Key Certifications - Safety Certifications

						Wireless Devices EMC Safety Certs

Safety Certifications - Step 1

License Holder Information:

Certificate Holder Name:

Certificate Holder Address:

Contact Person:

Telephone:

Telefax:

E-mail:

Website:

Manufacturer Information:

1. Manufacturer Name:

Manufacturer Address:

Contact Person:

Telephone:

Fax:

E-mail:

Website:

2. Manufacturer Name:

Manufacturer Address:

Contact Person:

Telephone:

Fax:

E-mail:

Website:

3. Manufacturer Name:

Manufacturer Address:

Contact Person:

Telephone:

Fax:

E-mail:

Website:

Product Information:

Product Name:

Type Reference:

Rated Voltage:

Rated Input:

Protection Class:

Service Applied:

If the application is based on the existing valid certificate/project, please remark:

Certificate No.:

Project No.:

Remarks:

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