CE认证申请书

CE认证申请书
Our reference 申请书编号Date 申请日期
Applicant name
申请人名称:
Applicant address
申请人地址:
Tel. 电话号Fax传真号E-mail电子邮箱
Contact person name/ Tel./E-mail
联系人姓名/电话/ E-mail
Manufacturer’s name
制造商名称
Manufacturer’s address
制造商地址
Tel. 电话号Fax 传真号E-mail 电子邮箱
Product name 产品名称
Trade mark产品商标
Model and specification 型号规格
Technical data 技术参数
Directive指令号
Relevant Standard 标准号/及增补件
Has the applying equipment been awarded the CCC/CQC/CB Test Certificate. If yes, please fill in the Certification’s number and the name of the test Lab:
申请认证的产品是否有CCC/CQC/CB测试证书.如果是，请填写证书号及检测机构名称：
The country which the product will be export to
拟出口国家:
Components/spare parts and materials used in the appliance
整机的安全元器件及材料清单:
Other information of value to the CQCs (see applicant’s notice) (preferably in quadruplicate)提供给CQC的其它有价值的信息（见申请人须知）作为申请书附件（一式二份）
授权人签章 Authorized signatory。