消防产品型式认可申请书

APPLICATION FOR TYPE-APPROVAL OF FIRE PRODUCTS

首次申请/First Application        □        

扩大范围申请/Scope Expansion    □       

复评换证申请/Renewal                   □

换版申请/Format Change         □

申请企业名称/ Application product category:

(加盖公章/Seal)

生产厂名称/ Factory:

申请产品类别/Category of Product:

填报日期/Submission Date (yyyy/mm/dd)：        年       月       日

公安部消防产品合格评定中心印制

Published by China Certification Center for Fire Products, Ministry of Public Security, PRC

申 请 企 业 须 知

1、申请企业必须严格按照《消防类产品型式认可实施规则》中工厂基本条件的要求建立并实施有效的质量管理，确保企业的质量保证能力符合实施规则的基本要求；

2、申请企业必须符合《消防类产品型式认可实施规则》中生产设备及检验设备的最低配置要求；

3、申请企业须严格遵守型式认可程序及时限要求，正常情况下，接到工厂检查通知后的30日内应接受工厂条件检查，并应在规定时间内完成对不符合项的整改工作，自抽样之日起15日内将样品送到指定检测机构进行检验，并按期缴纳相关费用；如遇特殊原因，必须及时通报公安部消防产品合格评定中心；

4、申请企业获证后，必须严格按照《消防类产品型式认可实施规则》的规定，正确使用型式认可证书和标志。对有违规者，公安部消防产品合格评定中心将进行严肃处理。

5、申请企业获证后，所生产及销售的产品必须与发证检验样品保持一致，产品质量必须符合型式认可规则和相关标准要求。若必须对涉及产品一致性的关键因素，如关键原器件、原材料、关键设计及主要生产工艺发生变更，以及生产场地搬迁、法人及主要技术人员发生变更时，获证企业必须及时向公安部消防产品合格评定中心申报，由中心按照《消防类产品型式认可实施规则》要求安排确认工作。未经中心确认，不得生产及销售产品，对违规者，公安部消防产品合格评定中心将进行严肃处理，由此而导致的一切责任均由违规企业承担。

The Notice of the Applicant

1.     The Applicant must not only constitute a quality control and bring into effect which according to the request of the factory’s  postulate, but also make sure the quality guarantee capacity of the corporation according to the request of the implement rules.

2.     The applicant must measure up the lowest configuration requirement of producing equipment and checking equipment that refers to the 《The Implement Rules Of The fire fighting product Type-Approval》.

3.     The applicant must follow the authentication procedure and the time limit requirement. In normal condition, the enterprise should accept the work condition inspection within 30 days after receive the information, and finish the modification of the unaccepted item within stated time. The enterprise should send the sample to the appointed examine institution in 15days after the inspection, and pay for the related bill. The enterprise should declare to CCCF in time if there is any special case.

4.     After getting the certificate, the applicant must follow the implement rules strictly and use authorized certificate and symbol correctly. CCCF will sternly punish the foul.

5.     After getting the certificate, the applicant must keep the products they produce and sell the same with the inspecting samples. The quality of the products must measure up the authentication regulations and the correlative standards. If the some key factors that related to the coherence of the products have to be modified, such as key source apparatus, raw material, core design and primary produce technique, as well as the workplace, juridical person and key technical personnel change, the enterprise must declare to CCCF. And CCCF validates the situation according to the implement rules. The enterprise can't produce and sell any products without the validation. CCCF will sternly punish the foul. And the foul is charged of all the correlative obligation.

声     明

我代表申请企业郑重声明：

1．本企业遵循“诚信第一”的基本原则，承诺遵守国家有关法律法规及公安部消防产品合格评定中心（以下简称CCCF）制定的型式认可实施规则的所有要求及型式认可程序。

2．本企业同意按型式认可规则的要求提供评价所需文件和资料，所提供的信息均真实有效，否则承担由此引起的一切法律责任。

3．本企业保证按型式认可合同及相关要求支付型式认可费用，并为实施型式认可产品型式认可工作提供所需要的资源。

4、本企业将妥善保管检验报告、工厂检查报告和型式认可变更确认等型式认可的相关资料，以备监督检查、飞行检查及有关证后监督工作时使用，公安部消防产品合格评定中心将不承担获得产品合格型式认可的生产厂或销售商应承担的法律责任。

5、本企业完全接受《申请企业须知》中所涉及的全部内容。

Statement

I, on the behalf of the Applicant, make the statement hereby:

1.                  The Applicant is willing to comply with the Implement Rules for Type-Approval formulation which by China Certification Center for Fire Products (So-called as CCCF).

