公安部消防产品合格评定中心

CCCF/001-2002(A/0)

C hina C ertification C enter for F ire Products

Ministry of Public Security (CCCF)

产品认证预申请函

Letter of Pre-application for Products Certification

1.申请企业名称/Name of Applicant Firm:

1.1申请企业地址/Address of Applicant Firm:

1.2邮编/ Postcode:

1.3联系人/ Representative to be Contacted:

1.4电话/Tel : 1.5传真/Fax:

1.6电子邮件/E-mail:

注：附上申请企业注册证明/ Note :The registration certificate of the applicant firm is to be enclosed.

2.代理人名称和地址、邮编(如有) /Name , Address and Postcode of the Agent (if any)

2.1联系人/ Representative to be contacted :

2.2电话/Tel： 2.3传真/Fax :

7.4电子邮件/E-mail:

注：代理人应提交委托书/Note: Letter of attorney should be submitted by the agent

3.制造商名称、地址、邮编/Name, Address and Postcode of Manufacturer:

4.工厂名称、地址、邮编/Name, Address and Postcode of Factory:

5.产品名称、型号、商标/ Name, Model and Trademark of the Product:

CCCF/001-2002(A/0)

C hina C ertification C enter for F ire Products

Ministry of Public Security (CCCF)

产品认证预申请函

Letter of Pre-application for Products Certification

6. 申请企业其它产品是否已获得CCCF证书/Is there any product awarded with the CCCF

Certificate/Mark similar to the one applied for certification:

□是/Yes □否/No

6.1如果有,给出已获证书的产品型号/If “Yes”,please give the model of the product awarded

with the CCCF Certificate/Mark:

6.2 产品的CCCF证书号/The CCCF Certificate Number of the Product

7.申请认证的产品是否有全性能委托检验报告/Has the product applied for certification been

awarded with the all item entrusted Test Report:

□是/Yes□否/No

如果有,给出全性能委托检验报告的编号和报告签发日期/If “Yes”, give the test report number and its issue date:

a．检验报告号及报告签发日期/the test report number and its issue date:

b．颁发检验报告的检验机构名称/Name of the test organization issuing the test report：

8.付款人名称及地址/Name and Address of the payer:

注/ Note:1.请用中文和英文填写/ Please fill out the form both in English and in Chinese

2.预申请函请寄至：中国北京市丰台区方庄芳群园四区金城中心1205室

公安部消防产品合格评定中心邮编: 100078 The letter of pre-application should be sent to: C hina C ertification C enter for F ire Products , Ministry of Public Security (CCCF), Room 1205, Jincheng Center,4th Section Fangqunyuan ,Fangzhuang ,Beijing, P.R.C. 100078

CCCF/011-2002(A/0)

强制性产品认证

新老证书转换申请审批表

Approval Application Form of Certificate Transition from

the Old One into the New One for Mandatory Products Certification

申请企业名称(加盖公章):

Name of the Applicant Firm:

产品类别:

Category of the Product:

申请日期: 年月日

Application Date:

公安部消防产品合格评定中心编制

China Certification Center for Fire Products,

Ministry of Public Security