BABT 300

Issue 10

Page 1 of 3

Application for a BABT Notified Body Statement under the EMC Directive /
Section A:ApplicantDetails
A. 1Details of the Main Contact within the Applicant Company
Please complete the following in either print or block capitals
Title::...... First name: ...... Last Name: ......
(This person must be within the certificate holders organisational structure and must not be a consultant or agent)
Job Title and/or Department Reference:......
Company Name:......
Address:......
......
......
......
Postcode/Zip Code:...... Country:......
Telephone Number:...... Fax Number:......
e-mail Address:......
A. 2Other Contact information
Normally all contact is directed through the main contact. If you wish to involve others for particular roles please advise BABT with their contact details and relationship with the main contact. In particular please mark with an “X” if you require any of the following and supply the supporting information.
A different Company name or address to appear on the certificate from that of the main contact (This must be a company or address within the same corporate structure as the applicant company; details of the relationship must be included where this request is made)
A Consultant to be involved {This request must be verifiably from the applicant, e.g. on headed paper, or from a company e-mail account}
Section B:Your Certification Requirements
B. 1Type of Assessment
Please mark with an “X” only the boxes required:
EMC Annex I 1 (a) [Emissions] / EMC Annex I 1 (b) [Immunity]
B. 2Type of Application

Please mark with an “X” as applicable

/ Original /

Modification

Where this is a Modification please identify the original Certificate number and provide brief details of modification / Cert No:
Section C:Product Details
C. 1Product(s) Submitted
Please enter the Product name(s), and model(s) of each product and the TCF document/file number.
Product Name(s) / Model(s)
TCF overall Document File Number (or the identity of the TCF index):......
C. 2Related Products / Mark “X” where applicable
If your TCF 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 BABT have issued an statement please provide details of any differences, and a letter from the holder of original product certificate listing their certificate number and permitting use of their results.
Section D:Payment Details
Work is carried out on receipt of either payment in advance or a valid purchase order number. Clients applying directly to BABT (i.e. not through any other TÜV SÜD Group office),who do not currently have approved credit facilities with either BABT or TÜV SÜD Product ServiceUK 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 the invoice to be sent to a different person to the main contact please mark “X” in the box and provide the full details in supporting information.
Where you select to use a purchase order please provide your company’s Purchase order number in the box opposite. / ......
Where you wish to pay in advance please either provide details of your credit card or indicate you wish to select this type of payment and contact to arrange for the payment. / ......
Section E:Agreement
The applicant named in A.1 must complete this section:
I (We) hereby apply for a Certificate in relation to the specified product and agree to conform to
the Certification Regulations; and
I (We) authorize BABT to discuss details related to this certification with the test facility, and consultant
(where I have named one) identified in this application; and
I (We) declare that the Technical 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 / is NOT {delete the inapplicable response}
the subject of either an existing statement or an application under Directive 2004/108/EC
with another notified body acting in a similar capacity to BABT
This notified Body is: ......
Signed for on behalf of the applicant
Authorised signatory:......
Name in CAPITALS:...... Date:......
Company Name of Authorised signatory:......
(Where the application form or modification request is signed by an authorised representative instead of a member of the applicant company a letter from the applicant company appointing them must be included with the request.)
All work is undertaken under BABT’s standard terms & conditions and the following specific conditions:
  • 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 BABT Customer Services in writing.
A copy of BABT’s standard terms & conditions can be found on our website
This application form must be accompanied by the required information as detailed in BABT 746 ‘A Guide to applying for a BABT Notified Body Statement under the EMC Directive’
Please return your application with accompanying information to
TUV SUD BABT, Forsyth House, Churchfield Road, Walton-on-Thames, Surrey, KT12 2TD, UK.
National Tel:01932 251200Fax:01932 251201
International Tel+44 1932 251200Fax:+44 1932 251201
Web Address:
Note: References to BABT mean TUV SUD BABT.