Request a Quote for Product Testing / CE � GS Certificate by 1w76mC


									                                                    Think Future, Enhance Today

   Request a Quote for Product Testing / CE – GS Certificate

Fields in bold are required (Please type or print clearly).
   1. Company Data:

     Company Name:


                  City:                                   Province:

           Post Code:

                Phone:                                        Fax:

       Contact Name:                                          Title:

   Alternate Contact:                                         Title:

Company website or link to product requiring certification:

   2. Describe the Product you are manufacturing:

 2.1. What is product?
 (Please attach product’s brochure and any technical information with
 English language )

TÜV-Rheinland Group                         Page 1 of 3                   CE & GS
                                           Think Future, Enhance Today

 2.2. What is product’s application? Where is product’s application?
 (i.e.: used in an office, a laboratory, etc.)

 2.3. How is product powered?

     AC (Voltage          )         DC (Voltage        )          Not Applicable

 2.4. If product is a Medical Device, what is product’s intended use?

 2.5. Where do you intend to sell your product? (Describe target markets and
    worldwide locations).

 2.6. Does product have any accessories?                   Yes            No

   3. Quality System Information

Please give details of any existing quality system certifications. Yes         No

ISO 9001:2000             Other management system                ……………………
Test approval

With whom:

TÜV-Rheinland Group                Page 2 of 3                           CE & GS
                                                  Think Future, Enhance Today

Please return this Company Information Form to TÜV - Rheinland Iran with a copy of your
standard company information (Brochure and catalogue),
and any other information which you think would be helpful in progressing the guidance/quotation

In order to ensure a smooth process in connection with the TÜV certification of
products , please observe the following steps :
   1. please provide specific information on the product for which you seek certification in particular
      , please provide the following documents /data :
   a) a technical drawing and / or
   b) a brochure and /or a link to a web site wich contains a detailed product description

   2. Scope of use and /or application of the product
   3. Number of different nominal sizes and /or numer of different rated power outputs of a
      product/appliance , and the number and types of assemblies .

Signature                                          Date:

                               TÜV - Rheinland Group, Iran

              Apt.703, 7th Floor, No.109, Molla Sadra Ave., Tehran, 199175857, Iran
                              Telephone: +98 (0) 21 88057745
                                          +98 (0) 21 88057746
                                     Fax: +98 (0) 21 88053041

TÜV-Rheinland Group                      Page 3 of 3                              CE & GS

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