为附件1 申请书注意 应直接在网上填写后打印.doc

CQC/QPCP01.06(1/2) 申请编号: 生产厂编号： Application No : Factory No: CQC认证申请书 Application for the CQC Certification 首次申请 □ 再次申请 □ First Application Second Application 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: