Орган по сертификации "ПОЖТЕСТ" ФГУ ВНИИПО МЧС России

143903, Московская область, г. Балашиха, мкр. ВНИИПО, д. 12

Тел./факс:   (495) 529-85-61

Телефон:       (495) 521-54-33, 521-27-36, 529-77-32, 521-91-19, 521-27-65, 521-25-56

 

 

APPLICATION[1]

FOR CERTIFICATION OF PRODUCTS IN CERTIFICATION SYSTEM

 

GOST R Certification System or Fire Safety Certification System etc.

 

 Manufacturer or  Seller ( herein after referred to as  “an  Applicant”)

 

Bank account

 

 

 

Legal address 

 

 

fax No, phone No, E-mail

represented by

name of the Director/Head

 

acting on the basis of 

Status  or some other constitutive documents of the firm

                                  

submits the following product(s)       

^{name of the product with  customs code}

 

serial production  or a  certain batch

 

for  the certification

mandatory or voluntary

 

 

 

 

 

The above mentioned products are manufactured  by           

manufacturer and the standard or specification the product corresponds  to

 

 

 

 

 

 

 

and meet the requirements of

normative documentsв

 

 

 

 

 

 

 

 

Certification  scheme             

 certification  scheme number

 

An applicant assumes obligations:

·        to fulfill the rules of certification ;

·        to provide the access to the properly identified products;

·        to provide the conformity of the certified products to the requirements of the normative documents they have been certified to  ;

·        to apply the mark of the fire safety conformity to only those products which meet the normative documents requirements specified in the fire safety certificate;

·        in case of non-conformity to the  normative documents requirements to take measures to prevent selling of these products;

·     to pay all expenses related to certification

 

Additional information

 

 

 

 

             Head of the firm

signature, name

 

 Financial Director                

signature, name

 

Date

Stamp

 

 

 

 

 

 

Type of the certification                                                                  

 

Refusal                                                                     

 

Accepted                                                       

                                                           date

 

               signature                                                                                          post,  name