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1、XXXX医药有限责任公司保健食品经营备案申请材料年月officiallyestablishedonJuly1,2013,Yibincity,formerlyknownasthebus,integratedoriginalrongzhoubuscompanyinYibincityandMetrobuscompany,formedonlyinYibincityofaState-ownedpublictransportenterprises,thecompanyconsistsofoneortwo,thirdDivision.Integrationofpublictransportserv
2、icesisnotyetestablished目录1、《保健食品经营备案申请表》2、工商营业执照复印件3、法定代表人的资格证明(身份证复印件)4、经营场所的平面图5、经营场所的使用证明6、保健食品质量保证体系情况7、从业人员花名册8、从业人员健康体检信息汇总表9、从业人员培训信息汇总表10、保健食品守法经营承诺书11、拟经营品种信息汇总表12、市食品药品监督管理部门对申报材料的初审意见13、《法人授权委托书》及申报人身份证复印件officiallyestablishedonJuly1,2013,Yibincity,formerlyknownasthebus,integratedori
3、ginalrongzhoubuscompanyinYibincityandMetrobuscompany,formedonlyinYibincityofaState-ownedpublictransportenterprises,thecompanyconsistsofoneortwo,thirdDivision.Integrationofpublictransportservicesisnotyetestablished受理编号:受理日期:年月日保健食品经营备案申请表申报单位申报日期广西壮族自治区食品药品监督管理局制officiallyestablishedonJuly1,2013
4、,Yibincity,formerlyknownasthebus,integratedoriginalrongzhoubuscompanyinYibincityandMetrobuscompany,formedonlyinYibincityofaState-ownedpublictransportenterprises,thecompanyconsistsofoneortwo,thirdDivision.Integrationofpublictransportservicesisnotyetestablished填表说明一、请仔细阅读表格内容,按照要求认真填写。二、《申请表》封面的“
5、受理编号”、“受理时间”由受理机关填写。三、申请人是企业法人单位的,在《申请表》封面须加盖单位公章。四、“主体类型”按营业执照公司类型或组成形式填写。五、“仓库地址”由从事保健食品批发经营主体填写。六、“※”项目由持《食品卫生许可证》或《保健食品经营条件审核证明》申请换证的申请人填写。七、提供材料属复印件的,均需提供原件核对,原件核对后退回。八、所报资料项目请在相应“□”内打“√”(R)。九、申请人提交的材料和表格应当打印,或用钢笔、签字笔认真填写。十、提供的申报材料,请使用A4型纸打印或复印,按顺序装订成册。officiallyestablishedonJuly1,2013,Yib
6、incity,formerlyknownasthebus,integratedoriginalrongzhoubuscompanyinYibincityandMetrobuscompany,formedonlyinYibincityofaState-ownedpublictransportenterprises,thecompanyconsistsofoneortwo,thirdDivision.Integrationofpublictransportservicesisnotyetestablished经营主体名称主体类型经营地址仓库地址法定代表人负责人联系人/联系电话传真8拟经营
7、类型保健食品批发□;保健食品零售□原许可证号※原发证日期已批准经营项目※许可证年审情况※经营场所总面积营业面积60平方米;仓库面积163平方米。申请单位保证书本申请表中所填报的内容和提供的经营场地、规章制度等资料均真实、可靠。如有不实之处,我单位愿负相应法律责任,并承担由此造成的一切后果。申请单位(盖章)法定代表人(签字)年月日年月日officiallyestablishedonJuly1,2013,Yibincity,formerlyknownasthe