CB测试证书申请书.docVIP

CB测试证书申请书 Application for CB Test certificate CQC/QPCPO9.04(1/1） Our reference 申请书编号 Date 申请日期 国际电工委员会电工产品合格测试认证组织IECEE-关于电工产品测试证书相互认可体系 Applicant name 申请人名称: Applicant address 申请人地址: Tel. 电话号 Fax传真号 E-mail Contact person name/ Tel./E-mail 联系人姓名及电话/ E-mail Manufacturer’s name/address 制造商名称及地址 Tel. 电话号 Fax 传真号 E-mail Factories name and address: 工厂名称及地址: Product name 产品名称 Trade mark产品商标 Model and specification 型号规格 Relevant Standard 标准号/版本号及增补件 The country which the product will be export to 拟出口国家: Components/spare parts used in the appliance 整机的安全元器件清单: Object/part 元器件名称 Manufacturer Trade mark 制造厂/商标 Type/ model 型号规格 Technical data 技术数据 Standard 采用标准 Mark of conformity 认证标志 Other information of value to the NCBs (such as business license, catalogues, price lists, advertising material, informatory pamphlets, lists of components or spare parts, instructions for maintenance and repair, photographs, drawings, circuit diagrams) is enclosed (preferably in quadruplicate) and is listed below: 提供给NCB的其它有价值的信息（企业注册复印件, 产品目录、价格表、宣传材料、小册子、元件或备件表、维修指南、照片、图纸、线路图）作为申请书附件（一式二份） 备注 Note： 我们申请进行现场测试，测试形式为 TMP WMT We would like to apply for on-site testing测试实验室名称： 编号：Name of Lab: Code given by CQC:  我们同意本产品获得CB证书后将证书内容作为公共信息公布在IECEE网站上，所有人员均可查阅。We agree that, after obtaining CB certificates for the products involved in this application, content of the