RFQ Quote Request

Technical Product Design Contact:
Is the technical product design contact from the applicant company?

Yes they are from the same companyThis person is from a different company
Name of product design contact*

First NameLast Name
Position*
Email Address*
example@example.com
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number

Country CodeArea CodePhone Number
Land Line Number*

Country CodeArea CodePhone Number
Website

Who is the Manufacturer?
For certification purposes, the “manufacturer” of a product is the person who assembles, packs, processes or labels ready-made products with a view to placing it on the market under their own name. The responsibility for product compliance is born by the Company appearing on the product label, or if more than one name appears is the one marked as the manufacturer. This is irrespective of the owner of relevant intellectual property or the physical place of manufacture or assembly. The manufacturer location(s) are subject to surveillance of manufacture dependent on the certification scheme requirements. For example, Quality Assurance Notification for ATEX or UKEx and Quality Assessment report for IECEx.
Is the manufacturer the same as:

The company to whom we are sending the quotation?A different company?
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multiple extra boxes need adding

Manufacturer contact

This section is only necessary to complete if the manufacturing contact is in a different company
Name of Contact Person*

First NameLast Name
Position*
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
example@example.com
Mobile Number

Country CodeArea CodePhone Number
Land Line Number*

Country CodeArea CodePhone Number
Website

Products
Name of product (This will appear on the certificate)*
Description of products or range, state number of model variations and applicable build options and function.*
State the zone(s) for which the products has been designed to be installed. e.g. Zone 0,1,2, M1, M2, 20,21,22.*
State the standards marking you require on the product e.g. Ex d IIB T4*
Ambient temperature range (normal is -20°C to +40°C)
Ambient pressure range of the equipment

Normal atmospheric (0.8 to 1.1 bar)Other
Please list any existing certificates that cover part or all of the products to be certified.*
Name any consultancy service used in the design of any part of this product or in the development of the quality systems covering the manufacture of this product.*

Before the project can be completed, please send copies of the following documents, if applicable:
Complete set of certification drawings, in PDF format, including marking details*

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General arrangement drawing including where applicable range specification and options designation*

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Copy of relevant product test reports and other certification body certificates plus variations to those certificates. Include documentation for the whole product and for any incorporated certified products*

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Copy of Quality Management system approvals e.g. QAN, UK QAN, QAR, ISO9001 certificates etc*

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Product operating manual and maintenance instructions or extract thereof demonstrating compliance with EHSR 1.0.6*

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Declaration of conformity with other relevant directives*

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Which service do you require?