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1、CQC/18流程0101.01申请编号:生产厂编号：ApplicationNo:FactoryNo:CCC认证变更申请书ApplicationFormforChangeofCCCCertification申请日期/Date：产品类别/Productsort:中国质量认证中心ChinaQualityCertificationCentre5.1-9,,services,andmakethecitymoreattractive,strengtheningpublictransportinvestment,establishedasthebackboneo
2、ftheurbanrailtransitmulti-level,multi-functionalpublictransportsystem,thusprotectingtheregionalpositionandachieve2013-10-12（2/2）W第5页共10页CQC/18流程0101.011．认证委托人/Applicant:1.1认证委托人名称/NameofApplicant:1.2付款人名称、地址/Name、AddressofPayer:1.3认证委托人地址、邮编/AddressandpostcodeofApplicant:1.4证书
3、邮寄地址、邮编/Addressandpostcodeofcertificatemailing: 批准书/各类通知书邮寄地址、邮编/Addressandpostcodeofapprovingforchangeofcertificationornoticeofsuspension,withdrawal,cancellationorresumption:1.5组织机构代码/OrganizationCode：1.6联系人/ContactPerson:1.7电话/Telepho
4、ne:1.8传真/Fax:1.9电子邮件/E-mail:1.10移动电话/Mobilephone: 2.代理机构或中国办事处/NameofAgentorofficeinChina:2.1代理机构/中国办事处名称/NameofAgentorofficeinChina:2.2联系人/ContactPerson:2.3电话/Telephone:2.4传真/Fax:2.5电子邮件/E-mail:2.6移动电话/Mobilephone: 3.生产者（制造商）/Manufacturer（wheretheequipmentisproduced）:3.1生产者（制
5、造商）名称/NameofManufacturer:3.2生产者（制造商）地址/AddressofManufacturer:3.3联系人/ContactPerson:3.4电话/Telephone:3.5传真/Fax:3.6电子邮件/E-mail:3.7移动电话/Mobilephone: 4.生产企业/Factory（wheretheequipmentisproduced）:4.1生产企业名称/Nameoffactory:4.2生产企业地址、邮编/Addressandpostcodeoffactory:4.3联系人/ContactPerson:5.1
6、-9,,services,andmakethecitymoreattractive,strengtheningpublictransportinvestment,establishedasthebackboneoftheurbanrailtransitmulti-level,multi-functionalpublictransportsystem,thusprotectingtheregionalpositionandachieve2013-10-12（2/2）W第5页共10页CQC/18流程0101.014.4电子邮件/E-mail:4.5电话
7、/Telephone:4.6传真/Fax:4.7移动电话/Mobilephone: 4.8工厂编号/FactoryNumber：5.产品名称/NameofProduction:6.产品类别/ProductSort：7.产品商标/Trademark:8.型号和规格（中文）/Modelandspecification:型号和规格（英文）/Modelandspecification:9.产品认证依据/Standardsofproductcertification:10.申请认证的产品是否有CB测试证书/Hastheapplyingequipmentbee
8、nawardedtheCBTestCertificate:是/Yes否/No如果有,给出CB测试证书的编号和获证日期/If
