玩具类产品--3C认证申请书.doc

CQC/13流程0101.01（01）申请编号: 生产厂编号： Application No: Factory No:玩具类产品CCC认证申请书Application for the CCC Certification 　 　 申请日期/Date：产品类别/Product sort:中国质量认证中心China Quality Certification Centre1．认证托付人/Applicant:1.1认证托付人名称/Name of Applicant: 1.2 付款人名称、地址/Name 、Address of Payer: 1.3认证托付人地址、邮编/Address and post code of Applicant: 1.4证书邮寄地址、邮编/Address and post code of certificate mailing:                                             批准书/各类通知书邮寄地址、邮编/Address and post code of approving for change of certification or notice of suspension, withdrawal, cancellation or resumption: 1.5 组织机构代码：1.6联系人/Contact Person: 1.7/ Telephone: 1.8/Fax: 1.9电子邮件/E-mail: 1.10移动/Mobile phone: 2. 代理机构或中国办事处/Name of Agent or office in China:2.1 代理机构/中国办事处名称/ Name of Agent or office in China: 2.2 联系人/Contact Person: 2.3/ Telephone:2.4/Fax: 2.5电子邮件/E-mail: 2.6移动/Mobile phone: 3. 生产者（制造商）/Manufacturer（where the equipment is produced）:3.1生产者（制造商）名称/Name of Manufacturer: 3.2生产者（制造商）地址/Address of Manufacturer: 3.3联系人/Contact Person:3.4 / Telephone: 3.5 /Fax: 3.6 电子邮件/E-mail: 3.7移动/Mobile phone: 4. 生产企业/Factory（where the equipment is produced）:4.1生产企业名称/Name of factory: 4.2生产企业地址、邮编/Address and post code of factory: 4.3联系人/Contact Person: 4.4电子邮件/E-mail: 4.5/ Telephone: 4.6/Fax: 4.7移动/Mobile phone: 4.8工厂编号/Factory Number：5.产品类别/ product Sort: 6.产品名称/ Name of the production: 7. 型号和规格　/Model and specification: 8. 产品商标/Trade mark : 9.产品认证依据/Standards of product certification: 10．请选择所申请的认证模式Please Choose Certificate Mode（必要时请与产品受理工程师协商）： 10.1 初始工厂检查+产品抽样检测+获证后监督/Product sample test + Factory inspection + Follow up inspection after being certificated 方式一：初始工厂检查、产品抽样+产品检测 □ Mode 1: First Factory inspection, Product sample + sample test 方式二：产品抽样+产品检测、初始工厂检查 □ Mode 2: Product sample + sample test, First Factory inspection10.2 型式试验+符合性声明+获证后监督□/Type Testing of the Product + Conformance announce + Follow up inspection after being certificated.11. 申请CCC认证同时，是否申请CB测试证书/If to apply CB Certificate When apply CCC Certification：□是/Yes □否/No12. 说明生产企业是否有同类产品获得过CCC证书，假如有，请列出证书编号。

/Please indicate if the factory has ever obtained CCC certificates, if the answer is yes, then list the certificate No:13、请选择本次申请的获证模式/Please choose the certification type of this application： £一般类型/Normal £OEM £ODM £其他利用已获证书结果/by other granted certificationA.选择本次申请的获证模式为“ODM”，出现下面两个选项/Two choices will appear if ODM is selected as the certification type：£ 本次申请拟利用ODM生产企业已有CCC证书的结果to use the granted CCC certification of ODM manufacturer 选择此项显示：请正确填写ODM生产企业已有CCC证书（初始认证证书）的证书号/it is required to provide the correct CCC certification number (initial certification) of ODM manufacturer £ 作为ODM初始认证证书持证人身份申请/to apply as the holder of ODM initial certificateB.假如选择本次申请的的获证模式为“其他利用已获证书结果”/by other granted certification 则出现如下界面: 请正确填写拟利用的已获证书结果的证书号/it is required to provide the granted certificate number C.假如选择本次申请的获证模式为“OEM”，选择此项显示：请正确填写相关联的OEM证书号/Please provide the relevant OEM certificate number if OEM is selected as the certification type of this application： 注：若原获证产品的关键项目发生变更（如规格、结构、关键原材料/元器件及其供应商变更）时，本ODM产品也应随之变更并办理变更手续。

原产品未涉及上述变更时，本产品也不能变更/Note: If major items (such as type, structure, key material/components and their supplier) of certified products are changed, the ODM products shall change as well and it is required to take the change procedures. 。