公安部消防产品合格评定中心

公安部消防产品合格评定中心CCCF/001-2002(A/0)C hina C ertification C enter for F ire ProductsMinistry of Public Security (CCCF)产品认证预申请函Letter of Pre-application for Products Certification1.申请企业名称/Name of Applicant Firm:1.1申请企业地址/Address of Applicant Firm:1.2邮编/ Postcode:1.3联系人/ Representative to be Contacted:1.4电话/Tel : 1.5传真/Fax:1.6电子邮件/E-mail:注：附上申请企业注册证明/ Note :The registration certificate of the applicant firm is to be enclosed.2.代理人名称和地址、邮编(如有) /Name , Address and Postcode of the Agent (if any)2.1联系人/ Representative to be contacted :2.2电话/Tel： 2.3传真/Fax :7.4电子邮件/E-mail:注：代理人应提交委托书/Note: Letter of attorney should be submitted by the agent3.制造商名称、地址、邮编/Name, Address and Postcode of Manufacturer:4.工厂名称、地址、邮编/Name, Address and Postcode of Factory:5.产品名称、型号、商标/ Name, Model and Trademark of the Product:公安部消防产品合格评定中心CCCF/001-2002(A/0)C hina C ertification C enter for F ire ProductsMinistry of Public Security (CCCF)产品认证预申请函Letter of Pre-application for Products Certification6. 申请企业其它产品是否已获得CCCF证书/Is there any product awarded with the CCCFCertificate/Mark similar to the one applied for certification:□是/Yes □否/No6.1如果有,给出已获证书的产品型号/If “Yes”,please give the model of the product awardedwith the CCCF Certificate/Mark:6.2 产品的CCCF证书号/The CCCF Certificate Number of the Product7.申请认证的产品是否有全性能委托检验报告/Has the product applied for certification beenawarded with the all item entrusted Test Report:□是/Yes□否/No如果有,给出全性能委托检验报告的编号和报告签发日期/If “Yes”, give the test report number and its issue date:a．检验报告号及报告签发日期/the test report number and its issue date:b．颁发检验报告的检验机构名称/Name of the test organization issuing the test report：8.付款人名称及地址/Name and Address of the payer:注/ Note:1.请用中文和英文填写/ Please fill out the form both in English and in Chinese2.预申请函请寄至：中国北京市丰台区方庄芳群园四区金城中心1205室公安部消防产品合格评定中心邮编: 100078 The letter of pre-application should be sent to: C hina C ertification C enter for F ireProducts , Ministry of Public Security (CCCF), Room 1205, Jincheng Center,4th SectionFangqunyuan ,Fangzhuang ,Beijing, P.R.C. 100078CCCF/011-2002(A/0)强制性产品认证新老证书转换申请审批表Approval Application Form of Certificate Transition fromthe Old One into the New One for Mandatory Products Certification申请企业名称(加盖公章):Name of the Applicant Firm:产品类别:Category of the Product:申请日期: 年月日Application Date:公安部消防产品合格评定中心编制China Certification Center for Fire Products,Ministry of Public Security须知1.申请人应将本申请书和拟转换的产品认证证书复印件一式二份寄公安部消防产品合格评定中心, 第三份自己存档。

邮寄地址:中国北京市丰台区方庄芳群园四区金城中心1205室公安部消防产品合格评定中心邮编：1000782.提供的产品认证证书应是1:1复印件，1997年、1998年、1999年和2000年取得的证书，须是获得认证机构2001年度监督确认后的复印件。

3.本申请表须用中、英文二种文字填写。

NOTICE1. Applicant should send two filled copies of this Application Form and Products Certificate intended tobe changed to C hina C ertification C enter for F ire Products (CCCF), and the third copy should be filed by the applicant.Mail address: C hina C ertification C enter for F ire Products, Ministry of Public SecurityRoom 1205,Jincheng Center,4th Section Fangqunyuan, Fangzhuang,Beijing, P.R.C.Postcode: 1000782. The certificate provided should be the duplicated one with the same size as the original, certificateswon in 1997,1998,1999 and 2000 must be the duplicated documents after winning the 2001 annual surveillance confirmation of the certification organization.3. The application form can be filled out in Chinese and English.概况1．申请企业/Applicant Firm1.1名称/Name:1.2法定代表人/Authorized Person of Applicant firm：1.3地址及邮编/Address and Postcode:1.4 联系人/Representative to be contacted:1.5 电话/Tel:1.6 传真/Fax:1.7 电子邮件/E-mail:2．代理机构或中国办事处(代表处)/Agency Organization or office PRC (Representative office)2.1名称/Name:2.2联系人/Representative to be contacted：2.3地址及邮编/Address and Postcode：2.4电话及传真/Tel and Fax：2.5电子邮件/E-mail:3．制造商/Manufacturer:3.1名称/Name:3.2地址及邮编/Address and Postcode:3.3 联系人/ Representative to be contacted:3.4 电话/Tel:3.5 传真/Fax:3.6 电子邮件/E-mail:4．制造厂/Factory:4.1名称/Name:4.2地址及邮编/Address and Postcode:4.3 联系人/ Representative to be contacted:4.4 电话/Tel:4.5 传真/Fax:4.6 电子邮件/E-mail:5．付款单位/Payment Organization:5.1名称/Name:5.2地址及邮编/Address and Postcode:5.3联系人/Representative to be contacted:5.4电话/Tel:5.5 传真/Fax:5.6 电子邮件/E-mail:我们声明我们将遵守公安部消防产品合格评定中心的认证规则和程序，支付认证所需的申请、检验、工厂审查及其它有关的费用，理解并接受公安部消防产品合格评定中心提出的评价活动计划；公安部消防产品合格评定中心将不承担获得认证产品的制造厂或销售商应承担的任何法律责任。

We are hereby to declare that we will follow the certification rules and procedures of CCCF and make payment for the fees arising from the application, testing, site audit and other services; understand and accept the evaluation activity plan put forward by CCCF；CCCF will not bear any legal responsibility which should be borne by the factory or salesman granted with the conformity certificate.法定代表人签字加盖申请企业公章Signature：(Signed by the authorized person) Official Seal of the Applicant Firm第10 页共7 页申请证书转换的产品情况Description of the Product Applied for Certificate Transition新老证书转换审批情况签发签发人: 年月日复核复核人: 年月日申请资料□符合规定要求□不符合规定要求质量体系□运行有效□上年度未监督或监督未通过申请转换证书□全部符合换证要求□部分符合换证要求不能换证的产品名称、规格型号及其证书号有:经办人: 年月日注:本页企业不填CCCF/012-2002(A/0)消防产品认证GB/T19001-2000标准转换申请书Application for the Fire Products CertificationNational Standard Changed to GB/T19001-2000申请企业名称(加盖公章):Name of the Applicant Firm:产品类别:Category of the Product:申请日期: 年月日Application Date:公安部消防产品合格评定中心编制China Certification Center for Fire Products,Ministry of Public Security须知1.申请人应将以下文件一式二份寄公安部消防产品合格评定中心,第三份自己存档。