消防电子产品质量检验申请表APPLICATIONFORMFORTHEQUALITYAPPROVALTESTOFFIREELECTRONICPRODUCT申请企业名称ApplicantFirm’sName企业法人代表Firm’sLegalRepresentative（签字）（Signature）（加盖公章）（OfficialSealoftheApplicant）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PrintedandDistributedbyChinaNationalSupervisionandTestCenterforFireElectronicProductQuality注意事项NoticetoMattersConcerned1．请用正楷字填写检验申请表。PleasefillintheApplicationFormbytheregularscript．2．封面企业法人签字处应由企业法人亲自签写。Theartificialpersonshouldsigninthecoverofthisform．3．企业联系人应是企业法人授权的、具有全权处理有关检验事宜资格的人员。必要时，企业法人应在检验申请表中注明检验报告领取人。Thelinkmanshouldbethepersonnel，authorizedbytheartificialperson，dealwithmattersaboutthetestofyourproducts．Ifitisnecessary，theartificialpersonshoulddesignatethepersonwhowilltakeawaythetestreportintheApplicationForm．申请企业概况GeneralDescriptionoftheApplicantFirm申请企业名称、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,addressandfaxoftheheadofthefactoryandcontactperson企业产品质量检验能力Capabilityforthequalityapprovaltestofthefirm产品生产日期及出厂检验情况Manufacturingdateandsummaryabouttheproducttestinmanufacturer申请检验产品情况DescriptionoftheProductAppliedforTest序号SerialNo.产品名称NameofProduct型号规格Modelandspecification执行标准Implementedstandard商标Trademard主型产品MajorModelProduct分型产品Sub-modelProduct申请检验产品名称、型号及照片Name,ModelandPhotographduetobeAppliedforTest主型产品MajorModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel分型产品Sub-ModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel分型产品Sub-ModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel分型产品Sub-ModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel分型产品Sub-ModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel分型产品Sub-ModelProduct贴照片处Photographoftheproductstickuphere名称型号Name