose responsibility impact assessments will be carried out, an extract from the criminal record not more than three months old, proof of the qualification or diploma mentioned in 3° of I of Article R. 752-6-1, and a copy of the identity document; for the organisation, the unique identification number and proof of the data collection and analysis resources and tools referred to in 2° of I of Article R. 752-6-1;
2° The procedures for submitting the application for authorisation referred to in II of Article R. 752-6-2.