Application Forms

Global Approvals through JQA

Please send the application documents either by e-mail, fax or post to the testing center/laboratory at which you wish to make the application. (In case of post, test sample(s) can be enclosed with the documents.)
Please read the "Terms of Agreement for Applications regarding Testing and Certification Services" before proceeding with your application.

List of Required Forms
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Separate Download

* Please use this column when the format(s) is/are separately needed.

New Modifi-
Application Forms (01-03) (PDF: 568KB)
  • * In case of more than one service at the same time (such as the simultaneous application for CB Certification and Application agency service), please provide us with only one sheet (1st page) of the application form.
  • * Please include the signature or the seal of Applicant's responsible person.
Requisite Requisite
Requisite Requisite
  • * If this list is not provided or is kept blank, this item will be sent for the attention of the contact person noted in the application form.
When necessary When necessary
  • * If the applicant and the contact person belong to different entities each other, please provide us this document.
When necessary When necessary
  • * This item is needed for CCC Mark application.
Requisite Requisite
For additions, amendments When necessary


  • Safety & EMC Center (Tokyo)
    4-4-4, Minamiosawa, Hachioji-shi, Tokyo 192-0364, Japan
    TEL : +81 (0)42-679-0246 / FAX : +81 (0)42-679-0170
    E-mail :
  • TSURU EMC Branch
    2096, Ohata, Tsuru-shi, Yamanashi 402-0045, Japan
    TEL : +81 (0)554-43-5517/ FAX : +81 (0)554-43-6316
  • SHIKATSU Branch (Aichi)
    53-1, Yamaura, Yakushiji, Kitanagoya-shi, Aichi 481-0005, Japan
    TEL : +81 (0)568-23-0023 / FAX : +81 (0)568-23-0116
    E-mail :
  • KITA-KANSAI Testing Center (Osaka)
    1-7-7, Ishimaru, Minoh-shi, Osaka 562-0027, Japan
    TEL : +81 (0)72-729-2244 / FAX : +81 (0)72-728-6848
    E-mail :
  • SAITO EMC Branch
    7-3-10, Saito-asagi, Ibaraki-shi, Osaka 567-0085, Japan
    TEL : +81 (0)72-640-5270 / FAX : +81 (0)72-640-5271

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