/ SGS Germany GmbH,
SGS Certification Body Munich,
Hofmannstr. 50, D-81379 Muenchen,
Phone +49 89-787475-132,
Internet

Application to Notified Body for assessment according to the

R&TTE Directive 99/5/EC

Client
Company:
Address:
Contact Person:
Phone / Fax:
E-Mail / Web:
Manufacturer
Company:
Address:
Contact Person:
Phone / Fax:
E-Mail / Web:
Product Details
Brand name:
Model name:
Description:
Has this product been evaluated or inspected before, in this or a similar configuration by another authorized notified body?
yesno
if yes:
Notified body:
Technical report Nr.: / Certificate Nr.:
reason for
re-assessment:
Application for
identification of radio test suites
according to
R&TTE directive 99/5/EC Annex III / 
Application for
assessment of the essential requirements according to
R&TTE directive 99/5/EC Annex IV /  All requirements
– or –
parts only
 radio
 EMC
 safety
 health
Additional Comments:

Preconditions for assessment according to the R&TTE Directive 99/5/EC

  • This application form has to be signed by a duly authorized representative of the applicant.
  • The client ensures that all necessary documentation, accesses, assistance and information will be provided in a reasonable amount for the certification body. All documents have to be provided in English or German.
  • The assessment could only be based on test reports which are released by test laboratories that are accredited or are working verifiably under the rules of ISO/IEC17025 or equivalent ISO-Guides.
  • The client has to declare the identity of all other notified bodies who have been commissioned to asses the product within the same certification scope.
  • The certification body reserves the right to disclose all information concerning certificated products, the assessment and the issuing of certificates towards notified bodies and public authorities. On this no special approval on the part of the client is required.
  • The client has to comply always with all relevant requirements of the certification program.
  • The client has to record and archive all product-related objections which emerge from market or third party. The records and documentation about actions taken have to be presented to the certification body by request.
  • Any appeal or objection has to be addressed to the certification body. The client will be informed of decisions and measures (if applicable) concerning the appeal.

In signing this application you accept the preconditions for assessment as above, our General Conditions for Certification Services and the Code of Practice (available on request).

Place, Date / Legally binding signature

Kundenantrag V2.0, 12.03.2010- 1 / 2 -