2.                  The Applicant does agree to submit the necessary documents and information which truthfulness has been ensured by the Applicant, From this otherwise undertakes all legal liability which causes.

3.                  The Applicant guarantee to make the payment in accordance with the Type-Approval Contract and/or the relevant requirement.

4.                  The Applicant will keeping the relevant information about authentication properly, such as the prove report, jerque report of factory and the validate of the authentication change, which will be used in the supervise inspect, sudden inspect and the supervisal task after application. CCCF will not toe the scratch which must be beared by the factory or merchant who get the product eligibility authentication.

5.                  The Applicant does accept the contents 《The notice of the Applicant》contained.

申请企业法定代表人/Authorized Person of the Applicant Firm：              

(签名Signature/盖章Seal)

                       日期/Date (yyyy/mm/dd)：    年    月    日

一、申请企业名称、地址及联系方式

Applicant Information

1 申请企业/Applicant Firm:

1.1申请企业名称/Name in Chinese and English:                                                

                                                                            

1.2申请人地址、邮编/Mailing Address and Postcode:

注册地址Registration address：                               邮编：        

通讯地址Mailing address：                                    邮编：       

1.3 法定代表人/Juridical Person:               电话/Tele phone:                    手机/Mobile phone                   

1.4 联系人/Person to be Contacted:              电话/Telephone:                     手机/Mobile phone                   

1.5 传真/Fax:             

1.6 电子邮件/E-mail:             

1.7 组织机构代码/ Organizations and agencies code：                    

1.8 组织性质代码/ Organization nature code：                           （按本申请书第六项的要求填写）

2 制造商/Manufacturer

2.1制造商名称/Name in Chinese and English:                                          

                                                                            

2.2制造商地址、邮编/Manufacturer Address and Postcode:

注册地址Registration address：                               邮编：       

通讯地址Mailing address：                                    邮编：       

2.3 法定代表人/Juridical Person:              电话/Telephone:                     手机/Mobile phone                   

2.4 联系人/Person to be Contacted:              电话/Telephone:                     手机/Mobile phone                   

2.5 传真/Fax:             

2.6 电子邮件/E-mail:             

2.7 组织机构代码/组织机构代码/ Organizations and agencies code:                                               

2.8组织性质代码/ Organization nature code:                     （按本申请书第六项的要求填写）

3  生产厂/factory:

3.1生产厂名称/ Name in Chinese and English:                                                           

                                                                            

3.2实际生产厂地址、邮编/Address & Postcode：

注册地址Registration address：                               邮编：       

通讯地址Mailing address：                                    邮编：       

实际生产厂地址Actual plant address:                              邮编：       

3.3 法定代表人/Juridical Person（if applicable）:            电话/Telephone:          手机/Mobile phone                   

3.4 联系人/Person to be Contacted:               电话/Telephone:                     手机/Mobile phone                   

3.5传真/Fax:              

3.6电子邮件/E-mail:               

3.7 组织机构代码Organizations and agencies code：                    

3.8 组织性质代码/ Organization nature code：                           （按本申请书第六项的要求填写）

4  企业注册资本/ Enterprise registered capital：       （万元/ Ten thousand Yuan），经营范围Management scope：                                                                     

                                                                                 

                                                                                 。

5  单位总人数/Enterprise total number of people    ，高级技术职称人数/ High-level technical title population    ，中级技术职称人数/ Intermediate technical title population    ，初级技术职称人数/ Primary technical title population    。

  设计开发技术人员/ Design development technical personnel    ，  生产制造技术人员/ Manufacturing technical personnel    ，  产品检验技术人员/ Product inspection technical personnel    ，  售后服务技术人员/ Post-sale service technical personnel    ，  其他技术人员/ Other technical personnel    。（注：上述人数均为所涉及申请产品的人数）

6  申请型式认可产品的最大年生产能力/ Application pattern approval product most bumper year productivity:                          。

  （例：灭火器XX具/年；防火门XXX平米/年；消防应急灯具XX具/年等）

7  申请型式认可产品使用型式认可标志形式/ The application pattern approval product use pattern approves the symbol form：

A、  □ 消防产品身份信息发布及标志/ Fire product status information issue and symbol；      B、  □ 普通消防产品型式认可标志/ Ordinary fire product pattern approval symbol；。

