CB测试证书申请书

CB测试证书申请书
Application for CB Test certificate
CQC/QPCPO9.04(1/1）

Our reference  申请书编号                        Date 申请日期
 国际电工委员会电工产品合格测试认证组织IECEE-关于电工产品测试证书相互认可体系

SCHEME OF THE IECEE FOR RECOGNITION OF RESULTS OF TESTING TO
STANDARDS FOR SAFTY OF ELECTRICAL EQUIPMENT (CB-SCHEME).

Applicant name
申请人名称: 
Applicant address
申请人地址:

Tel. 电话号                 Fax传真号                 E-mail                 

Contact person name/ Tel./E-mail
联系人姓名及电话/ E-mail

Manufacturer’s name/address
制造商名称及地址                                                                    

Tel. 电话号                 Fax 传真号                 E-mail  
Factories name and address:
工厂名称及地址:              

Product name 产品名称

Trade mark产品商标                   

 Model and specification 型号规格

Relevant Standard 标准号/版本号及增补件      

The country which the product will be export to
拟出口国家:                          

Components/spare parts used in the appliance
整机的安全元器件清单:

Other information of value to the NCBs (such as business license, catalogues, price lists, advertising material, informatory pamphlets, lists of components or spare parts, instructions for maintenance and repair, photographs, drawings, circuit diagrams) is enclosed (preferably in quadruplicate) and is listed below:
    提供给NCB的其它有价值的信息（企业注册复印件, 产品目录、价格表、宣传材料、小册子、元件或备件表、维修指南、照片、图纸、线路图）作为申请书附件（一式二份）
                                                                

We declare that we will follow the rules of the CB Scheme and CQC’s relevant regulation and procedure. And make payment for the fees arising from the application, testing and other items related to the certification. CQC will not be held liable for any responsibility that should be taken by the certified manufacturer of sales agent.

   我们声明愿意遵守CB体系的规则及CQC 的规则程序.并支付所需费用.中国质量中心(CQC)将不承担获得CB测试证书的制造厂或销售商应承担的任何法律责任.

Signature                        

签   字