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1、申请编号ApplicationNo.生产厂编号FactoryNo.HNQlHNQI自愿性认证申请书ApplicationfortheHNQICertification申请类别CategoriesHNQI标志认证申请性质Characters新申请/初次再认证/复审变更申请日期Date产品类别Productsort湖南省产商品质量检验研究院HUNANPROVINCIALINSTITUTEOFPRODUCTANDGOODSQUALITYINSPECTION注意事项Notes1、认证委托人应将申请书寄受理部门。TheapplicantshouldsendtheapplicationtoHNQIprod
2、uctdepartment.2、有关HNQl产品认证的公开文件可通过上网获取,网址是:。PublisheddocumentsonHNQIproductcertificationcanbeacquiredfromHNQIwebsite:.3、认证委托人获证后有关证书注销、暂停(恢复)、撤销等重要信息,湖南省产商品质量检验研究院将以“通知书”形式按上述“认证委托人”信息中的内容以“挂号信”方式进行邮寄、告之。如持证人证书内容(认证委托人/生产者(制造商)/生产企业名称、地址等)发生变化,请及时申请证书变更。除证书内容外,认证委托人/代理机构/生产者(制造商)/生产企业其他内容发生变化,请及时联系受
3、理工程师修改。HunanProvincialInstituteofProductandGdsQualityInspectionwilltakeintheformof“Notice“tonotifycertificateholdertheinformationofcancellation,suspension(resumption),andwithdrawal.The“Notice“willsendbyregisteredletteraccordingtotheaddressofapplicantinformation.Ifthereisanychangeoncertificatecontent
4、s(applicant/manufacturer/nameoraddressoffactory),pleaseapplythecertificatemodificationintime,exceptthat,ifthechangeonapplicant/agency/manufacturer/factory,pleasecontactwithengineerintime.4、认证委托人获证后有关证书注销、暂停(恢复)、撤销的信息,请登录湖南省产商品质量检验研究院O或认监网网站(http:/.Cn)进行查询。同时认证委托人需将证书注销、暂停(恢复)、撤销的信息及时通知与之相关的生产者(制造商)、
5、生产企业,并按照强制性产品认证的相关规定执行。ThecertificateholdercanlandonHunanProvincialInstituteofProductandGoodsQualityInspectionwebsite()orCertificationandAccreditationAdministrationofthePeoplesRepublicofChinawebsite(.cn)togettheinformationoncertificatescancellation,suspension(resumption)andwithdrawal.Inaddition,thea
6、pplicantshouldnoticetherelatedmanufacturerorfactorytheinformationofcertificatescancellation,suspension(resumption)andwithdrawal,andcomplywithrelatedCCCrequirements.5、获证后,请认真核对证书信息,如有疑义,请在获证后15个工作日内向受理部门提出申诉。Pleaseverifytheinformationonthecertificateafterbeingcertified.Ifthereisanyproblem,pleaseappea
7、ltotheproductdepartmentwithin15workingdaysafterbeingcertified.1 .认证委托人/Applicant1.1认证委托人名称(中文)NameofApplicant(English)1.2认证委托人注册地址(中文)RegisteredAddressofApplicant(English)1.3认证委托人通讯地址(中文)PostaladdressofApplicant(English)1.4统一社会信用代码SocialCreditCode1.5组织机构代码OrganizationCode1.6法人1.7联系人LegalPersonContac
8、tPerson1.8电话(含区号)Telephone1.9移动电话Mobilephone1.10传真:Fax1.11电子邮件E-mail2 .授权的代理机构/NameofAgent2.1授权代理机构名称(中文)NameofAgent(English)2.2授权代理机构注册地址(中文)RegisteredAddressofAgent(English)2.3统一社会信用代码SocialCreditCode2.4组织机构代码OrganizationCode2.5法人2.6联系人LegalPersonContactPerson2.7电话(含区号)Telephone2.8移动电话Mobilephone2
9、.9传真:Fax2.10电子邮件E-mail3 .制造商(生产者)/Manufacturer口与认证委托人信息相同/TheSameasApplicant3.1生产者(制造商)名称(中文)NameofManufacturer(English)3.2生产者(制造商)注册地址(中文)RegisteredAddressofManufacturer(English)3.3统一社会信用代码SocialCreditCode3.4组织机构代码OrganizationCode3.5法人3.6联系人LegalPersonContactPerson3.7电话(含区号)Telephone3.8移动电话Mobileph
10、one3.9传真:Fax3.10电子邮件E-mail4 .生产厂(生产企业)/Manufacturingenterprise与认证委托人信息相同heSameasApplicant口与生产者(制造商)信息相同/TheSameasManufacturer4.1生产厂(生产企业)名称(中文)NameofManufacturingenterprise(English)4.2生产厂(生产企业)注册地址(中文)RegisteredAddressofManufacturingenterprise(English)4.3统一社会信用代码SocialCreditCode4.4组织机构代码Organization
11、Code4.5法人4.6联系人LegalPersonContactPerson4.7电话(含区号)Telephone4.8移动电话Mobilephone4.9传真:Fax4.10电子邮件E-mail4.11工厂编号FactoryNo.5.1产品名称(中文)NameofProduct(English)5.2产品类别(中文)ProductSort(English)5.3型号和规格主检型号覆盖型号ModelandSpecificationInspectionModelCoverageModel商标BrandorTradeMark5.4型号间差异说明DifferenceDeSCriPuOnbetwee
12、nModels5.5产品认证模式ModelofProductCertification选择一项。5.6产品认证依据StandardofProductCertification5.7产品获得过CCC证书编号AwardedCCCCertificatesNo.是/Yes口否/No如果有,给出CCC测试证书的编号和获证日期If“Yes”,recordthenumberanddateofCCCTestCertificate5.8本次申请的获证模式PleaseselectthecertificateModelofthisapplication获证模式Certificatemodel证书号Certifica
13、teNo.普通类型/Normal其他如果本次申请的获证模式为“利用已获证书结果”,请正确填写拟利用的已获证书结果的证书颁发机构及证书号:Byothergrantedcertificate,pleaseprovide(hecorrect,issuingauthorityandnumberOfobtainedcertificate:单击或点击此处输入文字。注:若原获证产品的关键项目发生变更(如规格、结构、关键原材料/元器件及其供应商变更)时,本ODM产品也应随之变更并办理变更手续。原产品未涉及上述变更时,本产品也不能变更。Note:Ifmajoritems(SUChasspecification,
14、structure,criticalmaterials/componentsandtheirsuppliers)ofthecertifiedproductsarechanged,theODMproductsshallchangeaswellandproceedthemodificationprocedure.Ifchangesofthecertifiedproductsdonotinvolve(heitemsmentionedabove,theODMproductsremainunchanged.检测方式、样品检测实验室及样品处理方式/TestingMethods,1.aboratoryandSampleDisposal6.1检测方式TestingMethods送样检测/Samplelest注:工厂获得湖南省产商品质量检验研究院认可的可利用工厂检测资源的资质并满足相关耍求时,方可选择WMT和TMP的检测方式。Note:Onlywhenthefactor)has(hequalifiedinspectionresourcesrecognizedbyHNQIandmeetrelevantrequirements,theWMTandTMPmethodscanbeselected.6.2样品检测实验室TestingLaboratory由认证机构指定实验室口选择意向实验室: