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0. For OZ Cert use only
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Application number
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Receiving Date
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Standards
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Status
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Expiry Date
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Evaluated by
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Reviewed by
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Approved by
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Approval Date
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Certification Notes
1. Are you the applicant or a consultant? 您是申请人还是授权顾问？*
- I am the Applicant 我是申请人
- I am a Consultant 我是授权顾问
Client Agreement-Applicant*
- I have read and agree to abide by the OZ Cert Pty Ltd Client Agreement (File No. PM05AD).
  
  我已经阅读并愿意遵守 OZ Cert Pty Ltd客户协议(File No. PM05AD)。
Client Agreement-Consultant*
- I have provided the applicant with the OZ Cert Pty Ltd Client Agreement (File No. PM05AD). I attach a copy of the signed declaration stating they have read and agree to abide by it.
  
  我已向申请人提供了 OZ Cert Pty Ltd Client Agreement (File No. PM05AD)。我附上申请人签字的声明，声明申请人已经阅读并且愿意遵守协议要求。
2. Authorized Consultant Details 授权顾问信息
The authorized consultant is from授权顾问来自于
- Australia 澳大利亚境内
- Overseas 澳大利亚境外
Consultant Business Name 公司注册名称*
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Consultant Street Address 公司注册地址
Consultant Street Address 公司注册地址*
Street Address City State / Province / Region ZIP / Postal Code Country
Consultant Postal Address is 邮寄地址
- Same as street address 同公司注册地址
- Different to street address 不同于公司注册地址
Consultant Postal Address 邮寄地址
Street Address City State / Province / Region ZIP / Postal Code Country
Consultant ABN, ACN or ARBN 澳洲公司注册号
Consultant Contact Person Name 联系人姓名*
Consultant Contact Number 联系电话*
Consultant Email Address 电子邮件地址*
Consultant Authorization Letter upload 上传顾问授权信*
Accepted file types: pdf, jpg, png, Max. file size: 512 MB.
3. This Application is for 本申请是*
- new Electrical Product Safety Certification 新电气产品安全证书
- renewal of an existing certification 更新已有的电气产品安全证书
- modification of an existing certification 更改已有的电气产品安全证书
- transfer of an existing certification 转让已有的电气产品安全证书
Certificate Number 现行有效证书编号*
4. Applicant / Certificate Holder Details 申请人/持证人信息
The applicant/certificate holder is from 申请人/持证人来自于
- Australia 澳大利亚境内
- Overseas 澳大利亚境外
Applicant Business Name 公司注册名称*
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Applicant Street Address 公司注册地址
Applicant Street Address 公司注册地址*
Street Address City State / Province / Region ZIP / Postal Code Country
Applicant Postal Address is 邮寄地址
- Same as street address 同公司注册地址
- Different to street address 不同于公司注册地址
Applicant Postal Address 邮寄地址
Street Address City State / Province / Region ZIP / Postal Code Country
Applicant ABN, ACN or ARBN 澳洲公司注册号
Applicant Contact Person Name 联系人姓名*
Applicant Contact Number 联系电话*
Applicant Email Address 电子邮件地址*
Targeted marketing area 目标销售地区
- Select All
- ACT 堪培拉
- NSW 新南威尔士州
- NT 北领地
- QLD 昆士兰州
- SA 南澳大利亚
- TAS 塔斯马尼亚
- VIC 维多利亚州
- WA 西澳大利亚
- New Zealand 新西兰
5. Application Type 申请类别
Certificate Schemes 申请方案
- REAS + RECS 适用于澳洲全境
- REAS, Recognized External Approval Scheme, NSW 新南威尔士州外部认证体系
- RECS, Recognized External Certification Scheme, 澳洲EESS多州联合（不含新南威尔士州）外部认证体系
- Other (RECS out of scope, REAS not declared) 其它
REAS Declared Articles 强制认证产品
REAS declared article definitions

