Application for Trade Agent Certificate

Applicant

Name of Contact PersonCompany NamePositionAddressCountryMobile numberLand line numberEmail address

Request for CML to issue a trade agent ATEX and /or IECEx certificate based on existing OEM certificate numbers

Please supply ATEX / IECEx certificate numbers below

ATEX IECEx

Documentation/information required

1. An alternative Product Type Designation, if required2. A declaration by the OEM that the product to be placed on the market in the name of the Trade Agent will be

identical to that described in the original IECEx/ATEX Certificate 3. A declaration by the Trade Agent that the product to be placed on the market in the name of the Trade Agent will

be identical to that described in the original certificate4. A copy of the label drawing showing the new marking be applied by the OEM but showing the Trade Agent as the

de facto manufacturer.5. A copy of the contractual agreement between the OEM and the Trade Agent6. A copy of the relevant QAN (ATEX) and a link to the relevant QAR (IECEx) that show the name of the Trade Agent

(which is the same as that which will appear on the Trade Agent product label) and that have a scope sufficient to cover the products described in the original IECEx/ATEX certificate

7. A copy of the original ATEX/IECEx certificate

Application for Trade Agent Certificate