4 PRODUCT DETAILS details appear on the certificate Manufacturers’ No. on Applicant’s Brand(s)/ Distinguishing Input Output test report(s) Model No. to Trademarks differences between Voltage Current Voltage Current (W) (Needed for appear on models (e.g. colour) (V a.c (A) (W) (V a.c (A) cross certificate or d.c.) (Hz) or d.c.) (Hz) reference) If more than five models, please enter all model details into the spreadsheet supplied with this application. That will allow model details to be electronically captured and minimise the potential for certificate errors ONCE SIGNED, PLEASE RETURN ALL PAGES OF THIS FORM TO UL AT
4 PRODUCT DETAILS details appear on the certificate Manufacturers’ No. on test report(s) (Needed for cross reference) Applicant’s Model No. to appear on certificate Brand(s)/ Trademarks Distinguishing differences between models (e.g. colour) Input Output Voltage (V a.c or d.c.) Current (A) (W) (Hz) Voltage (V a.c or d.c.) Current (A) (W) (Hz) If more than five models, please enter all model details into the spreadsheet supplied with this application. That will allow model details to be electronically captured and minimise the potential for certificate errors ONCE SIGNED, PLEASE RETURN ALL PAGES OF THIS FORM TO UL AT