Application Forms

Electrical Appliance and Material Safety Law (PSE Mark)

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
All Download

Separate Download

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

Application Forms (01-07) (PDF: 1.3MB)
  • * 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.
  • * 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
  • * If the applicant and the contact person belong to different entities each other, please provide us this document.
When necessary
Documentation to be prepared by the Applicant
Type Classification Table Requisite
Circuit diagram(s) Requisite
Label information, user manual Requisite


  • 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


* For the application of Electrical Appliance and Material Safety Law (PSE Mark)


To down load the files, please get Adobe® Reader®.

Back to Application Forms

Go to page top