进口食品境外出口商或者代理商备案信息表.doc

进口食品境外出口商或者代理商备案信息表□初次备案 Initial Filing □修改备案信息 Amending the filed information第第 1 项项————企业信息企业信息 Section 1-Applicant’s Information*企业名称（中英文） (in Chinese/English)*企业地址（中英文）Address(in Chinese/English)*企业类型 Company Type：□出口商 Exporter □代理商 Agent *国家/地区 Country/Region：*邮政编码 Postal Code*联系人姓名 Contractor Name：*联系人/（请注明国家/地区代码及区域码）或Contractor Telephone/Fax (Include Area/Country/Region Code) or Cell Phone：联系人电子邮件信箱 E-mail：第第 2 项项————经营食品种类经营食品种类（多选项）Section 2-Food Category of Operation □粮食类 Grain □水产品类 Fishery products□蔬菜类 Vegetable □肉与肉制品类 Meat and meat products□坚果炒货类 Nut and Edible Seed products □蛋与蛋制品类 Shell Egg and egg products □食用油类 Edible oil □乳与乳制品类 milk and milk products□酒类 Alcoholic Beverages □罐头类 Canned foods□饮料类 Soft drinks and waters □特殊食品 foods for special dietary uses□蜂产品 bee product □调味品 flavorings□糕点饼干类 pastry biscuit; cracker □糖及糖果、巧克力类 candy; chocolate□蜜饯类 candied (preserved) fruit□其他，请描述 others, please description 第第 3 项项————中国贸易伙伴信息中国贸易伙伴信息 Section 3-Information of the Chinese Trade Partner to be contracted with:企业名称（中文）Name (in Chinese)：企业地址（中文）Address (in Chinese)：联系人 Contact person：/ Telephone/Fax:电子邮件信箱 E-mail：第第 4 项项————承诺书承诺书 Section.4-letter of commitment 兹承诺: 上述资料信息准确、真实。

I hereby commits: The information we submit is authentic, and accurate.*填表人姓名（印刷体）Contractor name (the printing version)： *填表人/或 Contractor’s office Telephone/Fax or cell phone：填表人电子邮件信箱 Contractor’s E-mail Address：*填表日期 Date：。