消防电子产品质量检验申请表APPLICATIONFORMFORTHEQUALITYAPPROVALTESTOFFIREELECTRONICPRODUCT申请企业名称ApplicantFirm’sName企业法人代表Firm’sLegalRepresentative(签字)(Signature)(加盖公章)(OfficialSealoftheApplicant)填报日期:年月日Date:中国·国家消防电子产品质量监督检验中心印制PrintedandDistributedbyChinaNationalSupervisionandTestCenterforFireElectronicProductQuality注意事项NoticetoMattersConcerned1.请用正楷字填写检验申请表。PleasefillintheApplicationFormbytheregularscript.2.封面企业法人签字处应由企业法人亲自签写。Theartificialpersonshouldsigninthecoverofthisform.3.企业联系人应是企业法人授权的、具有全权处理有关检验事宜资格的人员。必要时,企业法人应在检验申请表中注明检验报告领取人。Thelinkmanshouldbethepersonnel,authorizedbytheartificialperson,dealwithmattersaboutthetestofyourproducts.Ifitisnecessary,theartificialpersonshoulddesignatethepersonwhowilltakeawaythetestreportintheApplicationForm.申请企业概况GeneralDescriptionoftheApplicantFirm申请企业名称、地址、邮政编码Applicantfirm’sname,addressandpostcode法人及联系人姓名、电话、传真Name,telephoneandfaxoffirm’slegalpersonandcontactperson生产厂名称、地址、邮政编码Name,addressandpostcodeofthefactory厂长及联系人姓名、电话、传真Name,addressandfaxoftheheadofthefactoryandcontactperson企业产品质量检验能力Capabilityforthequalityapprovaltestofthefirm产品生产日期及出厂检验情况Manufacturingdateandsummaryabouttheproducttestinmanufacturer申请检验产品情况DescriptionoftheProductAppliedforTest序号SerialNo.产品名称NameofProduct型号规格Modelandspecification执行标准Implementedstandard商标Trademard主型产品MajorModelProduct分型产品Sub-modelProduct申请检验产品名称、型号及照片Name,ModelandPhotographduetobeAppliedforTest主型产品MajorModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel分型产品Sub-ModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel分型产品Sub-ModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel分型产品Sub-ModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel分型产品Sub-ModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel分型产品Sub-ModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel分型产品Sub-ModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel分型产品Sub-ModelProduct贴照片处Photographoftheproductstickuphere名称型号NameModel简要说明送检产品的用途和特点SummaryaboutUsageandFeatureoftheProduct提交中心送检产品技术资料明细表(需标明资料名称、页数及份数)TheListofTechnicalDocumenttobeSubmitted(includingName、NumberofCopiesandPages)每种分型产品与主型产品的区别DifferencebetweenMajorModelandSub-modelProduct企业负责人:PersoninChargeofQuality:企业对产品检验的要求或其他需说明的事项SomeNecessaryRequirementsoftheFirmfortheProductTest企业负责人:PersoninChargeofQuality:注:Notes:1.请按要求填写检验申请表一式一份,并附产品照片三张(125mm×88mm)Pleasefillintheformin1copyaccordingtotherequirements,andenclose3piecesofphotos(125mm×88mm)with.2.提交企业注册证明复印件Pleasesubmitthecertificateofyourcommercialregistration.3.提交技术资料:a)产品安装使用说明书一式两份;b)产品设计计算说明书一式一份;c)产品调试大纲一式一份;d)产品机械设计图纸一式一份;e)产品电路设计图纸及元器件明细表(包括印刷线路板图、程序框图)一式一份;f)送检产品如无对应国家标准,应提供企业标准两份,同时提供市级以上技术监督部门同意实施该...