Application For ACMA Telecommunication Equipment Certificate

All forms MUST be submitted in English.

Application Details :
1. Type of Application*
Select from drop down menu
2. Applicant Details
Business Name :*
Business Country*
Address :*
Postal Address :

If different to above
ABN, ACN, or IRDN :

If applicable
Contact Name (Mr/Ms/Mrs/Dr.) :*
Phone :*
Fax :
Mobile :
Applicant Email :*
3. Agent Details
Business Name :
Postal Address :
ABN, ACN, or IRDN :

If applicable
Contact Name (Mr/Ms/Mrs/Dr.) :
Phone :
Fax :
Mobile :
Agent Email :
4. Product Details
Name of the product to be certified :*
Product Description :*

Include telecom interface type
Trade / Brand Name :*

To appear on product
Main Model Number :*
Previous Certificate Number :

Previous Certificate Number or complete below
Certificate Number :
Manufacturer's Name :*
Manufacturer's Address :*
5-1. Test Reports Details (1)
Test Report Number :
Date of Report
MM slash DD slash YYYY
Name of the Laboratory :
Test Standard (s):
Additional Information :
5-2. Test Reports Details (2)
Test Report Number :
Date of Report
MM slash DD slash YYYY
Name of the Laboratory :
Test Standard (s):
Additional Information :
5-3. Test Reports Details (3)
Test Report Number :
Date of Report
MM slash DD slash YYYY
Name of the Laboratory :
Test Standard (s):
Additional Information :
Additional Test Report
- Yes
5-4. Test Reports Details (4)
Test Report Number :
Date of Report
MM slash DD slash YYYY
Name of the Laboratory :
Test Standard (s):
Additional Information :
Additional Test Report
- Yes
5-5. Test Reports Details (5)
Test Report Number :
Date of Report
MM slash DD slash YYYY
Name of the Laboratory :
Test Standard (s):
Additional Information :
Additional Test Report
- Yes
5-6. Test Reports Details (6)
Test Report Number :
Date of Report
MM slash DD slash YYYY
Name of the Laboratory :
Test Standard (s):
Additional Information :
Additional Test Report
- Yes
5-7. Test Reports Details (7)
Test Report Number :
Date of Report
MM slash DD slash YYYY
Name of the Laboratory :
Test Standard (s):
Additional Information :
Additional Test Report
- Yes
5-8. Test Reports Details (8)
Test Report Number :
Date of Report
MM slash DD slash YYYY
Name of the Laboratory :
Test Standard (s):
Additional Information :
Additional Test Report
- Yes
5-9. Test Reports Details (9)
Test Report Number :
Date of Report
MM slash DD slash YYYY
Name of the Laboratory :
Test Standard (s):
Additional Information :
6. General Modifications
Existing Certificate Number :
General changes that affect one or more approved (or to be approved) models :
7. Additional Models
Model number/Range numbers :
Difference between main model or other recorded model :
8. Administrative Modification
Existing Certificate Number :
Difference between certified model and modified model :
9. Change to the Applicant Details
Existing Certificate Number :
Declaration Supplied :
- Yes
- No
Details of Change :
10-1. Declaration of Applicant
- I have read and understood the Comtest Certification Body Terms, Conditions and Obligations (English or Chinese) and agree to abide by them.
- I agree to pay Comtest Certification Body the relevant application fees and understand the payment is non-refundable regardless of the outcome of this application.
- I declare hat the products submitted for certification are representative of a regular manufacture production line and that each product in that production line will be of the same construction as the product provided for compliance.
- I declare that the products complies with the current relevant standard.
- I acknowledge that any changes to the name and address of the certificate holder must be notified to Comtest Certification Body within one calendar month.
- I acknowledge that any changes to a product approved under this application must be notified to Comtest Certification Body for assessment prior to the product reaching the market.
- If applicable, I authorise the agent, as per details in Section 3, to act on my behalf for this approval certification.
Authorised Person
Dated
MM slash DD slash YYYY
Title
10-2. Declaration by Agent
- I hereby make application to Comtest Certification Body for the certification of Telecommunications equipment 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 have provided the applicant with Comtest Certification Body Terms, Conditions, and Obligations (English or Chinese) and attached is a copy of the signed declaration stating that they have read, understood and will abide by them.
- I will forward a copy as a part of my application documentation.
Authorised Person
Dated
MM slash DD slash YYYY
Title
11. Supporting Documents
Please upload all supporting documents for this application
Documents
Drop files here or

Accepted file types: pdf, doc, docx, xls, xlsx, ppt, pptx, Max. file size: 128 MB, Max. files: 9.
Supported formats - pdf, doc(x), xls(x), ppt(x) - no more than 8mb per file. If your file is too large, contact comtest@comtest.com.au for a solution.
12. Payment Details
Subtotal Quantity
$ 0.00
+ GST (Australia) Quantity
$ 0.00
Fee Amount
$ 0.00
Terms and conditions
Terms and Conditions*
- I agree
Comtest Certification Body Terms, Conditions and Obligations (English or Chinese)
Credit Card Details

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Name
This field is for validation purposes and should be left unchanged.

All prices quoted are excluding GST. Australian clients will be charged the quoted amount plus GST.

Application For ACMA Telecommunication Equipment Certificate

All forms MUST be submitted in English.

Application Details :

2. Applicant Details

3. Agent Details

4. Product Details

5-1. Test Reports Details (1)

5-2. Test Reports Details (2)

5-3. Test Reports Details (3)

5-4. Test Reports Details (4)

5-5. Test Reports Details (5)

5-6. Test Reports Details (6)

5-7. Test Reports Details (7)

5-8. Test Reports Details (8)

5-9. Test Reports Details (9)

6. General Modifications

7. Additional Models

8. Administrative Modification

9. Change to the Applicant Details

10-1. Declaration of Applicant

10-2. Declaration by Agent

11. Supporting Documents

12. Payment Details

Terms and conditions