Section 1

Company requesting the certification:

Certificates Required: (please select relevant boxes)
NAWI
Module DModule D1
MIR
Module A2Module DModule D1Module E1
Weights & Measures Act
Section 11A
ISO 9001 Certification
ISO 9001:2015

Section 2

Address

Street

Town

County

Postcode

Country
EnglandScotlandWales

Section 3

Applicants Name

Position held in the company

Direct Line / Telephone Number

Mobile Number

Email

Section 4

In making this application, I confirm that:

• The approved Quality Management System continues to be maintained.

• The application is supplied with evidence of the Type Examination Certificate’s holder permission to verify the instrument (if the owner is different to the applicant).

• The technical documents (2014/31/EU, Annex II, 1.3(c) and 2014/32/EU Article 18), technical support and replacement parts are available.

• I have the authority to request this certification service.

• The company has not lodged an application with another UKCA approved body

Name


I confirm to the above