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CCC认证申请书

申请编号:                        申请人编号:

(Application No.)                    Applicant No.

                                            生产厂编号   

                                       Factory No:

 

 

 

 CCC认证申请书

 

Application for the CCC Certification

 

 

 

 

                

申请人/ Applicant                      

                                        

生产厂/Factory                         

                                        

             申请日期/Date                          

             产品类别/Product sort:                      

 

 

 

 

 

 

 

 

 

中国质量认证中心

China Quality Certification Centre


1.申请人/Applicant

1.1申请人名称/Name of Applicant:                                             

                                                                    

1.2 付款人名称及地址/Invoice Address:                                    

                                                                    

1.3申请人地址、邮编/Address and post code of Applicant:

                                                                    

                                                                                 

1.4 联系人/Person to be contacted:    

1.5 电话/Applicant’s Telephone:

1.6 传真/Fax:

1.7 电子邮件/E-mail:

2. 代理机构或中国办事处名称, 联系人姓名, 地址, 邮编, 电子邮件、电话及传真/Name of Agent or office in China, its contact person, Address, Post Code, E-mail, Tel. No. & Fax No.:                                            

                                                                      

3. 制造商/Manufacturer where the equipment is produced:

3.1制造商名称/Name of Manufacturer:                                                     

                                                                            

3.2制造商地址/Address of Manufacturer:                                     

                                                                     

3.3 联系人/Person to be contacted:

3.4 电话/ Manufacturer’s Telephone:

3.5 传真/Fax:

3.6 电子邮件/E-mail:

4. 制造厂/factory where the equipment is produced:

4.1制造厂名称/Name of factory:                                           

                                                                                 

4.2制造厂地址、邮编/Address and post code of factory:                                            

                                                                    

4.3 联系人/Person to be contacted:    

4.4 电话/factory’s Telephone:                  4.5 传真/Fax:                     

4.6 电子邮件/E-mail:

5.产品名称/Name of the equipment:                                      

6.产品商标/Trade mark of the equipment:                                  

 

7.型号和规格/Model and specification:                                  

                                                                  

                                                                  

                                                                  

8. 申请认证产品的GB标准号/Number of the GB standard for the equipment to be certified:

8.1           安全标准/Standard for Safety:                                                      

8.2           EMC标准/Standard for EMC(如有/If applicable):                                     

9. 申请认证的产品是否有CB测试证书/Has the applying equipment been awarded the CB Test Certificate:

 

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