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CEMC-ZC12-2001 Page 1 Total 2 No:CCC 认证申请书( 英文版)China Certification Center for Electromagnetic CompatibilityApplication for Compulsory Product Certification c Initial application c Apply again Applicant: Address: P.C.: Tel: Fax: Page 2 Total 2 China Certification Center for Electromagnetic Compatibility:We are now applying for compulsory product certification of our own accord. We will accept type testing, factory inspection, follow-up inspection according to Regulations for Compulsory Product Certification as well as Rules and Procedures for Compulsory Product Certification set by the certification center, and then render certification fees according to relative regulations. Now we are applying for compulsory certification of the following products (see appendix 1). Applicant: Address: P.C.: Deputy of artificial person: Principal of quality: Linkman Tel of the linkman: Fax: (Fill in the followings when applicant differs from manufacturer)Name of manufacturer: Address of manufacturer: P.C.: linkman: Tel: Fax: (Fill in the followings when manufacturer differs from manufacturing premises)Name of manufacturing premises: Address of manufacturing premises: P.C.: linkman: Tel: Fax: Appendix: 1.Products applied for certification2. Survey table of manufacturer3. Documents to be submitted when applying for certification4. List of critical components in terms of safety5. List of major components affecting EMC performances Signature of delegate of artificial person (Deputy): Applicant(stamp): Date:Appendix 1 Products applied for certificationName of the product: Trade mark:No.Representative model/typeDerivative model/typeManufacturing premisesNo. of standards for testApplicant(stamp):Date of application:Appendix 2 Survey table of manufacturerManufactureAddressInstitute codeP.CArtificial personTelFaxSuperior department in chargeCharacter of possessionInstitute issuing the business license Date getting the business licenseSerial No. of the business licenseInstitute registering the trade markDate to register the trade mark Serial No. of registered trade markNumber of employeeNumber of technical personnelSorts of dominant products Fixed assetsProduction value last yearCertificate issued (domestic and overseas)Note: 1) Fill in the table for initial application; 2) Fill “/” in the column if it is blank.Appendix 3Documents to be submitted when applying for certification1. Documents to be submitted in terms of electric tools, household and similar use appliances; audio and video apparatusequipment and components for cable distribution systems of sound and television signals, audio and video apparatussatellite television receivers (EMC), information technology equipmentfinance and trade settlement equipment (EMC):1) Application for compulsory product certification;2) Business license of corporation or copy of registration certificate of the applicant;3) Organization of the applicant;4) Product assembly chart, circuit diagram;5) List of critical components and/or materials;6) Description of the difference between the different model/type of products in the same application unit;7) Other documents to be submitted if necessary.2. Documents to be submitted in terms of audio & video products, information technology equipment and telecommunication terminal equipment1) Application for compulsory product certification;2) Business license of corporation or copy of registration certificate of the applicant;3) Organization of the applicant;4) Circuit diagram and/or system block5) List of critical components and/or materials;6) Service manual and users manual in Chinese;7) Nameplate and warnings in Chinese;8) Description of the difference between the different model/type of products in the same application unit;9) Other documents to be submitted if necessary.3. Documents to be submitted in terms of lighting electrical appliances:1) Application for compulsory product certification;2) Business license of corporation or copy of registration certificate of the applicant;3) Organization of the applicant;4) List of critical components and/or materials;5) Description of the difference between the different model/type of products in the same application unit;6) Other documents to be submitted if necessary.Appendix 4List of critical components in terms of safetyName of the product: Model/type of the product:Name of the componentsModel/typeSpecsManufacturing premisesRemark(Spare components) Note: The spare components should be indicated in the column of remarkAppendix 5List of major

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