Model Certificate – Certification of a Measuring Instrument
                    Certification of a Measuring Instrument in Accordance with Regulation 37 of the National
               Measurement Regulations 1999 (Cth) in Accordance with the National Measurement Act 1960 (Cth)
                                            1
              Name of certifying authority ...............................................................................................................
                       1
              Address ................................................................................................................................................
                         1                             1                             1
              Telephone ........................... Facsimile ................................. Email ..................................................
              Name and/or description of measuring instrument..............................................................................
                                                2
              Permanent distinguishing marks .........................................................................................................
              Date on which certified values of measuring instrument were established.........................................
                                   3
              Date of certification .............................................................................................................................
              Date of expiry of certificate..................................................................................................................
              Certified value(s) of measuring instrument..........................................................................................
              Uncertainty of certification4 ±..............................................................................................................
                    This uncertainty has been calculated in accordance with the principles in JCGM 100: 2008 
                    Evaluation of Measurement Data — Guide to the Expression of Uncertainty in 
                    Measurement, and gives an interval estimated to have a confidence level of 95% at the time 
                    of certification.
              Any storage and/or transport information relevant to certification......................................................
              NATA Agreed Traceability Statement?................................................................................................
              Signature.................................................................... Date.................................................................
              Name of signatory...................................................... Position held....................................................
              Being a person, or a person representing a body, appointed as a certifying authority under 
              Regulations 71 and 735 of the National Measurement Regulations 1999 (Cth) in accordance with 
              the National Measurement Act 1960 (Cth), I hereby certify that the above instrument is certified as
              a measuring instrument in accordance with the Regulations, by/under6 the supervision of the 
              above-named authority, and that it was found to be operating within the maximum permissible 
              errors for that type of measuring instrument at the time of certification.
              1       If the certificate is prepared on stationery containing this information it should not be repeated in the body of 
                  the certificate
              2       Permanent distinguishing marks in accordance with Regulations 37 and 41 including the current NMI pattern
                  approval number
              3       Date on which the certificate is signed
              4       Including the coverage factor
              5       Regulations 3 and 71 if the certifying authority is NMI
              6       Delete as appropriate
                                                       Certificate No………..