8  中国代表处或中国办事处名称, 联系人姓名, 地址, 邮编, 电子邮件、电话、移动电话及传真/ Applicant’s representative or local office in China, Person to be contacted, Address & Postcode, E-mail, Telephone, Mobile No. & Fax No..:                                                         

                                                                                 。

二、申请型式认可产品情况

Product Information for Type-Approval

注：若申请企业属复评换证申请，在备注栏中注明是全部产品或是部分产品换证，并提交申请换证产品型式认可证书复印件/ If applies for the enterprise to need to transform the certificate, needs to indicate is the complete product or the partial products, and must submit the application product the pattern approval certificate copy。

申请型式认可产品名称、型号及照片(与申请产品一一对应)

Product Name, Type and Photo for Type-Approval

                          贴  照  片  处

                           Product Photo

名称                               型号

Name                               Model    

 

                           贴  照  片  处

                           Product Photo

名称                                型号

Name                                Model

 

三、申 请 企 业 承 诺

我代表申请企业郑重承诺：

1．始终遵守型式认可计划安排的有关规定；

2．为进行评价作出必要的安排，包括配合检查组的工作、允许检查组进入需进行检查的区域、查阅所有的记录（包括内部审核报告、人员评价文件等）、提供必要的交通工具等；

3．按合同规定和相关规定，及时缴纳各项费用，及时从“中国消防产品信息网”获取相关信息；

4．按有关法律法规、规章的要求，正确使用证书和标志；

5．谨慎使用产品型式认可结果，不损害公安部消防产品合格评定中心的声誉；不对社会产生误导，不未经许可发表声明；

6．当证书被暂停、撤销、中止型式认可程序时，立即停止涉及型式认可内容的广告及宣传，并按要求将所有型式认可文件（至少应包含型式认可证书及型式检验报告）交回公安部消防产品合格评定中心，封存型式认可标志；

7．在传播媒体中对产品型式认可内容的引用，严格遵守国家的相关要求。

   申请企业法定代表人签字：

(加盖公章)

年    月     日

Commitment of the Applicant Firm

I represent apply for the enterprise to pledge seriously：

1：Make a Statement related to the certification only in the scope of approved certification

2：In order to carry on the appraisal to make the essential arrangement, including the coordinate inspection team's work, the permission inspection team enters must carry on the inspection the region, consult all records (including internal check report, personnel to appraise document and so on), to provide the essential transportation vehicle and so on.

3：According to the contract provision and the related stipulation, pay each item of fee promptly, promptly from “Chinese fire prevention product information network” gain related information

4：According to the relevant law laws and regulations, the rules and regulations request, uses the certificate and the sign correctly

5：The discrete use product authentication result, does not harm the Ministry of Public Security fire prevention product qualified assessment center the prestige; Does not have misleading to the society, not issues the statement without the permission

6：When the certificate is suspended, the cancellation, stops authenticating the procedure, immediately stops involving the authentication content the advertisement and the propaganda, and will possess the authentication document according to the request (to contain authentication certificate and pattern survey report at least) returns the Ministry of Public Security fire prevention product qualified assessment center, seals the authentication symbol

7：In the communication media to the product authentication content's quotation, should meet the national related requirement

Signature：

（Signed by the authorized person of the Applicant firm）

Date:

四、已获证产品情况

Description of the Product Already Obtained CCCF Certification

五、申 请 材 料 附 件

请随本申请书提供如下附件：

1、    企业营业执照副本和组织代码证书复印件（含年检情况，并加盖企业印章）。

2、    申请企业概况、组织机构图及与其对应的部门职责。

3、    技术文件：

1）产品生产技术来源的简要说明；

2）产品设计文件（如：产品图纸、设计计算说明书等）:

3）产品工艺流程图（注明关键工序和质量控制点）:

4）设备布局平面图；

5）原材料、关键件质量控制文件目录。

4、    产品关键件或产品特性描述填报表(从http://www.cccf.net.cn网站下载相关表格，并填报)。

注：与申请产品一一对应，并加盖公章

5、    生产设备和检验设备清单

6、    企业符合安全要求、劳动保护要求、环境保护要求的证明材料

7、    产品销售流向信息上报表

8、    所有申请材料的电子文档

9、    需要提交的其他材料

注：以上材料均需一式两份提交；并需签订型式认可合同书（网上下载，同样一式两份）。

六、组织性质代码

      Organization nature code