CCC认证申请书.doc

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 C 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

of Applicant:

付款人名称及地址/Invoice Address:

、邮编/Address and post code of Applicant:


联系人/Person to be contacted:
电话/Applicant’s Telephone:
传真/Fax:
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:
of Manufacturer:

of Manufacturer:

联系人/Person to be contacted:
电话/ Manufacturer’s Telephone:
传真/Fax:
电子邮件/E-mail:
4. 制造厂/factory where the equipment is produced:
of factory:

、邮编/Address and post code of factory:

联系人/Person to be contacted:
电话/factory’s Telephone: 传真/Fax:
电子邮件/E-mail:
of the equipment:
mark of the equipment:
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:
安全标准/Standard for Safety:
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 be