Application Form for RE Directive Conformity Assessment Service
(and Letter of Consent)
Month Day, Year
To: UL Japan, Inc.
Zip codeAddress
Corporate name
Representative
(Title/Name)
Department
Responsible person
(Title/Name) / Stamp or Signature
Web Address
We hereby authorize the below company, to act on our behalf on above-mentioned application matters. *1
Zip codeAddress
Corporate name
Representative
(Title/Name) / Stamp or Signature
We hereby apply for conformity assessment and its certificate according to RE Directive.
1. Sort of application / New / Similar model / Permissible Change (Original Certificate No.: )2. Authorized representative / Yes No
3. Importer / Yes No(Assign separately: vehicle installed etc.)
4. Manufacturer
5. Manufacturer address
6. Submission of a set of testing reports / N/A
Applicable Radio EMC Safety
7. Submission of Technical Document (TD) / N/A Applicable
8.Acceptance of testing data / N/A UL Japan has already accepted the lab for the applied scope*2.
9. Remarks
10. Contact person / Name: / Tel:
E-mail:
*1 In case of Substitute attorney, please enter information for substitute attorney. If not, it is not necessary.
*2 When testing is performed by a lab other than UL Japan.
* RE Directive CAB EU-type of examination certificate is issued by an electronic file.
（background information）
An applicant shall agree with Letter of Consent for RE Directive Certification Service and below-mentioned matters when applying this service.
1. This application shall completed after UL Japan receives Technical Construction File or a set of radio testing reports, or a testing sample if an applicant requests UL Japan to test equipment or create a Technical document, and necessary documents, which are indicated on Guide for RE Directive Conformity Assessment Service.
2. A testing sample shall be send to below address, if an applicant requests UL Japan to test equipment or create a Technical document. An applicant shall have responsibility for shipping.
UL Japan, Inc. Consumer Technology Division
4383-326 Asama-cho, Ise-shi, Mie-ken, 516-0021 Japan
3. In case that UL Japan doesn’t receive a Technical document, a set of radio testing reports or a testing sample and necessary documents within 6 months after application acceptance, this application shall be deemed to be withdrawn for applicant reasons.
4. When UL Japan returns a testing sample to an applicant, we, UL Japan, shall not be responsible for any disassembly or loss that may be resulted in testing.
5. An applicant shall receive a tested sample within 50 days after testing is completed. If an applicant wouldn’t receive it within a fixed time limit, he/she shall not have any objection to destroy it. In this case, cost for reception or destroying of a tested sample shall be charged to an applicant.
6. An applicant shall pay commission charges and cost through a specified bank transfer within 60 days after an applicant receives bill. When an applicant would like to pay with other ways, he/she shall consult with UL Japan before application.
7. The submission of this application form deemed to have declared that a similar application to other NB has not been submitted.
Appendix
General description for applied equipment
1.Brand name2. Product name / Apparatus brand name:
Apparatus type:
Short range device
2.4 GHz wideband transmitter system
Cell phone
Wireless microphone equipment
5 GHz or 60 GHz high performance RLAN equipment
Receiver
3. Model number
4. Serial number
5. Series model / Yes （Example） No
6. Intended environment / Residential Commercial Light industry Heavy industry
7. If system, product name and model name consisting system
Radio equipment / 8. Transmitter or Receiver Specification / (1) Rated/Max Power / Rated:
(e.i.r.p/e.r.p/Conducted) / Max:
(e.i.r.p/e.r.p/Conducted)
(2) Type of radio wave and frequency
(3) Channel number/ Spacing
(4)Necessary bandwidth
(5) Duty cycle
(6) Clock Frequency / Main clock of Transmitter or Receiver
IF of Receiver
(7) Receiver class
9. Software Version.
10. Network Interface
11. Antenna / (1) Type and configuration / For example: integrated, external, parabolic
(2) Gain
12. Applicable standard / Radio
EMC
Safety
13. Technical Document (Identification)
When UL Japan prepares a Technical document, please ask your staff for details. / No. / Issue date
Publisher
Address
14. Remarks (Certificate identification if this application refers to other NB Certificate partly.)
※When the case is not applicable, please fill in “N/A”.
