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1、Application No : Date : 2006. . Application for Safety Certification (Revision) of theDesignated ProductsName of factory NamePresident TelHead office FaxMANUFACTURER Address of FactoryContactPersonE-mailName of Company NamePresident TelOffice Address FaxAGENT Business Reg. NoContactPersonE-mailName
2、of Product(s) Basic Model Name Ratings Input: AC220V, 60Hz ?A,Output:?V,?AVariant(s) Model Name Safety Standard Applied Electric Technical Standards SafetyStandards(Harmonized IEC standards) Standard No.:Type of Application New Certification Revision Origin of Manufacture Domestic Imported Type of R
3、evisionVariants Model Registration Component Registration Content RevisionCert.No.Revision in CertificationRelatedDoc.Necessity of FactoryInspectionYes No Fees (VAT included)(The Bill of Safety Certification Fees attached)We hereby apply for Safety Certification (Revision) according to the Article 5
4、 of ElectricalSafety Control Law and KETI Provision for Operation of Safety Certification.Date : 2006 . . Applicant : (Signature or Sealed )Korea Electric Testing InstituteSubmitting the Required Documents and Test Samples1. Required Documents Product manuals (or Users Manuals) List of critical comp
5、onents that are directly related to electric product safety(manufacturer, model/type, specifications, and/or electric characteristic etc.) Schematics of electric circuitry A drawing of construction Authorization letter for legal agent (for foreign manufacturers only) Material for revisions in certif
6、ication, if any.2. Required Test samples2 tests samples (1 sample when the EMC is not applicable) with backup parts(e.g. transformers, thermal fuses, etc.), in the case of testing samples are components, the number of testing samples shall be provided by the relevantstandards.1. Return to the applic
7、ant 2. X Dispose after testing3. Return by delivery serviceDisposal of test samplesIn case of 3. Recipient address :Articles of agreement that content of applicant is required1. Always complies with the relevant provisions of the certification program.2. Applicant shall establish and implement a cus
8、tomer compliant rule.3. KETI is not responsible for disassembly, damage, and/or dispose of the testsamples if the causes are from testing.4. When members of KETI require to visit relevant factory for initial factory inspectionor routine factory inspection, applicant shall corporate members of KETI t
9、oprovide their services. Routine factory inspection will be held once a year by visiting the factoryafter the safety certification is issued. Inspection date of routine factory inspection will be notified at least 2 daysbefore the inspection.5. Applicant shall submit supplementary material which are
10、 required by KETI withinthe specified date.6. Applicant shall notify the KETI When the significant change is occur in certified products after certificate is issued.7. Makes claims regarding certification only in respect of the scope for whichcertification has been granted.8. Does not use its produc
11、t certification in such a manner as to bring the KETIinto dispute and does not make any statement regarding its product certification which the KETI may consider misleading or unauthorized.9. In making reference to its product certification in communica5tion media such as documents, brochures or adv
12、ertising, complies with the requirements of the KETI The applicant shall read the Articles of agreement that consent ofapplicant is required and if it agreed, please sign by the presidentor a legal representative on the right side.(Critical component list)SMPS TYPE DVD & Amplifier 必需項目Critical compo
13、nent listComponent Circuit nameModel name Rate Manufacturer CertificateTransformer 提 供 规 格 书Power plug Ex) 3A/250V Rong Feng KS, EK.Power cord Ex) VCTFK, 0.75 x2CHKDK EK, CB, .PCB 94V-0 UL 认 证X-CAPACITOR CB, EK.Y-CAPACITOR CB, EK.Opto-coupler VDE, UL.Fuse Ex) T1AL 250V CB, EK.Thermistor PTC TYPE Power switch Ex) 10A/250V CB, EK.Inlet CB, EK 必须准备的项目1. 申请表2电路图3PART LIST4部件 承认书(认证书)5. 产品说明书(英文, 韩文)6. 两个样品(TEST SAMPLE): 安全(1), 电滋波(1)7. 两个变压器(TEST SAMPLE)费用SAFETY TEST FEE:EMC: EMI + EMSCERTIFICATE: 50,000TOTAL TEST FEE: FACTORY INSFECTION FEE: USD 650$
