VUJE, a.s. /
Certification body certifying products - safety equipment for nuclear facilities
Okružná 5, 918 64 Trnava, Slovakia
EVČ: *FQC-01-05
SENSITIVITY CODE: 3

Application forof Product Type

(not regulated area)

No. (to fill in by COCP - VUJE, a.s.)

In terms of the STN EN ISO/IEC 17065, chap. 4.1 Legal and contractual matters

1. MANUFACTURER
1.1 Name:
1.2 Address:
1.3 Company ID: / 1.4 VAT reg. no.:
1.5 Represented by:
(name, position, phone,fax) / 1.6 Agent:
(name, position, phone, fax)
2. APPLICANT(to be filled in if submitted by an importer or a distributeor)
2.1 Name:
2.2 Address:
2.3Company ID: / 2.4 VATreg. no.:
2.5 Represented by:
(name, position, phone, fax) / 2.6 Agent:
(name, position, phone, fax)
3. PRODUCT
3.1 Article, Trade Name:
3.2 Type:
3.3 Material used to manufacture the product
(material name/ ID (batch number, serial number), / name of supplier):
4. PRODUCTSAMPLE
4.1 Sample is ready for the process of certification the product type from the date:
5.PRODUCT SPECIFICATION
5.1 Product of this type is manufactured in construction variants.
Itemise all variants of the product type:
5.2 Technical requirements (technical directive or standard) for the product type to be certified::
5.3 Product´s item: / selectElectric, electronic and electromech. equipmentMechanical equipment passiveElectric and electronic programable units
5.4 Required certification scheme: / select1b25
6. Related DOCUMENTS accompanying THE APPLICATION
Related documents, as:
6.1 Technical documentation (Data sheet, Drawing etc.)
6.2 List of other directives applicable for the product and manufacture
6.3 Brief description of manufacturing
6.4 Results of tests, tests references, licences, certificates, decisions of the other laboratories or authorized persons
6.5 Other documents (e.g. certificates or delivery list of materials)
6.6 Copy of certificate stating the legal status of a firm or trade licence
6.7 Other documentation requested by Certification body
The documents can be send electronically - by e-mail.
LIST OF SUBMITTED DOCUMENTS(note down all of documents to be sent):
7. declarations OF Manufacturer of the Applicant for the Product type
7.1 The product as a type is finished and the data stated in this application for certification of the product type, together with accompanying technical documentation and all related information are complete, and thus fully describe the product qualities right in the date of the application issue.
7.2 Providing that the certification applies to complete production, the certified product shall meet the designated requirements throughout.
7.3Icommit myself to carry out all necessary arrangements to assure the following:
The conduct of the evaluation and surveillance (if necessary or on the basis of a letter of formal notice from the Certification body),including provision for examining the documentation and records, and access to the relevant equipment, location, place, employees and subcontractors.
Considering all complaints arised
The participation of observers, if applicable
7.4 Iunderstandthat any change of technical requirements for the product may affect the findings that were determined for granting the certificate of the product type specified in this application.
7.5 I guarantee that the samples delivered represent usual quality of the product to be certified.
7.6 I promis to follow the rules of the certification.
7.7 I will ensure measures that enable the certification body to assess the product conformity as required.
7.8 Iwill not use the certificate in a way that may damage the reputation of the certification body; neitherwill I publish any statements referring to the product certification that could be regarded by the certification body as misleading and unqualified.
7.9 Iwill stop using all promoting materials including information on the certified product after the certification suspending, cancelling or expiry, and will return all related documentation at request of the certification body.
7.10 Copies of the certification documents can only be distributed to other entities as complete documents.
7.11 Iwill use the product certificate exclusively for the purpose to proveconformity of the certified product with the applicable standards.
7.12 I will ensure measures that not a single certification document, mark or report, or their part willbe used in misleading way.
7.13 Iwill proceed according to the requirements of certification body while referring to the certified product in media, e.g. documentation, brochure, or advertisements.
7.14 Iwill make accounts of all complaints related to the product and of all corrective measures initiated by a complaint. Iwill provide the certification body with related records at request,and as well for the purpose of surveillance. I will take appropriate measures to eliminate deficiencies specified in a complaint, and will correct whatever the deficiencies detected on the product that interferes with the certificate requirements.
7.15 I accept the resolution of the certification body to procure the work related with certification by way of subcontract (testing or checking).
7.16I commit myself to immediatelynotify COCP – VUJE, a.s. of the changes (those thatsignificantly affect the product construction or specification, changes in standards specified for certifying the product, changesof ownership, structure, or management, or any information implyingthat the product mightnot comply with the certification requirements any more).
7.17Iaccept that COCP-VUJE possibly will disclose certain data in public, however, uniquely in the cases when required by the law, conventions, or initially agreed in the contract. In this case, the certification body shall notify the client/manufacturer of its intention, and particularise the information to be published, and to whom.
7.18Only the relevant text is translated from the certification documentation. It is forbidden to use either COCP-VUJE, a.s. logo orSNAS logo in translated documents.
8. DUTIES OF THE MANUFACTURER OR APPLICANT
8.1 To submit the abstract of the Companies register or the Trade licence.
8.2 To submit the source documents essential for the process of certification the producttype in Slovak language.
8.3 To enable to take or to submit the product sample for the purpose of certification at the appointed time.
9. COMMERCIAL - LEGAL RELATIONS
9.1 Commercial-legal relations are governed by the Slovak Commercial Code.
9.2 In the case of failure to comply with the rules specified in item 7, the Certification body may impose the fine of 10.000, - EUR.

Notes for the application to be filled in:

1.An applicant is supposed to submit theapplication formduly filled for each one product / product type, accompanied with all relevant documentation. Every material enclosed shall be owned by one legal subject, and shall refer to one product.

2.Any submitted source documentsubstantial for assessment the product conformity shall be a clean copy or a notarized copy in Slovak language.

In, date
Name of Authorized Agent:
Signature:
Stamp of the Manufacturer, or
Supplier/Importer
Accepted by:
(will be filled by COCP)
Date of acceptance:
(will be filled by COCP)
EVČ:FQC-01-05 / Tel: +421 33 599 1143 / Fax: +421 33 599 1095 / E-mail: / STR: 1/3
ŽIADOSŤ O CERTIFIKÁCIU PRODUKTU (ang) / FQC 01 05v03