RTTE指令适合证明书依頼书-ULJapan.docVIP

Application Form for RE Directive Conformity Assessment Service (and Letter of Consent) Month Day, Year To: UL Japan, Inc. Zip code Address Corporate name Representative (Title/Name) Department Responsible person (Title/Name) Stamp or Signature Web Address We hereby authorize the below company, to act on our behalf on above-mentioned application matters. *1 Zip code Address Corporate name Representative (Title/Name) Stamp or Signature We hereby apply for conformity assessment and its certificate according to RE Directive. 1. Sort of application New / Similar model / Permissible Change (Original Certificate No.: ) 2. Authorized representative Yes 　　　　　　　　No 3. Importer Yes 　　　　　　　　No(Assign separately: vehicle installed etc.) 4. Manufacturer 5. Manufacturer address 6. Submission of a set of testing reports N/A　　　　　　　　　　　　 Applicable　　　　Radio　　　　 EMC 　　　　　Safety 7. Submission of Technical Document (TD) N/A 　　　 Applicable 8.Acceptance of testing data N/A UL Japan has already accepted the lab for the applied scope*2. 9. Remarks 10. Contact person Name: Tel: E-mail: *1 In case of Substitute attorney, please enter information for substitute attorney. If not, it is not necessary. *2 When testing is performed by a lab other than UL Japan. * RE Directive CAB EU-type of examination certificate is issued by an electronic file.  （background information） An applicant shall agree with Letter of Consent for RE Directive Certification Service and below-mentioned matters when applying this service. This application shall completed after UL Japan receives Technical Construction File or a set of radio testing reports, or a testing sample if an applicant requests UL Japan to test equipment or create a Technical document, and necessary documents, which are indicated on Guide for RE Directive Conformity Assessment Service. A testing sample shall be send to below address, if an applicant requests UL Japan to test equipme