申请编号:生产厂编号:ApplicationNo:ertification首次申请□再次申请□FirstApplicationSecondApplication申请日期/Date:产品类别/Productsort:::、地址/Name、AddressofPayer:、邮编/AddressandpostcodeofApplicant:::: :-mail::::::-mail: :(wheretheequipmentisproduced)::::: :-mail:(wheretheequipmentisproduced)::、邮编/Addressandpostcodeoffactory::-mail: ::::::(中文)/Modelandspecification:型号和规格(英文)/Modelandspecification::: (如有/Ifapplicable)::是/Yes 否/No如果有,给出CB测试证书的编号和获证日期/If“Yes”,givethenumberanddateoftheCBTestCertificate:CB证书号/:获证日期/IssuedDate:颁发CB测试证书的认证机构/NameoftheNCBissuingtheCBTestCertificate:11、认证的同时,是否申请CB测试证书/ertification:是/Yes
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