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1、 消 防 电 子 产 品 质 量 检 验 申 请 表APPLICATION FORM FOR THE QUALITY APPROVAL TEST OF FIRE ELECTRONIC PRODUCT申请企业名称 Applicant Firms Name 企业法人代表Firms Legal Representative （ 签字 ） （Signature）（加盖公章）（Official Seal of the Applicant）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Printed and Distributed by China National Superv
2、ision and TestCenter for Fire Electronic Product Quality注意事项Notice to Matters Concerned1请用正楷字填写检验申请表。Please fill in the Application Form by the regular script2封面企业法人签字处应由企业法人亲自签写。The artificial person should sign in the cover of this form3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。Th
3、e linkman should be the personnel，authorized by the artificial person，deal with matters about the test of your productsIf it is necessary，the artificial person should designate the person who will take away the test report in the Application Form申 请 企 业 概 况General Description of the Applicant Firm申请
4、企业名称、地址、邮政编码Applicant firmsname, address and post code法人与联系人、 Name, telephone and fax offirms legal person andcontact person生产厂名称、地址、邮政编码Name, address and post codeof the factory厂长与联系人、 Name, address and faxof the head of the factory and contact person企业产品质量检验能力Capability for the qualityapproval tes
5、t of the firm产品生产日期与出厂检验情况Manufacturing date andsummary about the producttest in manufacturer申 请 检 验 产 品 情 况Description of the Product Applied for Test序 号Serial No.产品名称Name of Product型号规格Model and specification执行标准Implemented standard商 标Trademard主型产品Major Model Product分型产品Sub-model Product申请检验产品名称、型
6、号与照片Name, Model and Photograph due to be Applied for Test主型产品Major Model Product贴 照 片 处Photograph of the product stickup here名 称 型 号Name Model分型产品Sub-Model Product贴 照 片 处Photograph of the product stickup here名 称 型 号Name Model分型产品Sub-Model Product贴 照 片 处Photograph of the product stickup here名 称 型 号Na
7、me Model分型产品Sub-Model Product贴 照 片 处Photograph of the product stickup here名 称 型 号Name Model分型产品Sub-Model Product贴 照 片 处Photograph of the product stickup here名 称 型 号Name Model分型产品Sub-Model Product贴 照 片 处Photograph of the product stickup here名 称 型 号Name Model分型产品Sub-Model Product贴 照 片 处Photograph of t
8、he product stickup here名 称 型 号Name Model分型产品Sub-Model Product贴 照 片 处Photograph of the product stickup here名 称 型 号Name Model简要说明送检产品的用途和特点Summary about Usage and Feature of the Product提交中心送检产品技术资料明细表（需标明资料名称、页数与份数）The List of Technical Document to be Submitted（including Name、 Number of Copies and Pag
9、es）每种分型产品与主型产品的区别Difference between Major Model and Sub-model Product 企业负责人： Person in Charge of Quality：企业对产品检验的要求或其他需说明的事项Some Necessary Requirements of the Firm for the Product Test 企业负责人： Person in Charge of Quality：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（125mm88mm）Please fill in the form in 1 copy a
10、ccording to the requirements, and enclose 3 pieces of photos （125mm88mm） with.2. 提交企业注册证明复印件Please submit the certificate of your commercial registration.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) 产品电路设计图纸与元器件明细表（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
11、技术监督部门同意实施该企业标准的批文。The technical documents to be submitted：a. Instruction of the use and installation, 2 copies;b. Instruction of the product design and calculation, 1 copy;c. Guide to product adjustment, 1 copy;d. Mechanical drawing of the product, 1 copy;e. Circuit diagrams, and list of the parts of the product（including the PCB diagram the program software flow diagram）, 1 copy;f. If no China National Standards corresponding to your approving product, the test report and corresponding standards provided by relevant approval organization should be submitted to our center.4. 样本数量：a)
