Request for cancellation of license/model to mark a product with the Standards Mark/Safety Mark

Manufacturer name *

Mark the appropriate statement:

I hereby request to cancel license in full.

License number *

I hereby request to cancel model

Model name *

License number *

I hereby request to temporarily cancel (for a period up to six months) license no

License number *

I hereby request to temporarily cancel (for a period up to six months) model

Model name *

License number *

*Temporary cancellation can only be realized for the case of production stoppage for a period up to six months.

The request for cancellation is for the following reasons

Production stoppage
Manufacturer's request

I have in stock product units marked with the Standards Mark, Please mention quantity: *

I hereby request approval from the Licensing Committee in the Standards Mark Operation Directorate to market the stock marked with the Standards Mark for a period not exceeding months. Please mention period of time (no longer than 6 months): *

I undertake to avoid marking additional products with the Standards Mark, not to use it and not to refer to it in my publications or in letters or in advertising.

Name *

Signature *

company stamp (A file with a company stamp must be attached) *

Attach No file chosen