4.4.2 Applicant
Company | ||
Representative (name, telephone) | ||
Address | ||
Contact information | ||
Reference | ||
Date of application | ||
Application number | ||
Applicant authorised by the manufacturer (documented) | ☐ Yes | ☐ No |
Statement that no concurrent application for OIML type evaluation has been made to any other OIML Issuing Authority (see Procedural Document PD-05 [29], 4.1.2 b) | ☐ Yes | ☐ No |
Remarks: | ||