出口商或者代理商备案申请表Application Form of Food Exporter/Agent□初次申请备案 Initial Filing 第 1 项--企业信息 Section 1—Applicant’s Information＊企业名称（中英文）Name (in Chinese AND English) *企业地址（中英文)Address(in Chinese AND English）*企业类型 Company Type：□出口商 Exporter □代理商 Agent ＊国家（地区)Country/Region：＊邮政编码 Postal Code＊联系人姓名 Contact Name:*联系人电话/传真（请注明国家/地区代码及区域码）或者手机Contact Telephone/Fax （Include Area/Country/Region Code） or Cell Phone：＊联系人电子邮件信箱 Contact E-mail：＊第 2 项-—经营食品种类（多选项）Section 2—Food Category of Operation □肉类 meat□蛋及制品类 egg and egg products□水产及制品类 aquatic products and preserved aquatic products□中药材类 traditional Chinese medicinal materials of animal and plant origin □粮谷及制品类 grains and grain products□油脂及油料类 oil and oil seeds□饮料类 soft drinks and drinking water□糖类 sugar□蔬菜及制品类 vegetable and vegetable products□植物性调料类 processed flavorings of plant origin□干坚果类 dried fruits and nuts□其他植物源性食品类 other plant origin food□罐头类 canned foods□乳制品类 dairy products□蜂产品类 bee products□酒类 alcoholic beverage□糕点饼干类 pastry biscuits and crackers□蜜饯类 candied (preserved） fruits□卷烟类 cigarette□茶叶类 tea□调味品类 processed flavorings□其他加工食品类 other processed foods□特别食品类 foods for special dietary uses□其他，请描述 others， please describe 第 3 项——中国贸易伙伴信息 Section 3—Information of the Chinese Trade Partner to be contracted with：企业名称（中文）Name （in Chinese)：企业地址（中文）Address （in Chinese)：联系人 Contact person：电话/传真 Telephone/Fax:电子邮件信箱 E-mail：第 4 项-—承诺书 Section.4—letter of commitment 兹承诺： 上述资料信息准确、真实.I hereby commits: The information we submit is authentic and accurate。*填表人姓名（印刷体)Contractor name (in printing version）:＊填表人电话/传真或者手机 Contractor’s office Telephone/Fax or cell phone:＊填表人电子邮件信箱 Contractor’s E-mail Address：*填表日期 Date of submitting this form：第 5 项——填表说明 Note1、标“*”的项目必须填写.The above items with mark ＊ must be effectively filled in
