BABT 794

Application for a CPR Certificate of Constancy of Performance from TÜV SÜD BABTIssue 02

Page 1 of 4

Section A:Applicant Details

A. 1 Applicant Detail

The Application must be made by or on behalf of the Manufacturer.

Company Name:......

Address:......

......

......

......

Postcode/Zip Code:...... Country:......

Please identify the contact person within the applicants company:

Title::...... First name: ...... Last Name: ......

Job Title and/or Department Reference:......

Telephone Number:...... Fax Number:......

e-mail Address:......

A. 2 Other Contact information

Where you are a manufacturer established outside the Community it is recommended that you appoint an Authorised Representative within the community. Where an Authorised Representative has been appointed, please mark in the box that you have provided with this application;full details of the Authorised Representative and the formal Mandate for the Authorised Representative. / □
Where you wish an Agent who is not an Authorised Representative to be involved, please provide details of the Agent with this application and include a letter of their appointment from the applicant.
Please tick the box if this information is included with your application. / □
© TÜV SÜD BABT 2013 / TÜV SÜD BABT is a Certification body of TÜV SÜD /

Section B:Your Certification Requirements

B. 1Type of Application

Please mark only the boxes required:

Original

/

Brandname/Co-licence

/

Modification

/

Additional Model

Where this is a Modification/Additional Model please identify the Certificate number to be amended, and provide brief details of modification/new model.
Where this is a new Brandname of an existing product please identify the Certificate number of the original product and provide brief details of any differences (Cosmetic or technical). When submitting a Brandname application in parallel with an original one, list the TÜV SÜD BABT Reference number (or original product name). / Cert No:

B. 2Applicable Product Standard

Please mark only the box required:

EN12966 / EN12899-1 / EN12899-2 / EN12899-3
EN 54-4: / EN 54-16

If the required standard is not in the list above, please confirm with TÜV SÜD BABT that it is within the current scope of TÜV SÜD BABT before identifying the standard here:

B. 3VMS Test Sample

For applications for EN12966please indicate whether testing was conducted on a test module or finished product:

Finished Product Tested / Test Module Tested

Section C:Product Details

C. 1Product(s) Submitted

Please enter the Product name(s), and model(s) of each product and the technical documentation file [TDF] number.

Product Name(s) / Model(s)
Technical Documentation File number and Issue/date: ......
C. 2Related Products / Tick if this applies
If this product is derived from one for which you currently hold a TÜV SÜD BABT Certificate and you wish to make use of any of the previous data, please indicate this and provide the TÜV SÜD BABT Certificate number related to that product. Certificate number:
If your Technical file covers more than one model, please explain the differences between products on a separate sheet of paper.
Where your product is an OEM (Brandname) of a product for which TÜV SÜD BABT have issued a Certificate, please provide details of any differences, and a letter from the holder of the original product certificate listing their certificate number and permitting use of their results.

Section D: Production Facility

D. 1FacilityRegistration

Please complete the following information related to the Production Facility where you intend manufacturing the product:

Yes / Applied For / No
Does the Applicant already hold a TÜV SÜD BABT PQC Certificate including Production Control for Construction Products
Does the Facility already hold another TÜV SÜD BABT or TÜV SÜD QMS Certificate ( or a PQC without Construction Products)

If Yes to either please provide the current Certificate number(s) ......

{ Please include a copy of any referenced TÜV SÜD Certificates with this application}

If you have applied for but not received a certificate, please provide details of certificate type, and the Production Facility Name, Town/City and Country
If you have answered Noto all please indicate that you have/or will submit an application for a PQC Certificate (including Production Control for Construction Products) using form BABT AF018

D. 2Manufacturing Test Plan

Do you wish to use an existing agreed test plan for this product/Modification? / Yes / No
If Yes, please identify the number and issue dateof Test Plan Agreement with TÜV SÜD BABT:

{Please include with this application a justification for using the existing plan for the product in this application}

If No, please identify the new/amended Test Plan document numbers with issue info:
{Note where a Modular Design has been tested, amanufacturing test plan for each differently dimensioned model, traceable back to the agreed plan will be required at the time of audit of the Production facility. }
For new/amended plans please include them with this application.:

Section E:Commercial Information

Work is carried out on receipt of either payment in advance or a valid purchase order number. Clients who do not currently have approved credit facilities must include a completed Credit Details Form with the application. Alternatively payment in advance is accepted. The appropriate forms may be downloaded from

Where you wish to pay in advance please either provide details of your credit card in the box opposite or indicate you wish to select this type of payment and to arrange for the payment.
Where you select to use a purchase order please provide your company’s Purchase order number in the box opposite.
Where you wish the invoice to be sent to a different person to the main contact, please indicate this in the box and provide the full details in supporting information

Section F:Agreement

The applicant named in A1 must complete this section:

I (We) hereby apply for a Certificate in relation to the specified product and agree to conform to the
TÜV SÜD BABT Certification Regulations;

and

I authorize TÜV SÜD BABT to discuss details related to this certification with the test facility, and agent (where I have named one) identified in this application;

and

I (We) declare that the Technical Documentation File supporting this application has been agreed by the manufacturer who accepts the on-going responsibility for its maintenance;

and

I (We) declare that the specified product is not the subject of an application under the Construction Products Regulation305/2011 to another Notified Body acting in a similar capacity to TÜV SÜD BABT.

Signed for on behalf of the applicant

Authorised signatory:......

Name in CAPITALS...... Date:......

Company Name of Authorised signatory:......

{ where you are an Authorised Representative applying on behalf of the Manufacturer please indicate this on the “Company name” line. }

All work is undertaken under TÜV SÜD BABT ’s standard terms & conditions and the specific conditions listed on this form. A copy of TÜV SÜD BABT ’s standard terms & conditions can be found on our website.

  • Certificates only relate to the product and build level of that product identified in the certificate.
  • Certificates are not transferable.
  • Changes to the Holders name or address must be notified to TÜV SÜD BABT Customer Services in writing (Address details below)

Please return your application to

Or Alternatively
TÜV SÜD BABT
Octagon House, Concorde Way,
Segensworth North, Fareham, Hampshire,
PO15 5RL UK
National Tel:01489 558100
Fax: 01489 558101
International Tel+44 1489 558100
Fax:+44 1489 558101
Web Address:
Email: