/ APPLICATION FORM / Doc No: / BF 1113
Revision No: / 03.8
Application For Certification Of Fire Detection And Alarm Systems / Components / Date: / 28 Sep 2017
Page: / 1 of 4- 1 -Page 1 of 4
*Application Date:

Section 1: Company Details

Applicant / Name or organisation that are authorised to apply
*Company
*Address
*Postcode
*Contact Name
*Telephone
*Email
Manufacturer / The factory where the product(s) are produced
*LPCB ref.
*Company
*Address
*Postcode
*Contact Name
*Telephone
*Email
Company name to appear on Certificate / Company nameto be detailed on the LPCB certificate and Redbook listing.
For EC certification, the company name responsible forplacing the product on the market. This company name shall be on the product label.
*LPCB ref.
*Company
*Address
*Postcode
*Contact Name
*Telephone
*Email

* Mandatory Field; must fill in.

Section 2: Product Details, and Certification Requirements

Brand / Range Name
Model Ref. / Description
1
Standards / LPCB CPR MED
EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2
2
EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2
3
EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2
4
EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2
5
EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2
6
EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2
7
EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2
8
EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2
9
EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2
10
EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2 / EN 54-2EN 54-3EN 54-4EN 54-5EN 54-7EN 54-10EN 54-11EN 54-12EN 54-13EN 54-16EN 54-17EN 54-18EN 54-20EN 54-23EN 54-24EN 54-25EN 54-26EN 54-29EN 54-30EN 54-31EN 12094EN 14604EN 50291BS 5446-2

Section 3: Country Specific Requirements(if applicable)

  1. Dubai Civil Defence (UAE) requirements: Certificate(s) of Compliance

Note:by selecting the above; UAE require the device(s) to be EN 54-13 approved

  1. ISO 7240 standards for approval in the following country(ies)

list country(ies):

Section 4: Cross-Approvals (if applicable)

  1. If testing is being conducted at another test facility (eg. VdS), please specify: (BRE Global not required to conduct testing)
  1. If BRE Global Test Reports will be used for certification from other bodies, please specify (1):

VdS AFNOR BOSEC Other_

Note 1: If the Client plans to obtain Certification from other bodies using the LPCB Test Schedule and BRE Global Test Report,
it is the Client’s responsibility to ensure these are accepted by other Certification Bodies.

Section 5: Additional Application Forms(if applicable)

Please tick below the ‘Application Forms’ which accompanying this master application form.

Reference / Application Form / Standard / Accompanying Form(s)
BF1113 annex 1 / Cross-listing / N/A
BF1113 annex 2 / Product Similarities / N/A
F015 / Management Systems Certification and Red Book Listing / N/A
F318 / Assessment of Modifications / N/A
BF1113 annex 3 / Control & Indicating Equipment / EN 54-2
BF1113 annex 4 / Sounders / EN 54-3
BF1113 annex 5 / Power Supply Equipment / EN 54-4
BF1113 annex 6 / Heat Detectors (Point detectors) / EN 54-5
BF1113 annex 7 / Smoke Detectors (Point detectors) / EN 54-7
BF1113 annex 8 / Flame Detectors (Point detectors) / EN 54-10
BF1113 annex 9 / Manual Call Points / EN 54-11
BF1113 annex 10 / Smoke Detectors
Line Detectors using an Optical Beam / EN 54-12
BF1113 annex 19 / Compatibility Assessment of System Components / EN 54-13
BF1113 annex 11 / Voice CIE / EN 54-16
ISO 7240-16
BF1113 annex 12 / Short-Circuit Isolators / EN 54-17
ISO 7240-17
BF1113 annex 13 / Input / Output Devices / EN 54-18
ISO 7240-18
BF1113 annex 15 / Visual Alarm Devices / EN 54-23
BF1113 annex 16 / Loudspeakers / EN 54-24
BF1113 annex 17 / Radio Links / EN 54-25
BF1113 annex 18 / Alarm Transmission & Fault Warning Routing Equipment / EN 54-21
BF1113 annex 33 / Carbon monoxide detectors (Point detectors) / EN 54-26
BF1113 annex 36 / Duct Smoke Detectors / EN 54-27
BF1113 annex 32 / Multi-sensor Fire Detectors (smoke/heat) / EN 54-29
BF1113 annex 34 / Multi-sensor fire detectors - using a combination of carbon monoxide and heat sensors / EN 54-30
BF1113 annex 35 / Multi-sensor fire detectors - using a combination of smoke, carbon monoxide and optionally heat sensors / EN 54-31
BF1113 annex 30 / Smoke Alarm Devices / EN 14604
BF1113 annex 31 / Carbon Monoxide (CO) Alarm / EN 50291-1
BF1113 annex 60 / Bases / As applicable

The above ‘Application Forms’ can be found on the following website:

Uncontrolled copy if printed.
Valid on day of printing only. / © BRE Global Ltd 2017