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Letter of Consent for RE Directive Certification Service
The applicant and UL Japan, Inc. (hereinafter referred to as “ULJ”) agree that terms and conditions on THIS Letter of Consent for RE Directive Certification Service according to RE CAB business on Law for MRA.
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（Definition of Term）
Article 1 For the purposes of this Letter of Consent, the following terms and definitions apply.
(1) Law for MRA (Mutual Recognition Agreement)
Law for Implementation of the Mutual Recognition between Japan and Foreign States in Relation to Result of Conformity Assessment Procedure of Specified Equipment.
(2) RE CAB business
Conformity assessment business services specified in Annex III of RE Directive among overseas conformity assessment business specified in the Law for MRA.
(3) Conformity Assessment Body
Body that is accredited and conducts conformity assessment according to the Law for MRA. (hereinafter referred to as the “CAB”)
(4) RE Directive
Directive 2014/53/EU OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL
(5) Product etc.
An electric product(s) and an associated part(s) that are manufactured or sold by the applicant, and are eligible for RE Directive certificate issue, based on this consent.
(6) RE Directive Certificate
A document that relevant product is assessed for conformity and documented that the product is conform to essential requirements by a CAB accredited according to the Law for MRA. (hereinafter referred to as the “certificate”)
(7) Certified product
A product(s) that is certified
（Certification）
Article 2 When ULJ recognizes that applicant’s product is complied with relevant requirement specified in Article 3, ULJ certifies the product for relevant scope of certification and issues a certificate of conformity with a special mark specified in the applicable ministerial ordinance in accordance with Article 12 of the Law for MRA for relevant scope of certification.
2 When ULJ recognizes that the applicant’s product is not complied with relevant requirement, ULJ issues a certificate for unconformity.
3 ULJ confirms whether applied product etc. is complied with abovementioned requirement and below requirement with necessary care duty, and does not ensure performance and safety on certified product individually.
4 The applicant shall inform ULJ of the product change that re-evaluation may be needed.
（Requirement of Certification）
Article 3 For conformity of RE Directive, a product meets the following requirements.
(1) Article 3.1 (a) of RE Directive
(2) Article 3.1 (b) of RE Directive
(3) Article 3.2 of RE Directive
(4) Article 3.3 of RE Directive
(5) Also meet any update of certification scheme.
（Certification Mark）
Article 4 ULJ approves that the applicant may use CE marking with this CAB identification number based on RE Directive. (In Annex 3, it is not possible to use the NB number on the product)
2 The applicant has responsibility for use of CE marking with this CAB identification number and for the information about the product.
3 The applicant confirms that the product which is on marketed or distributed stage is complied with certification requirement and continuous certification requirement by internal inspection or other appropriate way, and then uses CE marking with this CAB identification number based on RE Directive.
（Use of Certificate ）
Article 5 The applicant can not utilize a certificate as his/her advertising or sales promotional activities. The applicant shall not use the product certification, such as compromising the evaluation of ULJ. Also, he/she shall not express such as misleading, or such as ULJ judges that departing from the scope of certification about the product certification. If the applicant provides a copy of the certification document to others, the certification shall be made a copy.The applicant shall make a copy, as specified in the certification scheme. In order to identify that it is a duplicate, when the original is the copy, it shall be its copy, and when the original is electronic media, the letter of COPY etc. shall be denoted it. In making reference to its product certification in communication media such as documents, brochures or advertising, the client complies with the requirements of the certification body or as specified by the
certification scheme
（Changes that affect the certificate）
Article 6 If there is any change about the following, the applicant shall notify to ULJ without delay.- Change in the status on the law, on the commerce and the organization or the ownership
- Change in the organization and the zone of management
- Change to a product or production method
- Change in the address and the business establishment which produces
- Important change in the quality management
（Provision of Data）
Article 7 The applicant submits all information necessary for evaluation to ULJ.
2 In addition, ULJ shall provide for the applicant the information related to the certification, including the evaluation procedures, certification method, fee, rights, obligations, complaints and significance petition, etc.).
