| Form A |
| APPLICATION FOR A LICENCE TO USE THE STANDARD MARK |
| 1. | I/We ........................................ carrying on business at .................................. (address) (business name) ............................................................... |
| hereby apply for a licence to use the standard mark in connection with the goods/service/practice mentioned below. |
| (1) | (a) | description of goods |
| | (b) | brand name |
| | (c) | type, size, grade, style |
| (2) | Description of service/practice. |
| 2. | Related Saint Lucia Standards— |
| No. | Title |
| No. | Title |
| No. | Title |
| 3. | Information on production (calendar years) |
| No. of Units/Value ex works |
| Last year 1 January 20 | to 31 December 20 |
| This year 1 January 20 | to 31 December 20 (estimated) |
| 4. | Sources or raw materials/components purchased. |
| 5. | Standards or specification used for checking raw materials/components purchased. |
| 6. | Testing facilities available to applicant— |
| (a) | in factory; |
| (b) | elsewhere in Saint Lucia; |
| (c) | in other countries. |
| 7. | We operate/do not operate a quality assurance programme for sampling and testing products and inputs (if so, give details). |
| DECLARATION |
| 8. | (a) | I/We agree that for the purpose of an enquiry into the quality of the goods prior to being issued licence to use the standard mark the Bureau may be given free of charge samples of any goods, raw material or components needed for tests by the Bureau that the Bureau may be satisfied that the goods conform with the Saint Lucia standards mentioned above. |
| (b) | I/We agree to allow the Bureau to make such inspections of processes or practices as may be necessary. |
| (c) | I/We agree that any costs for testing or consultation or involved in assessing the quality of the goods prior to being issued a licence to use the standard mark shall be paid by me/us at the Bureau's request. |
| (d) | I/We undertake to abide by the terms of any licence to use the standard mark issued to me/us by the Bureau so long as the licence is in force, and to observe the provisions of the Standards Act and Regulations. |
| (e) | In the event of the licence being revoked, I/We undertake to cease immediately any use of the standard mark. |
| Signed ......................................................... |
| Name in Block Letters ................................. |
| Position ........................................................ |
| For and on behalf of ..................................... |
| Dated this ................................ day of .................................., 20 |
| Signed .......................................................... |
Owner or person in charge of the
goods and service, etc. |