BABT 792 Application to add products to a MED Module D or E Certificate /
Note: Only the Module D or E Certificate holder, or the listed Authorised Representative may apply for an additional product

Section Application Information

A 1Certificate Details

Please provide the Certificate number of the Module D or E Certificate which will apply to this product / Cert No:

A.2What type of product(s) do you wish to add to the scope of the certificationand which MED Amendment was used to derive these references?

MED Amendment Decision number / Navigation Equipment items / Radio Communication Equipment Items

A.3Please identify the additional products to be included in the scope of the certification?

Product Name / Module B TEC Certificate number / No of issuing NB
Please include a copy the Module B TEC for any of the above certificates which were issued by another NB

A.4Please include a draft updated list of Products covered by the Module D Certificate which will be provided to the Fabricator once this addition is agreed by TÜV SÜD BABT

Section BAdditional Documentation

B.1Product Test Plans

B.1.1Do you wish to use an existing agreed test plan for this product / Yes / No
If Yes please identify the Test Plan document number and issue number :
If No please identify a new/amended Test Plan document number and issue number:
Please include this document and the required supporting information with this application

SectionCAgreement

I (We) hereby apply to add product(s)to my TÜV SÜD BABT Production Quality Certification for the Marine Equipment Directive module D / E {delete inapplicable}.

By signing this application I (We) agree to comply with the relevant regulation(s) (including theTÜV SÜD BABT Certification Regulations) and to ensure that the quality system continues to comply with the relevant standards.

Authorised signatory:...... Date:......

Please print your name and position within your organisation below:

Name:......

Company : ......

Position: ......

All work is undertaken under TUV SÜD BABT’s standard terms & conditions and the following specific conditions: .

  • Certificates only relate to the Holder and specific facility listed in the certificate
  • Certificates are not transferrable
  • Changes to the Holders name or address must be notified to Customer Services in writing

A copy of the standard terms & conditions can be found on our website

Where the application form or notification of a change 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.

Please return your application to

TÜV SÜD BABT, Octagon House, Concorde Way, Segensworth North, Fareham, Hampshire, PO15 5RL, UK.

National Tel:01489 558346Fax: 01489558101

International Tel+44 1489 558346Fax:+44 1489558101

Web Address:

Date: September 2012
Page 1 of 2
Issue: 2