SAC/FOR/01-1 Communication and Multimedia Certification Section (CMCS) Product Certification& Inspection Department SIRIM QAS International Sdn. Bhd. Block 25, SIRIM Complex No. 1, Persiaran Dato’ Menteri P.O. Box 7035, 40911 Shah Alam Selangor Darul Ehsan, Malaysia Tel: 603-5544 6949, 6917 Fax: 603-5544 6912 APPLICATION CHECKLIST FOR SPECIAL APPROVAL FOR COMMUNICATION AND MULTIMEDIA PRODUCT Date of Application : NO File No.: SQASI/SA/ DESCRIPTION 1. Application for Special Approval of Communication and Multimedia Product form [SAC/FOR/01-2] 2. E-Permit application form [CMC/FOR/02-2] (for unregistered E-Permit user only) 3. Technical Specification / Brochure 4. Copy of Identity Card (Both sides) / Passport (For Personal) 5. Copy of invoice or pro-forma invoice (Not applicable to application for personal use) 6. Approval letter from SKMM, if applicable 7. Supporting letter from Network Operator, if applicable 8. Supporting letter from Organizer (applicable for Exhibition, Demo/ Trial/ Market Survey, R&D and Training) 9. Full payment for Special Approval (SIRIM label fee shall be paid upon collection of Special Approval Certificate) APPLICANT SQASI NOTE : 1. Product shall be submitted for evaluation with importation/declaration document endorsed by KDRM/Pos Malaysia within 14 (fourteen) working days from the date of importation/declaration document or Notice of Special Approval Application date. 2. Special Approval Certificate and SIRIM Label will be issued after approval is granted and payment of SIRIM label fee, if applicable. SIRIM QAS International Sdn. Bhd. Issue: 2 Rev.: 0 Communication and Multimedia Certification Section Page 1 of 1