1、進出口電池產品備案申請表The registration application form for Import/Export batteries編號 serial numbertnaclDRM人請申名稱Name地址 Address法人代Corporate Representative表聯系人Contact Person電話Tel傳真Fax郵政編碼Postal Code營業執照編口 pBusiness License No.vnaDmnc OHIrurcaTunoM 商造制名稱Name地址Address法人代Corporate Representative表聯系人Contact Person電

2、話Tel傳真Fa)(郵政編碼Postal Code營業執照編l=f. pBusiness License No.c d P品產案i 夕i 備t !o a s R名稱 Name品 月Brand&型號規Specification格H. SCode編碼H.S含 fMercury Contentc量產地Placeof origin遁附單據 Attached Files 申請人宮業執照 Business License of Applicant 授權委托書 Letter of Authorization口制造商營業執照(復印件)Business License ofManufacturing C

3、ompany (hard copy) 制造商聲明 Manufacturer Statements 產品描述 Products Description備注 Remarks：申請人鄭重嚴明Statement of Applicant:1。本人被授權申請備案2。上列填寫內容、及隨附單據正 確屬實 The applicant must be responsible for the authenticity of related materials.簽名 signature 以上由申請人填寫以下由檢測實驗室、檢驗檢疫機構填寫電池種類審核：含汞 mercury-containing/、含汞 mercury

4、-free電池含汞量檢測結果Result :檢測合格確認書編號Serial No.:檢測實驗室 Laboratory :檢驗檢疫機構意見 The conclusion by CIQ :備案書編號Reference NO.:（審核部門 CIQ department ）（簽、章）年 月 日年 月日附頁一：一、進出口電池備案要求Requirements for filling of the battery of import and export辦理備案時要求申請人打印進出口電池產品備案申請表，并提供下列文件（若為鋅鎰電池和堿性鋅鎰電池還需進行汞含量的檢測，受理時會告知）：Applicant sha

5、ll fill out the application form of filling of the batteryof import and export with the following documents altogether: （the relevant test shall be followed for the mercury battery, and the notice will be given during the application）1 .法定代表人授權經辦人員辦理備案的委托授權書。Power of attorney provided by legal repre

6、sentative for the responsible person.2 .申請人的企業法人營業執照復印件。若為出口電池產品，申請人應為其制造商并提供相應的 企業法人營業執照復印件。Copy of business license, provided by the applicant. Copy ofbusiness license shall be provided as well for the battery of import and export, and the applicant shall be the manufacturer.3 .電池產品制造商對其產品汞含量符合中國法

7、律法規的聲明， (需正本)。The manufacturer shall provide the statementswhich the mercury content of the product is in conformity with China laws and regulations (original).電池制造商對電池產品的結構、電化學體系、產品照片、品牌、 規格型號、產地、外觀及標記的文字說明(可提供產品樣本或規 格書等)。The manufacturer shall provide the description of the battery, such as struct

8、ure, electrochemical system, brand, specification, place of origin, appearance and mark (samples or data sheet can be provided).附頁二：請持有堿性鋅鎰電池備案書的企業注意：Attention: to all the enterprises who hold the form for the record of alkaline zinc-managanese dioxide cell,按照國家環境保護總局和國家質量監督檢驗檢疫總局聯合發布 的環發2003第63號規定：自2006年1月1日起禁止生產和銷售汞 含量大于電池重量0.0001%的堿性鋅鎰電池。According to the stipulation No.63, (2003) issued by SEPA andAQSIQ, alkaline zinc-managanese dioxide cell that the mercury contentare greater than 0.0001% of the weight are forbidden to produce and sell.注：鈕扣電池暫不執行上述規定。P.S. Button cell a