（Confidential Obligation）
Article 8 ULJ uses all information about product etc. and its production obtained from the applicant only for certification service, and refrains, without the applicant’s prior authorization in writing or legal excuse, from voluntarily disclosing to third parties, except its affiliates, any regulatory authority, any certification or accredited body. However confidential information under this consent does not include information that is already available to the public, become available to the public after consent through no fault or intention of ULJ and is obtained from third parties legally.
（Improvement Recommendation）
Article 9 Where ULJ recognizes that any withdrawal event specified on Article 15 occurs, ULJ may recommend the applicant to improve this, and he/she shall take a necessary action according to relevant recommendation.
（Transfer of Certification）
Article 10 Where the applicant assigns whole business regarding to certification to other, or inheritance or merger occurs, he/she may transfer whole certification with a prior written consent of ULJ.
（Complaint Procedure）
Article 11 Where a third party files a complaint for the applicant’s certified product, or any dispute occurs between the applicant and a third party, the applicant shall find solutions on his/her own responsibility, except when the complaint and dispute are occurred for reasons attributable to ULJ .
2 In the case of the preceding paragraph, where ULJ is sought to pay compensation and other obligations for the third party, the applicant shall responds to claim for compensation. However when the complaint and dispute are occurred for reasons attributable to ULJ, the above case is not necessarily applicable.
3 ULJ cooperates with the applicant in order to confirm the compliance of the certified product, investigate cause analysis and develop preventative measures and so on.
4 Where ULJ receives a compliant regarding to certification business from the applicant, ULJ analyzes and responds appropriately to the compliant according to the internal rule.
5 ULJ offers a complaint procedure upon request of the applicant.
（Compliant Record）
Article 12 The applicant accepts and deals with a complaint and records its summary and action.
2 ULJ may view prior records, and the applicant shall submit this record where ULJ requests.
3 Where a third party files a complaint for the certified product to ULJ, ULJ informs this of the applicant.
（Motion of Objection）
Article 13 Where the applicant has an objection to the certification result or the complaint procedure specified in Article 11 of ULJ, he/she may submit a written notice to that effect to ULJ (hereinafter referred to as “written opposition”).
2 The applicant must submit a written opposition due within 30 days from the date that he/she receives notice of the certification result.
3 A written opposition must include name, or legal name and representative if corporation, and purpose and reason of an objection.
4 ULJ responds to the applicant due within 30 days from the date that ULJ receives a written opposition.
（Term）
Article 14 This consent shall continue in effect until the applicant places the last manufactured certified product on the European Economic Area market from the date that this consent is agreed. However where the certification is withdrawn according to Article 15, or where this consent is terminated according to Article 16, then this consent shall be terminated.
（ (Suspension, Withdrawal and Expiration Certification）
Article 15 Where one of the below cases is applicable, ULJ may suspend, withdraw and expire the certification. In that case, the applicant shall cancel to use all advertisement and advertising goods referring to product certification, and take action in accordance with the requirements of the ULJ. In any case, ULJ shall not perform the guarantee to the applicant beyond the consideration of the authentication request cost. In that case, the applicant shall return to ULJ all documents which ULJ requests.
(1) Where the applicant abuses the certificate, and he/she does not improve that situation regardless of recommendation specified in Article 8 by ULJ.
(2) Where the certificate is issued wrongly.
(3) Where the applicant requests to withdraw the certificate.
（Termination）
Article 16 The applicant may terminate this consent upon written notice to ULJ. In this case, this consent shall be terminated on thirty (30) days after ULJ receives this written notice.
2 ULJ may terminate this consent where one of the below cases is applicable to the applicant.
(1) Where the applicant violates Articles in this consent, and he/she does not correct that violation regardless of recommendation by ULJ.
(2) Where the applicant is late in payment on commission charges and costs for over sixty (60) days from the date that he/she receives a bill.
(3) Where confidential relationship between both parties is undermined.
(4) Where the applicant receives or files suspension of payment or bankruptcy adjudication, special clearance, bankruptcy and composition, corporate consolidation or a bankruptcy-reorganization plan.