For ESMA use only:
Type of Application New Renewal Extension Reduction
Application No.
Date Received
Received By
Requirements For Registration
Documents Required for ECAS application Additional Requirements for Emirates Quality Mark Application
Valid Industry/Trade License (For Companies within UAE) Controlled Copy of relevant QMS/HACCP Manual (Soft Copy/in CD/DVD)
Brief Description of Manufacturing Process
Plant Equipment Lay-out (scaled 1:50)
Test Report from recognized Testing Laboratory (hard and soft copy in CD/USB/DVD)
Declaration of Conformity by the Applicant on the
Product(s) for Registration using the Applicant’s Official Letterhead
Vicinity Map of the Factory
Certification Fees Quality Plan showing how to comply with Specific Standard
Evidence of Approval from other Conformity Assessment Bodies (If approved)
Copies of labels, markings, logos as required by Specific Standard
Note: Other requirements maybe required by ESMA if deemed necessary to ascertain compliance to the applicable standards prior to product registration.
Applicant Information
Applicant Details
Company Name (As stated in the License):
Type of Business:
Manufacturer Trader Others ________________________
Address:
Contact Person:
Designation:
Tel: Fax: E-mail:
Management Representative (Person responsible for registration of Product)
Name:
Designation:
Tel:
Fax: E-mail:
Details of Manufacturer of Product for Certification (Use Separate Paper if necessary)
Name of Manufacturer:
Address:
Contact Person:
Designation:
Tel:
Fax: E-mail:
Products Details (Use Separate Paper if necessary)
Standard Specifications No.
Title: Rev. No.
Product Name:
Category Trade/Brand
Name Description of Product
(Describe the technical description of the product as defined by the applicable UAE or International Standards) Model No. Test Report Number Tested By
AGREEMENT FOR PROVISION OF CERTIFICATION SERVICE
The applicant hereby confirms that the information provided in this application form is true and correct.
The applicant acknowledges that it has received and agrees to abide by the following contractual documents:
Compliance of the Product at all times to the UAE National Standards and/or to the UAE adopted International Standard
Compliance Requirements stated in the relevant Technical Guidelines/Regulations/laws and Management System Requirements.
The Applicant hereby undertakes to support the |
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