Num. of TRIC:
PR /2011 / Application for EC-type examination[1]
of grouping pyrotechnic articles /
Examination and certification of pyrotechnic articles according to directive of 2007/23/EC and decision of 2008/768/EC.
Module B[2]

TÜV Rheinland Intercert Kft. Notified Body 1008

Manufacturer / Name :
Address:
Applicant[3] / Name :
Address:
Type of products[4]: / Category: / F
App. ID:

Declaration

Present applicant declares that the same application has not been lodged with any other notified body

Attached documentations (X)[5]: Pages / check / page
a)  / Declaration of conformity for grouping products (Annex A) / X
b)  / Technical Data Sheet of products (description and construction) / X
c)  / MSDS of each product
d)  / List of conceptual design and manufacturing drawings and schemes of components
(visit at the manufacturer)
e)  / List of the European harmonized standards and/or other relevant technical specifications the references of which applied in full or in part
f)  / List of the non-European harmonized standards of which applied in full or in part
g)  / Other relevant technical specifications the references of which applied in full or in part
(visit at the manufacturer)
h)  / Results of design calculations made, examinations carried out, etc. (visit at the manufacturer)
i)  / List of test results (visit at the manufacturer)
j)  / Other documents

Date and place

stamp

signature

F-PR 51-AG-01 / TÜV Rheinland InterCert Version: 3_2en valid from: 01.01.2011 / Page: 1 / (1)

APG51_en

[1] Have to fill out this application form for each grouping product.

[2] Examination of a specimen, representative of the production envisaged, of the complete product.(decision of 768/2008 EC)

[3] Don’t fill it out if manufacturer and applicant are same.

[4] For example: roman candle

[5] For attached documentation have to sign “X” and give the number of pages.