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ITEM 1. Application providersApplicant
Company Name(Chinese): *
Company(English):
Address(Chinese): *
ADD(English):
Postal Code: Email:
Contact Person: * TEL: *
Title: FAX:

ITEM 2. ManufacturersManufacturer(Is reflected in a certificate:
Company (English):
Add(English):
Contact Person: Tel:
Title: Fax:

ITEM 3. Cases of responsible personResponsible party（If the ITEM 3-ITEM 6 with the ITEM 1 different, please fill in Chinese??/span>
Company:
Add:
Postal Code: E-mail:
Contact Person: Tel:
Title: Fax:

ITEM 4. Product Description EUT Description
EUT: M/N:
Voltage : Current : Power :
Load : Work Freq. The distinction between models (available attachment description)

ITEM 5. Certification Program Approval Item

FCC UL UL+CUL FDA EPA CE/EMC CE/LVD RoHS E/e-mark

PSE R&TTE TUV-GS CCC Mark C-Tick K-mark
Other Certification Program??/td> Notes??/td>
UL File??/td>

ITEM 6. Reports / certificates and address of the recipient
The Mailing address to Which the reports/certs should be sent
Company:
Add:
Contact Person: Tel:

  • VerifyCode:       
   
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