Form: Application for Certification
Please fully complete sections 1 – 4.
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