特种设备制造许可申请书(英文).docVIP

TSZS009－2003 Application Form For Manufacture Licensing of Special Equipment of the People’s Republic of China Manufacturer: Equipment Category: Type of application: Application Date: General Administration of Quality Supervision, Inspection and Quarantine of the People’s Republic of China Basic Conditions of Application Manufacturer Full Name of Manufacturer Address of Manufacturer Country / Region Corporate Representative Liaison Phone Number Facsimile Number E-mail Address Post Code Website Homepage Date of Establishment Total Employees Management Representative Position of Management Representative Registration or Certification Achieved Items under Registration or Certification Certification Organization Date of issue Date of Expiration Application Agent Full Name Address Organization Code Corporate Representative Representative on Manufacturer’s Behalf Phone Number E-mail Address Facsimile Number Category of Licensing Applied ( Mark “O” in the column of “Licensing Held” for licensing holder, and mark “√” in the column of “New Applicant” for new application, license renewal or application for scope extension) Category Classification Level Scope Typical Products Licensing Held New Applicant Type Testing Organization Declaration and Signature of Applicant I hereby declare that my party is willing to apply for the Manufacturer Licensing by following the provisions on the “Supervision Administration Regulation for Manufacture of Boilers and Pressure Vessels”. My party will accept the review, survey and assessment, product (sample) inspection testing, and engage our full guarantee for product quality by following relevant regulations, and accept subsequent surveillance product supervisory inspection, and provide the necessary working conditions, and pay the relevant fees and expenses as stipulated. Corp