1、1 / 14CEMC-ZC12-2001Page 1 Total 2No:CCC認證申請書（英文版）Chi na Certificati on Cen ter for Electromag neticCompatibilityApplicati on for CompulsoryProduct Certificati onIn itial applicati onApply aga inApplica ntAddressP.C.Tel2 / 14FaxPage 2 Total 2Chi naCertificati onCen ter forElectromag neticCompatibili

2、ty:We are now appl ying for compulsory product certificati onof our own accord. We will accept type testi ng, factoryin specti on,follow-upin specti onaccord ingto3 / 14Applica nt: _Address:_P.C.:_Deputy of artificial pers on:Prin cipal of quality:Lin kma nTel of the lin kma n:Fax:(Fill in the follo

3、wingswhen applicant differs fromasRulesand ProceduresforCompulsory ProductCertificationset by the certification center, and thenren dercertificati onfeesaccordingto relativeregulati ons.Nowwe areapplyi ngforcompulsorycertificati onof thefollowi ngproducts(see appendix 1).Regulations for Compulsory P

4、roduct Certificationas well4 / 14manu facturer)Name of manu facturer:Address of manu facturer:P.C.: _ lin kma n:Tel:Fax:(Fill in the followings when manufacturer differs frommanu facturi ng premises)Name of manu facturi ng premises:_Address of manu facturi ng premises:_P.C.: _ linkman:_ _Tel: _ Fax:

5、_ _Appe ndix:.Products applied for certificatio n2.Survey table of manu facturer3.Docume nts to be submitted whe n appl ying forcertificati on4.List of critical components in terms of safety5.List of majorcomp onentsaffect ingEMCperforma ncesSignatureof delegate of artificial person (Deputy)4 / 146

6、/ 14Applicant(stamp):Date:Appe ndix 1Products applied for certificatio nTrade mark:No.Represe ntativemodel/typeDerivativemodel/typeManu facturi ngpremisesNo. of sta ndardsfor testNameoftheproduct:7 / 14Applicant(stamp)Dateofapplication:8 / 14Appe ndix 2Survey table of manu facturerManu factureAddres

7、sIn stitute codeP.CArtificialptsi oUI ITelFaxSuperiorX 厶rcr+mQn+ inCharacterUUUdl U 1 Id II II 1In stitute-1-5-issuing the Dategett ing the bus inessSerial No.ofIn stitutelegisieiing泊ate to registertheSerial No.oftNdmtmarkremployeeNumJer oftech nicaSorts ofldominantFixed assetsProducti onvalueCertif

8、icate issuedlastyear(domestic andNote: 1) Fill in the table for in itial applicati on;2) Fill“/”in the column if it is blank.9 / 14Appendix 3Documents to be submitted when applying for certification1. Documents to be submitted in terms of electric tools,household and similar use appliances; audio and videoapparatusequipment andcomponentsfor cabledistributionsystems of soundand televisionsignals,audio andvideo apparatussatellitetelevisionreceivers(EMC), informationtechnologyequipmentfinance and trade settlement equipment (EMC