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Where you wish the invoice to be sent to a different person to the main contact please tick the box
and provide the full details in supporting information
Where you wish to pay in advance please either provide details of your credit card or indicate you wish to select this
type of payment and contact customer.services@babt.com to arrange for the payment. We regret that BABT do not
accept Amex cards.
Where you select to use a purchase order please provide your company’s Purchase order number.
Section E: Agreement
The applicant named in A1 must complete this section:
I (We) hereby apply for a Certificate in relation to the specified product and agree to conform to the
Certification Regulations; and
I (We) authorize BABT to discuss details related to this certification with the test facility, and consultant
(where I/We have named one) identified in this application; and
I (We) declare that the Technical file supporting this application has been agreed by the manufacturer who
accepts the on-going responsibility for its maintenance ; and
I (We) declare that the specified product is* / is NOT the subject of an application under Directive
1999/5/EC Annex III or IV with another notified body acting in a similar capacity to BABT
* This notified Body is:
Authorised Signatory:
Title:
First Name:
Last Name:
Company Name:
Date:
Where the application form or notification of a change is signed by an authorised representative instead of a member of
the applicant company a letter from the applicant company appointing them must be included with the request.
All work is undertaken under BABT’s standard terms & conditions and the specific conditions:
• Certificates only relate to the product and build level of that product identified in the certificate.
• Certificates are not transferable.
• Changes to the Holders name or address must be notified to BABT Customer Services in writing.
A copy of BABT’s standard terms & conditions can be found on our website.
This application form must be accompanied by the required information as detailed in BABT 725 ‘A Guide to the BABT
Implementation of Annexes III and IV of the R&TTE Directive’
Churchfield Road
Walton-on-Thames
Surrey
KT12 2TD
UK
Tel: +44 (0) 1932 251200; Fax: +44 (0)1932 251201
E-Mail: customer.services@babt.com
Website: http://www.babt.com