Name *

Surname *

Telephone

E-Mail *

Institution

Place of institution

Country of institution

Type of institute * Please select Ministry Notified body Market surveyllance Others

Please specify

Certificate number *

Hereby the above mentioned applicant declares that the conformity assessment or market surveillance of the measuring instruments of the requested certificate is in the responsibility of the above mentioned body/institution. *

The above-mentioned inquirer hereby declares that he/she undertakes to use the transmitted certificate, not to pass it on to third parties and only for the internal use in the above-mentioned body/institution. *

Infotext

If there is a legal obligation to surrender the certificate, the notified body/conformity authority has to be informed before issuing the certificate in order to agree on further action.