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Certification Department SCERT

APPLICATION FOR CERTIFICATION / Application number:
(to be filled-inby SCERT)
  1. Supplier data

1.1Applicant (legal entity that will be certificate holder)
Full name:
Address:
VAT No.
Contact person:
Phone:
Fax:
e-mail:
1.2Customer: (legal entity that will pay the invoice for the service in this application - do not fill if the customer is the applicant)
Full name:
Address:
VAT No.:
Phone:
e-mail:
1.3Manufacturer(donot fill if the manufacturer is the applicant or the customer)
Full name:
Address:
E-mail:
  1. Product information

Product name:
Commercial name:
Product type:
Product model:
No. of SCERT certificate previously issued (if any):
  1. Required procedure (mark with “X” the required procedure)

Certification / Testing and certification
  1. Applied standards (write the complete title of applied standard/specification, if known)

HRN / EN / IEC / ISO / National standard / Specification / Special requirement *)

*)Specify if EN, ISO orIEC standards are not applied, or not applied completely, or if national standard / specification / special requirements are applied.

  1. Test report data (if the product was tested outside SCERT)

Laboratory where tests were performed(name, address, state):
Test report No. and issue:
No.of Laboratory accreditation:

SCERT will recognise test reports issued by laboratories accredited according to ISO/IEC 17025 or CB-scheme provided the applied testing methods are accredited.As an exception,SCERT will accept testing bya non-accredited laboratory only if the laboratoryprovides evidence of its competence and if tests areperformedunder the supervision of a SCERT assessor.

  1. Certification scheme *) (mark with “X” the required procedure)

Regulation (EU directive) / Certification complied with specifications
Low voltage equipment (LVD) / Low voltage equipment
Electromagnetic compatibility (EMC) / Protection by enclosure (IP; IK)
RTTE equipment (RTTE) / Protection from environmental hazards
Machinery (MD) / Middle and high voltage equipment
Gas appliances (GAD) / Electromagnetic compatibility (EMC)
Welding procedures (PED, Annex I, Item 3.1.2) / Machinery
Construction products
Noise and vibration requirements
Protection with coating system
Interoperability of the rail system
Other (specify in the item 7.)

*) Certification schemes for specific certification fields are given at . If nothing else required, SCERT performscertification scheme type examinationusing Directives, European or international relevant standards.

  1. Other requirements(option)

7.1 Certification of products or processes outside EU Market
Please specify the market:
7.2 Quality system control (mark with “X” the required procedure)
Conformity to type based on internal production controle
Conformity to type based on quality assurance of the production process
Conformity to type based on product quality assurance
Quality system control of Factory laboratory
7.3 Review of the Technical file
Please specify the regulation:
  1. Attached product documentation and sample(mark with “X” the attached)

8.1 Attached with the application (obligatory):
Product description and instructions for use
Technical characteristics of the product
Test reports, if any
Sample of product type
8.2 Attached Technical file (option)
The scope of Technical file depends on legal requirements.See certification schemes at . If Technical file is not complete, please propose how to supply missing documents.
  1. Applicant’s obligations

  • to ensure that each product will be fully identical to the reference sample to which the above documentation for certification refers;
  • to conform to the essential conditions of certification programme;
  • to enable SCERT, for the purpose of assessment and dispute settlement, access to all the necessary documentation and records, related equipment and manufacturing and subcontracting locations;
  • to enable the presence of observers, if applicable;
  • to use the certificate only within the scope for which it is issued;
  • not to use the certificate in any manner whatsoever that could harm SCERT’s reputation, and not to give any statements on certificates that SCERT could consider incorrect or unauthorised;
  • to observe SCERT’s requirements or the certification scheme in references to the certificate in documents, brochures or advertising materials,
  • if giving any copies of certification documents to other users, these documents must be reproduced in whole or exactly as the certification scheme specifies;
  • to inform SCERT as soon as possible of modifications of the certified product which may negatively affect its ability to be compliant with the certification requirements;
  • at the moment of cancellation or suspension of a certificate, to stop immediately using and any advertising that refers to the certificate;
  • to enable an investigation of complaints and appeals related to compliance with certification requirements, to take the necessary actions, and to keep all related records and make them available to SCERT;
  • to pay on time all invoices for certification fees.

  1. SCERT's obligations to the Client

  • to perform certification activities in accordance with the agreed certification schemes and requirements;
  • to ensure conducting of additional activities such as extension or reduction of the issued certificate, surveillance of the product during production, surveillance of the factory and/or laboratory quality management system;
  • to ensure additional services such as storage of the Technical File and tested sample;
  • to help obtaining the certificate for markets outside EU;
  • responsible handling of client’s confidential information;
  • to notify the client of confidential information which SCERT intends to release;
  • to inform the client about all complaints to the certificate issued;
  • to resolve every client’s complaints as soon as possible;
  • to inform the client of any changes related to certification schemes and requirements or accreditation scope;
  • to inform the client of the available information related to the essential requirements of certified product.

SCERT:
(Name, surname and signature of the responsible person): / Applicant:
(Name, surname and signature of the responsible person)
Place and date: / L. S. / Place and date:
Address: KONČAR – Electrical Engineering Institute, Inc.
Certification Department SCERT
Fallerovo šetalište 22
pp 202, HR-10002 ZAGREB, Croatia / Phone: (+ 385 1) 365 5277
Fax:(+ 385 1) 365 5277 / E-mail:

FC-3en-9