You may leave it blank if you are not sure of this. Our friendly staff will review and make sure the product is under proper classification.
RECS
- Risk Level 3 风险等级3
- Risk Level 2 风险等级2
- Risk Level 1 风险等级1
Risk level definitions and List of Equipment
Level 3 Articles 风险等级3产品
You may leave it blank if you are not sure of this. Our friendly staff will review and make sure the product is under proper classification.
Level 2 Articles 风险等级2产品
You may leave it blank if you are not sure of this. Our friendly staff will review and make sure the product is under proper classification.
6. Product Details 产品信息
Product Description 产品描述*
Main Model Number 主产品型号*
Trade/Brand Name 商标*
Electrical Ratings 电气参数
Additional Models 更多产品型号
Model Number 产品型号 Trade/Brand Name 商标 Electrical Ratings 电气参数
Manufacturer Name and Address is 制造商名址*
- Same as applicant 同申请人
- Different from applicant 不同于申请人
Manufacturer Name 制造商名称
Manufacturer Address 制造商地址
Factory Name and Address is 工厂名址
- Same as Manufacturer 同制造商
- Different from Manufacturer 不同于制造商
Factory Information 工厂信息
Factory Name 工厂名称 Factory Address 工厂地址
7. Modification Details 修改申请信息
This modification is for 本修改申请是*
- Applicant Detail Change 申请人信息更改
- Manufacturer detail change 制造商信息更改
- Factory detail change 工厂信息更改
- Certified Product constructional change 已认证产品结构更改
- Addition of New Model(s) 新增产品型号
- Addition of Critical Components 新增关键元器件
- Others 其它
Details Before Change and After Change 修改前后信息比对*
Addition of New Model(s) 新增型号*
Model Number 产品型号 Trade/Brand Name 商标 Electrical Ratings 电气参数
Addition of New Component(s) 新增关键元器件
Component Description 元器件描述 Electrical Ratings 电气参数 Certification Information 元器件认证信息
Additional Model List 新增产品型号清单, Additional Component List 新增关键元器件清单
Max. file size: 512 MB.
8. New Certificate Holder Details 新持证人信息
The new certificate holder is from 新持证人来自于
- Australia 澳大利亚境内
- Overseas 澳大利亚境外
New Certificate Holder Business Name 公司注册名称*
New Certificate Holder Street Address 公司注册地址*
Street Address City State / Province / Region ZIP / Postal Code Country
New Certificate Holder Postal Address is 邮寄地址
- Same as street address 同公司注册地址
- Different to street address 不同于公司注册地址
New Certificate Holder Postal Address 邮寄地址
Street Address City State / Province / Region ZIP / Postal Code Country
New Certificate Holder ABN, ACN or ARBN 澳洲公司注册号
New Certificate Holder Contact Person Name 联系人姓名*
New Certificate Holder Contact Number 联系电话*
New Certificate Holder Email Address 电子邮件*
9. Support Documents 申请所需文件
Supportive Document
- Test Report(s) 产品安全测试报告
- Instruction Manual 产品说明书
- Name Plate/Label 产品铭牌
- Circuit Diagram or Drawing 产品电路图或爆炸图
- Critical Component Australian Certificates 关键元器件澳洲证书
- Consultant Authorization Letter 顾问授权信
- Test Report Authorization Letter 测试报告使用授权信
- Model Identity Declaration Letter 产品一致性声明
Supportive Documents Upload 申请所需文件上传
Drop files here or

Max. file size: 512 MB.
Notes 备注
10. Payment Details 付款信息
This payment is for the service OZ Cert Pty Ltd offers and is not a guarantee of a certificate. Please refer Schedule of Fees for payment amount.

认证费用是支付认证服务的，并不能保证证书一定会被签发。收费金额请参照收费清单。
Pay by 支付方式
- BPay (We'll invoice you with BPay information.)
- Credit Card 信用卡
- Credit Debit Card 借记卡
- Electronic Funds Transfer (EFT) 电子汇款
- Alipay or Wechat Pay 支付宝或者微信支付
Use the payment link below to finalize payment by cards. 信用卡支付链接如下。
Please forward a copy of payment receipt to info@ozcert.com.au.
New application, Australian clients, $715
New application, overseas clients, $650 / 海外客户新申请, $650
Renewal application, Australian clients, $715
Renew application, overseas clients, $650 / 海外客户证书更新申请, $650
Non-tech mod application, Australian clients, $363
Non-tech mod application, overseas clients, $330 / 海外客户非技术性修改申请, $330
Tech mod application, Australian clients, $550
Tech mod application, overseas clients, $500 / 海外客户技术性修改申请, $500
Transfer application, Australian clients, $363
Transfer application, overseas clients, $330 / 海外客户证书持有人转移申请, $330
Electronic Funds Transfer (EFT) remittance slip 电子汇款底单
Max. file size: 512 MB.
Bank – Westpac Cleveland

Account Name – OZ CERT PTY LTD,

BSB – 034 070

Account Number – 607 145

SWIFT Code – WPACAU2S

Please send us a copy of the remittance slip. Please use the applicant name and first product model number as a reference.

电子汇款后请发送汇款底单。备注栏请使用申请人公司名称和第一个产品型号。
Consent*

I hereby make the application to OZ Cert Pty Ltd (ABN: 16 634 873 831) for the Electrical Product Safety Certification as described above in this application and declare that the statements and information provided in this application are true to the best of my knowledge.

I agree to pay OZ Cert Pty Ltd the application fees and understand that the payment is for the certification service and non-refundable, regardless of the outcome of this application.

我声明我在OZ Cert Pty Ltd (ABN: 16 634 873 831)电气产品安全认证申请表中提供的陈述和信息均属实。

我同意向OZ Cert Pty Ltd支付申请费用并理解该费用是认证服务费用，无论申请结果如何，此款项不予退还。

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Model Number 产品型号	Trade/Brand Name 商标	Electrical Ratings 电气参数

Factory Name 工厂名称	Factory Address 工厂地址

Model Number 产品型号	Trade/Brand Name 商标	Electrical Ratings 电气参数

Component Description 元器件描述	Electrical Ratings 电气参数	Certification Information 元器件认证信息

0. For OZ Cert use only

2. Authorized Consultant Details 授权顾问信息

4. Applicant / Certificate Holder Details 申请人/持证人信息

5. Application Type 申请类别

6. Product Details 产品信息

7. Modification Details 修改申请信息

8. New Certificate Holder Details 新持证人信息

9. Support Documents 申请所需文件

10. Payment Details 付款信息

Use the payment link below to finalize payment by cards. 信用卡支付链接如下。