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消防产品型式认可申请书APPLICATIONFORTYPEAPPROVALOFFIREPRODUCT首次申请□再次申请□FirstApplicationSecondApplication申请企业名称:ApplicantFirm’sName:企业法人代表:Firm’sLegalRepresentative:(加盖公章)（OfficialSealoftheApplicant）填报日期：年月日Date：ymd公安部消防产品合格评定中心印制PrintedandDistributedbyChinaCertificationCenterforFireProducts,MinistryofPublicSecurity1.须知1.申请人应将填好的申请书及型式认可实施细则中规定的其它资料一式二份寄公安部消防产品合格评定中心。邮寄地址: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：1000782.有关公安部消防产品合格评定中心产品认证的公开文件可通过上网获取,网址是http：//或来函来电直接向本中心索取。3.本申请表应用中、英文二种文字填写。4.再次申请如实填写已申请并通过认证的产品情况。NOTICE1.ApplicantshouldsendtwofilledcopiesofthisApplicationFormandotherdocumentsmentionedinthecertificationrulesforfireproductstoChinaCertificationCenterforFireProducts(CCCF).Mailaddress:ChinaCertificationCenterforFireProducts,MinistryofPublicSecurityRoom1205,JinchengCenter,4thSectionFangqunyuan,Fangzhuang,Beijing,P.R.C.Postcode:1000782.PublicdocumentsrelatedtoCCCFproductcertificationcanbefoundonthewebsite:http：//申请企业概况GeneralDescriptionoftheApplicationFirm申请企业名称（中、英文）、地址、邮政编码Applicantfirm’sName,addressandpostcode法人及联系人姓名、电话、传真Name,telephoneandfaxoffirm’slegalpersonandcontactperson生产厂名称、地址、邮政编码Name,addressandpostcodeofthefactory厂长及联系人姓名、电话、传真Name,telephoneandfaxoftheheadofthefactoryandcontactperson办事处或代表处名称、地址、邮政编码Name,addressandpostcodeoftheagent办事处或代表处负责人及联系人姓名、电话、传真Name,telephoneandfaxoftheheadandcontactpersonoftheagent产品检验选择的国家级消防产品质量监督检验中心名称NameofaFireProductsTestingOrganizationSelected3.申请型式认可产品情况DescriptionoftheProductAppliedforTypeApproval序号SerialNo.产品名称NameofProduct型号规格ModelandSpecification执行标准ImplementedStandard商标Trademark4.申请型式认可产品名称、型号及照片Name,ModelandPhotographoftheProductduetobeAppliedforTypeApproval贴照片处Photographoftheproductputuphere名称型号NameModel贴照片处Photographoftheproductputuphere名称型号NameModel5.申请型式认可产品名称、型号及照片Name,ModelandPhotographoftheProductduetobeAppliedforTypeApproval贴照片处Photographoftheproductputuphere名称型号NameModel贴照片处Photographoftheproductputuphere名称型号NameModel6.申请型式认可产品名称、型号及照片Name,ModelandPhotographoftheProductduetobeAppliedforTypeApproval贴照片处Photographoftheproductputuphere名称型号NameModel贴照片处Photographoftheproductputuphere名称型号NameModel7.申请型式认可产品名称、型号及照片Name,ModelandPhotographoftheProductduetobeAppliedforTypeApproval贴照片处Photographoftheproductputuphere名称型号NameModel贴照片处Photographoftheproductputuphere名称型号NameModel8.主要生产设备和工装明细表DetailoftheMainProductionEquipmentsandAssembly序号SerialNo.名称和型号规格Name,ModelandSpecification数量Quantity制造单位及出厂时间ManufacturerandDateofProduction启用日期和现状DateofFirstApplicationandCurrentSituation9.主要检验仪器、设备明细表DetailofMainTestingApparatusandEquipment序号SerialNo.名称和型号规格Name,ModelandSpecification数量Quantity制造单位及出厂时间ManufacturerandDateofProduction启用日期和现状DateofFirstApplicationandCurrentSituation10.主要原材料外协外购件明细表DetailoftheMainRawMaterialsandPartspurchasedExternallyandMadeinCooperationwithOtherFirms序号SerialNo.原材料外协外购件名称及型号NamesandModelsoftheRawMaterialsandPartsPurchasedandMadeExternally供货单位Supplier质量情况Qualityinformation11.已申请型式认可产品情况DescriptionoftheTypeApprovalProductAlreadyObtained序号SerialNo.产品名称NameofProduct型号规格ModelandSpecification执行标准StandardImplemented获证情况证书编号descriptionandnumberofapprovedcertification