出口商或者代理商备案申请表13403.doc

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1、中国糖酒网出口商或者代理商备案申请表附件1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 1Applicants 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

2、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 Email:第2项-经营食品种类(多选项)Section 2Food 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 mat

3、erials 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

4、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特殊食品类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

5、 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.4letter 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

6、真或者手机Contractors office Telephone/Fax or cell phone:填表人电子邮件信箱Contractors Email 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.附件2 收货人备案申请表第1项-备案申请项目 初次备案 第2项企业资料 企业名称:企业地址: 省(市、自治区) 市*联系人姓名:联系人电话: 传真: 手机:企业组织机构代码:企业组织机构代码证书

7、到期日:*工商营业执照到期日:工商营业执照范围:*进出口企业代码(进口肉类企业填写):企业工商注册号:企业工商注册地址:*企业办公地址:企业法人:第3项经营食品种类(多选项)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

8、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)

9、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特殊食品类foods for special dietary uses其他,请描述 others, please describe 第4项企业承诺书兹承诺上述信息准确、真实。*填表人姓名(印刷体):*填表人电话/传真或者手机:填表人电子邮件信箱:填表日期:第5项-填表说明1、标“的项目必须填写.附件1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

10、第1项-企业信息Section 1-Applicants 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) o

11、r 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 2Food 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

12、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

13、) 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特殊食品类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 3Information 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:

14、电话/传真Telephone/Fax:电子邮件信箱Email:第4项-承诺书Section.4letter 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Contractors office Telephone/Fax or cell phone:填表人电子邮件信箱Contractors Email 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。附件2 收货人备案申请表第1项-备案申请项目 初次备案 第2项-

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