APPLICATION FORM by 0N4nG1Kh

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									             Dubai Central Laboratory Department – Dubai Municipality
        APPLICATION FOR REGISTRATION OF SUPPLIERS OF SOLAR WATER
               HEATING SYSTEM AS PER DM CIRCULAR (183) 2011

Applicants must complete all applicable sections. Please type or use BLOCK LETTERS
1. Applicant Information
Applicant                Name of Establishment:
Establishment
                         Site Address:

                         Mailing Address:

                         Contact Person:

                         Designation:

                         Tel (Office):                                Tel (Mobile):

                         Fax:                                         E-mail:

Information About the    License No.                 Date of Issue:             Issuing Authority:
License (Dubai)

Applicant Category        Manufacturer/Supplier            Importer/Supplier          Others _____________



2. Details of the Product(s) to be Registered and Conditions for Registration
   a. Product Details (please use the attached Table)
   b. Conditions for Registration (please confirm your commitment to comply by )

       The Applicant shall supply the full SWH system with all necessary components;                   
       The Applicant shall be responsible for obtaining the DCLD certification for the product;        
       The Applicant shall be responsible for the installation of the product;                         
       The Applicant shall be responsible for the maintenance of the product when installed;           
       The Applicant shall provide a minimum 5 year warranty for the product when installed;           


3. Documents to be submitted with this application

     Valid Trade / Industrial License issued in Dubai
     Supplier’s ISO 9001 certificate
     Product details Table as mentioned in clause [2.a]
     Product Technical Data Sheet (and catalogues/brochures if available)
     Manufacturer’s Certificate of Conformity for the product (i.e. DCLD, Solar Keymark, etc.)
     Manufacturer’s product identification mark (if available)
     Manufacturer-Supplier Agreement (if applicable)
     Other supporting documents that may be required _______________


CONFIDENTIAL                                Page 1 of 2                                              F-IC-2039 R1
             Dubai Central Laboratory Department – Dubai Municipality
        APPLICATION FOR REGISTRATION OF SUPPLIERS OF SOLAR WATER
               HEATING SYSTEM AS PER DM CIRCULAR (183) 2011

3. Applicant’s Undertaking and Commitment

3.1     The Applicant hereby agrees to comply with the provisions of DM Circular No. (183) 2011, and the
        conditions for registration as specified in this Form and in the relevant Rules and Procedures issued
        by DCLD; and to abide by the decision of the approving authority.
3.2     The Applicant hereby undertakes to support the product certification/approval scheme, provide all
        information related to this Application as requested by the DCLD, and allow the Inspection and
        Certification Section personnel to carry out audit and/or periodic market surveillance of the
        registered product in Dubai.
3.3     The Applicant hereby agrees to pay the due fees related to the registration and certification of the
        products in accordance with the Fee Schedule of the DCLD-DM.
3.4     The Applicant, upon approval of this Application, undertakes to exert all effort to ensure that the
        product/s covered by registration is certified and approved by DCLD in accordance with the relevant
        rules for product certification scheme.

3.5     The applicant hereby confirms that, to the best of his knowledge, the information provided in this
        application form is true and correct.

Authorized Signatory     Signature:

                         Name:

                         Designation:

                         Date:




Submit Completed         Inspection and Certification Section
Application Form to:     Dubai Central Laboratory Department, DM
                         P.O. Box 67, Dubai, U. A. E.
                         Tel: +9714 3027555 Fax: +9714 3351127
                         E-mail: certification@dm.gov.ae


For DCLD use only:

Application No.                                     Received By


Date Received                                       Application Fee / OR No.


Remarks:




CONFIDENTIAL                               Page 2 of 2                                         F-IC-2039 R1

								
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