gap认证申请书-中国质量认证中心.docVIP

1.申请人信息/Applicant information: 申请人名称/Name of Applicant：????? 申请人地址、邮编/Address and Zip of Applicant：????? 付款人名称/Name of drawee：????? 付款人地址/Address of drawee：????? 法人代表/Legal representative：????? 联系人/Contact person：????? 联系电话、传真/Telephone/Fax Number：????? E-MAIL(或网站/and/or website):????? 2.申请内容/Applying Information：　 2.1 □首次申请/First Application □复评申请/ ApplicationSubsequent （第 年） □转换机构/Chang CB 2.2 申请认证级别/ Certification Grade of Application □ ChinaGAP-GLOBALGAP认证/ ChinaGAP-GLOBALGAP Certification (仅适用于种植类产品/Only for Crops) □GLOBALGAP认证/ GLOBALGAP Certification (仅适用于种植类产品/Only for Crops) □ ChinaGAP一级认证/Grade 1 of ChinaGAP Certification　 □ ChinaGAP二级认证/Grade 2 of ChinaGAP Certification　 □ 如申请GAP一级认证现场检查没有通过，同意申请二级GAP认证/ Agree to Apply Second Class of GAP Certification, If Not Acquire First Class of GAP Certification./Option of Application　 □ 选项1-农业生产经营者/Option 1-Producer　 □ 选项2-农业生产经营者组织/Option 2-Producer Group 　 2.4申请模块/Applying for Modules：　 □大田作物/Combinable Crops ： □果蔬/Fruit ＆ Vegetables □茶叶/Tea □牛羊/Cattle ＆ Sheep □奶牛/Dairy □猪/Pigs □家禽/Poultry □水产池塘养殖/Aquaculture Pond culture □水产网箱养殖/ Aquaculture Cage culture □水产工厂化养殖/ Aquaculture Industrial culture □水产围拦养殖/ Aquaculture Net enclosure culture □水产滩涂、吊养、底播养殖/ Aquaculture Intertidal mudflat/hanging/ bottom-sowing culture □其他/others: 3. 是否申请附加服务dditional Service（否，请忽略此项/If not, omit it.）： □ 预检查/审核/Pre-scoping □ 样本和残留分析，请注明需要分析的产品数量 4.1 作物类产品/ Products, plants to be certified(如：大田作物，水果，蔬菜，茶叶/e.g.: combinable crops, fruits, vegetables and tea) : 产品名称/Name 露天/覆盖 /Uncovered or Covered 公顷（Ha） 一次收获或多次收获/ First harvest or further harvest 收获时间 Harvest time 年产量/Annual Output 产品是否处理 /Produce handling （Yes-No） 产品消费地/Consumer Destination ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ????? ?????