APPLICATION FOR CERTIFICATION

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1 APPLICATION FOR CERTIFICATION New application: TCO Certified Displays Notebooks Tablets Smartphones Desktops All-In-One PCs Projectors Headsets TCO Certified Edge Minimum 85% recycled plastic content (Displays) Halogen free (Displays) Full Function Ergonomic Display Stand (Displays) Minimum 50% recycled plastic content (All-In-One PCs) Outdoor readability (Notebooks) Enhanced acoustic limiting (Headsets) Update of existing certificate: New generation TCO Certified Add Critical Component Add Sales Name(s) Other COMPANY The Company is responsible for the certificate and must have a signed license agreement with TCO Development. Full name of Company REPRESENTATIVE (for the above Company) Full name of representative Page 1 of 6

2 DISPLAYS, ALL-IN-ONE PCs, DESKTOPS, NOTEBOOKS, TABLETS, SMARTPHONES PRODUCT AND TECHNICAL DATA Product Category Size (Inches): Brand Name Type / Model Name Sales Name(s) LCD-panel type no. The product has been certified earlier with the following Brand Name, Type/Model Name: Earlier certificate No. Other information DOCUMENTS ENCLOSED Test laboratory Report number Audit report verification (Social responsible manufacturing) Environmental verification report Emission test report and verification report Energy test report and verification report Separate power supply safety certificate IEC/EN Certificate for product safety according to IEC/EN Visual Ergonomics test report and verification report Work load ergonomics verification report Acoustic test report and verification report TCO Certified Edge verification/test report Annual list of factories, each with a planned audit date for socially responsible manufacturing 4 photos of the test product: (front, rear, view of open panel and readable panel marking plate). For Desktops 2 photos: (front and rear) Copy of the product marking plate Copy of the External Power Supply marking plate Declaration Of Identity if compliance is based on a previous test report of an identical product. Sales Name(s) (as defined in the General Terms) Type Designation Key (for Type/ Model names with undefined characters using an Asterisk). Note! Documents used as a basis for a certification shall be in English and not be more than 2 years old. For faster handling, send all above documents together in a single to certification@tcodevelopment.com Please see the applicable Application Process document for advice on filling out this Application Form. Page 2 of 6

3 PROJECTORS PRODUCT AND TECHNICAL DATA Product Category (DMD/LCD/LCoS/LED) TCO Image Size office/video (Inches): Brand Name Type / Model Name Sales Name(s) DMD chip no./ LCD-panel type no. Sound Power Level B(A) The product has been certified earlier with the following Brand Name, Type/Model Name: Earlier certificate No. DOCUMENTS ENCLOSED Test laboratory Report number Acoustic test report and verification report Emission test report and verification report Energy test report and verification report Environmental approval and verification report Separate power supply safety certificate IEC/EN Certificate for product safety according to IEC/EN , UL or IEC/EN Visual Ergonomics test report and verification report TCO Certified Edge verification/test report 3 photos of the certified product: (front, rear and connections.) Copy of the marking label Declaration Of Identity if compliance is based on a previous test report of an identical product. Sales Name(s) (as defined in the General Terms) Type Designation Key (in case of Type/ Model Name with undefined characters). This is a document describing what the possible undefined characters mean. The provisions on how to use the type designation key is announced by TCO Development from time to time. Note! Documents used as a basis for certification shall be in English and not be more than 2 years old. For faster handling send all above documents together in a single to certification@tcodevelopment.com Please see the applicable Application Process document for advice in filling out this Application Form. Page 3 of 6

4 HEADSETS PRODUCT AND TECHNICAL DATA Product Category Technology (Analogue/Digital): Brand Name Type / Model Name Connection type (Wired/Wireless-Bluetooth/Dect) Sales Name(s) Headphone type no. Microphone type no The product has been certified earlier with the following Brand Name, Type/Model Name: Earlier certificate No. Other information DOCUMENTS ENCLOSED Test laboratory Report number Acoustic test report and verification report Durability test report and verification report Environmental approval and verification report Charger emission test report and verification report Energy report/approval and verification report SAR report and verification report Certificate for product safety according to IEC/EN , UL and/or EN/IEC Work load ergonomics declaration or test report TCO Certified Edge verification/test report 4 photos of the certified product: (mounted on the HATS from front, back and each side.) Copy of the marking label (On charger) Declaration Of Identity if compliance is based on a previous test report of an identical product. Sales Name(s) (as defined in the General Terms) Type Designation Key (in case of Type/ Model Name with undefined characters). This is a document describing what the possible undefined characters mean. The provisions on how to use the type designation key is announced by TCO Development from time to time. Note! Documents used as a basis for certification shall be in English and not be more than 2 years old. For faster handling send all above documents together in a single to certification@tcodevelopment.com Please see the applicable Application Process document for advice in filling out this Application Form. Page 4 of 6

5 CERTIFICATE INFORMATION The following entity shall receive the certificate: The Company The representative of the Company, or The Brand Owner If other please fill in below and submit authorisation letter from the Company. Full name of the receiver of the Certificate INVOICE INFORMATION The following entity shall receive the invoice: The Company The representative of the Company, or The Brand Owner If other please fill in below and submit authorisation letter from Company. Full name of entity receiving the invoice. Page 5 of 6

6 AGREEMENT The Company has already signed an Entry Form and entered into the Agreement with TCO Development. Yes TCO Development notes No. The above named company wishes, on the basis of the information accompanying this Application Form to enter into the Agreement with TCO Development, in accordance with TCO Developments requirements. The signatory here below hereby guarantees its authorisation to sign and that all information submitted in this Application Form is correct and complete. SIGNATURE Place and date Name of legal entity Signature TCO Development, Linnégatan 14, S Stockholm, SWEDEN. Phone: , Fax: , certification@tcodevelopment.com Page 6 of 6

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