消防电子产品质量检验申请说明表 --

1、消防电子产品质量检验申请说明表 - - 消 防 电 子 产 品 质 量 检 验 申 请 表application form for the quality approval test of fire electronic product 申请企业名称 applicant firms name 企业法人代表firms legal representative （ 签字 ） （signature） （加盖公章）（official seal of the applicant）填报日期： 年 月 日date:中国国家消防电子产品质量监督检验中心印制printed and distributed by

2、china national supervisionand test注 意 事 项notice to matters concerned 1请用正楷字填写检验申请表。 please fill in the application form by the regular script 2封面企业法人签字处应由企业法人亲自签写。 the artificial person should sign in the cover of this form 3企业联络人应是企业法人授权、含有全权处理相关检验事宜资格人员。必需时，企业法人应在检验申请表中注明检验汇报领取人。 the linkman shoul

3、d be the personnel，authorized by the artificial person，deal with matters about the test of your productsif it is necessary，the artificial person should designate the person who will take away the test report in the application form 申 请 企 业 概 况general description of the applicant firm申请企业名称、地址、邮政编码ap

4、plicant firmsname, address and post code法人及联络人姓名、电话、传真name, telephone and fax offirms legal person andcontact person生产厂名称、地址、邮政编码name, address and post codeof the factory厂长及联络人姓名、电话、传真name, address and faxof the head of the factory and contact person企业产品质量检验能力capability for the qualityapproval test

5、of the firm产品生产日期及出厂检验情况manufacturing date andsummary about the producttest in manufacturer申 请 检 验 产 品 情 况description of the product applied for test序 号serial no.产品名称name of product型号规格model and specification实施标准implemented standard商 标trademard主型产品major model product分型产品sub-model product申请检验产品名称、型号及

6、照片name, model and photograph due to be applied for test主型产品major model product贴 照 片 处photograph of the product stickup here名 称 型 号name model分型产品sub-model product贴 照 片 处photograph of the product stickup here名 称 型 号name model分型产品sub-model product贴 照 片 处photograph of the product stickup here名 称 型 号name

7、 model分型产品sub-model product贴 照 片 处photograph of the product stickup here名 称 型 号name model分型产品sub-model product贴 照 片 处photograph of the product stickup here名 称 型 号name model分型产品sub-model product贴 照 片 处photograph of the product stickup here名 称 型 号name model分型产品sub-model product贴 照 片 处photograph of the

8、 product stickup here名 称 型 号name model分型产品sub-model product贴 照 片 处photograph of the product stickup here名 称 型 号name model简明说明送检产品用途和特点summary about usage and feature of the product提交中心送检产品技术资料明细表（需标明资料名称、页数及份数）the list of technical document to be submitted（including name、 number of copies and pages）

9、每种分型产品和主型产品区分difference between major model and sub-model product 企业责任人： person in charge of quality： 企业对产品检验要求或其它需说明事项some necessary requirements of the firm for the product test 企业责任人： person in charge of quality： 注：notes：1. 请按要求填写检验申请表一式一份，并附产品照片三张（125mm88mm）please fill in the form in 1 copy acco

10、rding to the requirements, and enclose 3 pieces of photos （125mm88mm） with.2. 提交企业注册证实复印件please submit the certificate of your commercial registration.3. 提交技术资料：产品安装使用说明书一式两份；产品设计计算说明书一式一份；产品调试纲领一式一份；产品机械设计图纸一式一份；产品电路设计图纸及元器件明细表（包含印刷线路板图、程序框图）一式一份；送检产品如无对应国家标准，应提供企业标准两份，同时提供市级以上技术监督部门同意实施该企业标准批文。the

11、 technical documents to be submitted：instruction of the use and installation, 2 copies;instruction of the product design and calculation, 1 copy;guide to product adjustment, 1 copy;mechanical drawing of the product, 1 copy;circuit diagrams, and list of the parts of the product（including the pcb diag

12、ram the program software flow diagram）, 1 copy;if no china national standards corresponding to your approving product, the test report and corresponding standards provided by relevant approval organization should be submitted to our center. 样本数量： 每种型号火灾报警控制器三台、和其配套探测器每台两只及最大负载条件下等效负载；（如火灾报警控制器为总线制，需

13、增加和其配套探测器十只。）每种型号探测器二十二只；手动火灾报警按钮十四只；消防应急灯具三台；如送检产品无对应国家标准，样品数量应和企业标准要求相符。numbers of the samples：the samples to be selectively submitted according to the test items.control panel：3 pieces with 6 detectors（each panel with 2 detectors）and necessary equivalent loads in maximum load condition（if working

14、 on the bus type, 10 pieces of this type detector should be attached to one of the control panels）;detector：22 pieces;manual call points：14 pieces;fire emergency lighting appliances：3 pieces;other products corresponding to no china national standards, the numbers of the products should be submitted

15、according to test items.通讯地址：单位名称：国家消防电子产品质量监督检验中心地 址：辽宁省沈阳市皇姑区蒲河街七号帐 户：国家消防电子产品质量监督检验中心开 户 行：中国银行黄河分理处帐 号：8391001电 话： 电 挂：6195 沈阳传 真：邮政编码：110031communication to the center：name：national supervision and test center for fire electronic product qualityaddress：7, puhe street, huanggu district, shenyang, p.r.china.bank：subbranch of huanggu district of shenyang, bank of china.account number：8391001telephone：0086-24 fax：0086- 24post code：110031样品编号sample nu