Standardization process ILNAS/OLN/F001 Application for registration to a technical standards committee of standardization (or modification of personal data of an existing registration) Approved by : Jérôme Hoerold Version 06.2 – 06.04.2017 Page 1 of 7 ILNAS/OLN/F001 Form Application for registration to a technical standards committee (or modification of personal data of an existing registration) Southlane Tower I 1, avenue du Swing L-4367 Belvaux Tel.: (+352) 247 743 40 Fax: (+352) 247 943 40 [email protected] www.portail-qualite.lu The updated version of this document is available on www.portail-qualite.lu The printed versions are not managed. Standardization process ILNAS/OLN/F001 Application for registration to a technical standards committee of standardization (or modification of personal data of an existing registration) Approved by : Jérôme Hoerold Version 06.2 – 06.04.2017 Page 2 of 7 This questionnaire must be completed for any application to a technical standards committee and for any change in personal data of an existing registration. The application process is described in the procedure ILNAS/OLN/Pr001 – “Procedure concerning the registration to technical standards committees”. The Luxembourg standards body undertakes to respect the confidentiality of information provided in the questionnaire and other documents. In case of change of personal data of an existing registration, the same form is to be used. However, it is not necessary to complete items that remained unchanged since the last form. It is therefore up to the candidate to update the information mentioned in this questionnaire at the Luxembourg standards body. This information will be available to the executive committee “Standardization” of ILNAS for each decision on the registration of a technical committee, as well as to the Luxembourg standards body for the assessment and review of the folder. All the documents related to the functioning of the Luxembourg standards body can be found on the website: www.portail-qualite.lu The completed and signed form must be sent to: ILNAS Organisme Luxembourgeois de Normalisation 1, avenue du Swing L-4367 Belvaux You can also send an electronic copy of this form to the following electronic address: [email protected] A. General information on the economic actor whose candidate is wishing to register in a technical standards committee A.1. Subject of the application Form for modification of personal new application to a data on an existing technical standards committee registration The updated version of this document is available on www.portail-qualite.lu The printed versions are not managed. Standardization process ILNAS/OLN/F001 Application for registration to a technical standards committee of standardization (or modification of personal data of an existing registration) Approved by : Jérôme Hoerold Version 06.2 – 06.04.2017 Page 3 of 7 A.2. Identification of the economic actor whose candidate is wishing to register in a technical standards committee of standardization Identification Name of the economic actor: Legal status: Trade register number: Street and number: City: Country: Zip code: Postal address: Phone: Fax: E-mail: Website: Name of the legal representative: Function: The updated version of this document is available on www.portail-qualite.lu The printed versions are not managed. Standardization process ILNAS/OLN/F001 Application for registration to a technical standards committee of standardization (or modification of personal data of an existing registration) Approved by : Jérôme Hoerold Version 06.2 – 06.04.2017 Page 4 of 7 A.3. Main activities of the economic actor A.4. Which activities of the economic actor are related to standardization? A.5. What is your motivation to participate in a technical standardization committee? (For consultants: Which national economic interests are you defending?) A.6. Does the economic actor belong to a group? If yes, which one: A.7. Does the economic actor have subsidiaries? If yes, identify the main: The updated version of this document is available on www.portail-qualite.lu The printed versions are not managed. Standardization process ILNAS/OLN/F001 Application for registration to a technical standards committee of standardization (or modification of personal data of an existing registration) Approved by : Jérôme Hoerold Version 06.2 – 06.04.2017 Page 5 of 7 B. Personal information about the candidate wishing to register in a technical standards committee B.1. Identification of the person Contact Last name: First name: Date of birth: Private address: Professional address: Private phone number: Professional phone number: Cellphone number: Fax: E-mail: Initial and additional trainings school, university, institute, training organization training received, title of the training diploma The updated version of this document is available on www.portail-qualite.lu The printed versions are not managed. Standardization process ILNAS/OLN/F001 Application for registration to a technical standards committee of standardization (or modification of personal data of an existing registration) Approved by : Jérôme Hoerold Version 06.2 – 06.04.2017 Page 6 of 7 C. Information on the field to follow C.1. Type of the desired registration You want to register as member who actively participates in technical committees (free) member who receives committee documents as “read only” mode (annual fee defined in the document ILNAS/OLN/B001) C.2. Organization hosting the technical standards committee National, European or international standards organization hosting the selected technical standards committee ISO ISO/IEC IEC CEN CENELEC ILNAS C.3. Specification of the technical standards committee to follow Details Code: Title: The updated version of this document is available on www.portail-qualite.lu The printed versions are not managed. Standardization process ILNAS/OLN/F001 Application for registration to a technical standards committee of standardization (or modification of personal data of an existing registration) Approved by : Jérôme Hoerold Version 06.2 – 06.04.2017 Page 7 of 7 D. Declaration I want to register as a national expert wishing to follow a technical standards committee of standardization. As part of this entry: I declare to be conform to the legislation, particularly as regards to the right of establishment; I declare to know and respect the system and how the Luxembourg standards body works within ILNAS as described on the website “www.portail-qualite.lu” as well as the rights and duties; I agree to comply with the policy on participation in technical standards committees ILNAS/OLN/P001 (available on the site www.portail-qualite.lu); I agree to comply with the CEN/CENELEC guide 31 relating to the best practices assuring the respect of the competition law; I agree to provide an annual activities report by sending to the Luxembourg standards body the completed form “ILNAS/OLN/F009”. The candidate wishing to register: Last name and first name : Function in the company : Date : Signature: (be preceded by the words “read and approved”) Approval by the direction of the economic actor supervision of the future national expert, called above “the candidate”: Last name and first name1 : Function in the company : Date : Signature: 1 signatory must be authorized to commit the organization The updated version of this document is available on www.portail-qualite.lu The printed versions are not managed.
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