APPLICATION FORM FOR PERFORMANCE ACTIONS BY NOTIFIEDBODY
REGULATION (EU) No 305/2011 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL laying down harmonised conditions for the marketing of construction products and repealing Council Directive 89/106/EEC („CPR“)
Systems ofAssessment and verification of constancy of performanceby Annex V „CPR“system 1system 2+ ; system 3 (tick as required,see the second page of the application, in case of doubt please contact us]
1. Name of manufacturer or authorized representative (Applicant)*) / 2. IC (Company ID number):
3. DIC (VAT number):
4. Address / 5. Tel.:
Fax:
E-mail:
www:
6. Bank detailed information: / 7. Number of bank account:
8. Corporal(statutory)executiveoforganization(authorizedrepresentative) – name,grade (position)
9. Authorized employee to deal withAB (name, grade -position, contact, including his,her deputy)
10. Name of manufacturer or authorized representative
11. Head office of manufacturer or authorized representative / 12. Tel:
Fax:
13. Address of manufacturing plant:
14. (name, type, technical parameters, other data)
15. Product areas by Annex IV CPR,List of harmonized EN or European Assessment Document for product:
*) Manufacturer, authorized representative, importer, distributor: see Article 2 “CPR” and §2
of Act No.22/1997Coll., on Technical Requirements for Products and on Amendments to some Acts, as amended.
The applicant hereby declares that the herein stated information and attached documentation is complete, accurate and true.
The applicant also declares that applicant didn´t place any order for performing technical features of the product on any other notified body.
Please attach the list of introduced collection of documents on a single piece of paper.
Place and date of application / Applicant’s seal and signature………………………
Conformity verification of application : (leave blank!!!)
Došlo: / Ev.č.: / Příl.: / Zodp. prac.: / Dne:System 1
Declaration of the performance of the essential characteristics of the construction product by the manufacturer on the basis of the following items:
(a) the manufacturer shall carry out:
(i) factory production control;
(ii) further testing of samples taken at the factory by the manufacturer in accordance with the prescribed test plan;
(b) the notified product certification body shall issue the certificate of constancy of performance of the product on the basis of:
(i) determination of the product type on the basis of type testing (including sampling), type calculation, tabulated values or descriptive documentation of the product;
(ii) initial inspection of the manufacturing plant and of factory production control;
(iii) continuous surveillance, assessment and evaluation of factory production control.
System 2+
Declaration of the performance of the essential characteristics of the construction product by the manufacturer on the basis of the following items:
(a) the manufacturer shall carry out:
(i) determination of the product-type on the basis of type testing (including sampling), type calculation, tabulated values or descriptive documentation of the product;
(ii) factory production control;
(iii) testing of samples taken at the factory in accordance with the prescribed test plan;
(b) the notified production control certification body shall issue the certificate of conformity of the factory production control on the basis of:
(i) initial inspection of the manufacturing plant and of factory production control;
(ii) continuous surveillance, assessment and evaluation of factory production control.
System 3
Declaration of the performance of the essential characteristics of the construction product by the manufacturer on the basis of the following items:
(a) the manufacturer shall carry out factory production control;
(b) the notified testing laboratory shall carry out determination of the product-type on the basis of type testing (based on sampling carried out by the manufacturer), type calculation, tabulated values or descriptive documentation of the product.
PAVUS, a.s., Prosecká 412/74, 190 00 Praha 9
Tel. 286 019 587, Fax 286 019 590, E-mail: ,