Registration Form for a Test Facility in the Road Vehicle Certification System (RVCS) Document Licensee's reference for this document (Use only 12 characters) Form Use Is this form being used to OR register a new Test Facility? modify the details of an existing (RVCS) Test Facility? This includes all Test Facilities If so, provide the (RVCS) Test Facility ID below previously registered in MVCS. and complete only those entries which have changed. Leave all other entries blank. If so, complete all details except the Test Facility ID. Test Facility ID Test Facility Details Organisation Name (Required) Trading Name Australian Company Number Registered Business Number ( if applicable ) Note: When entering addresses, only specify 'Country' if address is overseas. If there is a country in the address then it is assumed this is an overseas address, otherwise it is assumed the address is local. Address Physical Address City/Suburb State Postcode Country Address / PO Box Postal Address City/Suburb State Postcode Country Country Area Country Area Oversea's Fax ? Switchboard No. ( ) ( ) Fax ( ) ( ) Email Address Status Related Licensee (if applicable) Contact Details Title Surname First Name Position in company Country Area Country Area Oversea's Fax ? Phone ( ) ( ) Fax ( ) ( ) Mobile Email (Continued overleaf) Capability ADR No. Conformance Body ID (if applicable) Notes 1. VSS recognises external conformance bodies (audit organisations) as suitable for conducting audits in place of VSS's own COP or TFI audits. A conformance body must be registered before it can be referenced on a facility registration form. The use of a conformance body is optional. 2. Test facilities wishing to operate under the "Agreement on mutual recognition in relation to conformity assessment, certificates and markings between Australia and the European Union" can seek to be registered via their Designating Authority, and will then automatically be deemed to have a nominated conformance body.